ObamaCare Revealed: The “Good”, the “Bad” and the “Ugly”

ACA Title II, Sec. 2202. Permitting hospitals to make presumptive eligibility determinations for all Medicaid eligible populations. “Ugly” – “Of course you are covered by Medicaid!” This provision gives authority for hospitals to determine the preliminary eligibility of each patient for Medicaid. This opens up the opportunity for hospital admissions staff to presumptively determine that the… Continue Reading ›

ObamaCare Revealed: The “Good”, the “Bad” and the “Ugly”

ACA Title II, Sec. 2201. Enrollment simplification and coordination with state health insurance exchanges: “Bad” – Streamlining is not always good. This provision requires a streamlining and simplification of eligibility for Medicaid, both the categorically eligible and the CHIP eligible. This makes it easier to qualify for Medicaid while Medicaid itself has almost bankrupted the states.… Continue Reading ›

ObamaCare Revealed: The “Good”, the “Bad” and the “Ugly”

ACA Title II, Sec. Technical corrections: “Bad” – Further unwisely expands eligibility. This legislative initiative further opens up eligibility for the CHIP program. It relaxes the legal language for residence and expands the eligibility caps. Because those controlling federal expenditure patterns (aka Democrats) did not have to compromise with those who oppose more federal spending (aka… Continue Reading ›

ObamaCare Revealed: The “Good”, the “Bad” and the “Ugly”

ACA Title 1, Sec. 1562. Conforming amendments: “Good” – Required to consolidate the federal role over both group and individual health plans. This provision standardizes the federal Public Health Service (PHS) Act language regarding the regulation of group and individual health plan. This “clean –up” provision simply amends the language in the Act which allows the… Continue Reading ›

ObamaCare Revealed: The “Good”, the “Bad” and the “Ugly”

ACA Title 1, Sec. 1561. Health information technology enrollment standards and protocols: “Good” – Requires enrollment technology. This provision requires the development of standards and guidelines on how streamlined enrollment technology will be developed. The emphasis here appears to be on streamlining the process with minimal attention to standards of accuracy and fraud avoidance. Please let… Continue Reading ›