Affordable Care Act

Diabetes Takes Disproportionate Toll On Hispanics And Blacks

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Connecticut’s diabetes rate ranks lower than the national average, but Hispanics and African-Americans are more than twice as likely to have the disease compared with their white neighbors and are at greater risk of dying from diabetes-related causes. Approximately 250,000 Connecticut adults (8 percent) have been diagnosed with Type 2 diabetes and an estimated 83,000 state residents don’t realize they have the disease, according to 2011-13 data from the U.S. Centers for Disease Control and Prevention (CDC). Nationally, 29.1 million people (9.3 percent) have diabetes and 8.1 million people don’t know they have the disease, reports the CDC. Connecticut’s Hispanics (14.6 percent) and African-Americans (14.1 percent) have significantly higher rates of diabetes than whites (6.7 percent). In addition, adults with annual household incomes below $25,000 are 2.3 times more likely to have diagnosed diabetes compared with adults with household incomes over $75,000, according to the CDC.

Disparities

Obamacare: More Insured, But Out-Of-Pocket Costs Burden Many

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From all indications, the second enrollment for Obamacare is going smoothly for Connecticut residents. But then, Connecticut residents had a relatively easy time the first go-round, even while the federal exchange’s website crashed beneath the weight of would-be applicants. If enrollment is easier all around this time, the law itself faces some of its toughest challenges. The Supreme Court will hear a case that will examine the legality of important federal subsides that help low- and middle-income Americans pay for policies in states that haven’t set up their own exchanges. At issue is the law’s language that refers to subsidies being paid in exchanges “established by the state.” Roughly 4 million people receive those subsidies.

Access Health CT

Diligence Pays Off When Shopping For Health Insurance

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Connecticut consumers who carefully consider their health status and financial needs stand to reap the greatest benefits when shopping for insurance during the 2015 open enrollment period. The enrollment period to purchase coverage at Access Health CT (AHCT), the online marketplace created by the Affordable Care Act, runs from Nov. 15, 2014, to Feb. 15, 2015. The law requires most Americans to carry health insurance or pay a fine when they file their federal income taxes.

Women's Health

Gynecology Based On Geography

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The Affordable Care Act is providing women with an impressive array of reproductive health care options – except where it doesn’t. Whether a woman is benefitting from the ACA depends very much on her address, and the rather complicated workings of state exchanges. But with some caveats, for Connecticut women, the law is working. We should take a moment to think about that. Connecticut women are in the unusual position of having an important political promise met.

Women's Health

Hobby Lobby: On The Brink Of A Women’s Rights Abyss

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In a decision mostly divided along ideological and gender lines, the Supreme Court voted last week in Burwell v. Hobby Lobby to release certain companies from providing insurance coverage for contraceptives to their female employees. Simply put, at 5-4, the Supremes crawled into the LadyBusiness of America and voted to allow closely-held companies to opt out of paying for contraceptive coverage under the Affordable Care Act. The IRS defines “closely-held” as any company that is not a personal service organization, and has five or fewer owners who possess more than half of the stock. A 2009 New York University Stern School of Business study says that’s little more than half of private sector companies that employ around 60 million people. Though press coverage would have you think otherwise, this is not a narrowly-defined decision.

Disparities

Yalies Target Young Adults For Health Coverage, As Deadline Nears

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A unique campaign spearheaded by Yale School of Medicine students to encourage uninsured young adults to sign up for health coverage by the federal March 31 deadline has galvanized student groups across Connecticut and the country. The Students for a Better Healthcare System (SBHS) campaign has reached more than 600 residents of all ages and health care providers through dozens of presentations at schools, churches, physician practices, medical clinics and other greater New Haven sites. The University of Connecticut School of Medicine has joined the effort to reach Hartford area residents and 33 schools nationwide have expressed interest in bringing the campaign to their local communities. “The most important thing we can do right now is help people sign up for health insurance through the Affordable Care Act,” said Matthew Meizlish, a SBHS co-founder who just completed his term as co-president of Yale’s chapter of the American Medical Student Association.  “Our goal is to expand access to health care and to engage our communities in building a better health care system.”

Consumers have until March 31 to sign up for coverage to avoid a tax penalty.

Disparities

Undocumented Immigrants To Strain Safety-Net Hospitals

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Undocumented immigrants are expected to make up a larger share of Connecticut’s uninsured population next year, putting new financial pressures on safety-net hospitals that provide emergency care to everyone, state and national health experts predict. The Affordable Care Act (ACA) provides coverage options for legal immigrants, but those in the U.S. illegally cannot apply for Medicaid, even if they are poor, or buy coverage at Access Health CT (the new insurance marketplace), even if they have cash. That means illegal residents without coverage will continue turning to local emergency departments for care at a time when Connecticut hospitals face the loss of millions of dollars in federal and state subsidies to help defray the cost of uncompensated care. “This is a global problem that isn’t going away. This population (of undocumented residents) is not being addressed by any state or federal initiatives.

Women's Health

Women Bear Greater Pain From Government Shutdown

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Attention ladies! That rundown feeling you experienced last month just might have been the weight of the government balanced on your shoulders. Case in point: October’s government shutdown is over – for now – but in recent history, the government has shut down 18 times. Six of those times – arguably seven, but let’s not quibble – have been the end result of arguments about funding women’s health and/or welfare. October’s two-week shutdown was a petulant attempt to defund the Affordable Care Act – Obamacare – which contains an unprecedented amount of initiatives aimed at women, including extending free preventive care (birth control), maternity coverage and eliminating the so-called gender rating, where women are charged more for insurance simply because they are women.

Fines & Sanctions

Hospitals Show Financial Gains, But Smaller Facilities Struggle

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Connecticut’s acute-care hospitals ended the last fiscal year in slightly better financial health than in the prior year, with just five of 30 hospitals reporting losses, according to a new state report. Data filed with the state Office of Health Care Access (OHCA) shows that six hospitals had operating losses in the 2012 fiscal year – the same number as in 2011, but fewer than in 2010. When non-operating gains and losses are included, five hospitals had negative total margins, or deficits – down from eight in 2011. The annual OHCA report paints a positive picture of the overall financial health of hospitals, highlighting that Connecticut’s hospitals had a total gain from operations of about $513 million in the last fiscal year – a substantial increase, of close to 70 percent, over the prior year. Total hospital net assets also increased.

Disparities

Hispanic Outreach Fuels CT Health Care Push

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Cheila Serrano knows educating Hispanics who are uninsured and underinsured about the new options available at Access Health CT – the health insurance marketplace that opens for business today – presents a unique set of problems.

But with one in every four Hispanics lacking coverage, Serrano, a program director at Junta for Progressive Action in New Haven, is up for the challenge. Connecticut’s Hispanics represent the fastest-growing, youngest and poorest segment of the state’s population. Estimates of Connecticut’s uninsured vary. Approximately 344,000 people lack health insurance in Connecticut and 65 percent of the state’s uninsured are minorities, according to data being used by Access Health. Estimates released by the U.S. Census Bureau in September, however, put the uninsured at 284,000.