Medicaid

After nearly 30 years, the Obama administration wants to modernize the rules nursing homes must follow to qualify for Medicare and Medicaid payments.

The hundreds of pages of proposed changes cover everything from meal times to use of antipsychotic drugs to staffing. Some are required by the Affordable Care Act and other recent federal laws, as well as the president's executive order directing agencies to simplify regulations and minimize the costs of compliance.

Delta County Memorial Hospital, Urgent Care
Laura Palmisano / KVNF

For the past three years, Delta County Memorial Hospital has been participating in a pilot program that's allowed it to collect more money from Medicaid and Medicare for its services. 

The program will sunset in 2017, but the hospital doesn't want to that to happen. That's why it's lobbying federal lawmakers to support two bills that would extend it.  

Additionally, the hospital wants to see if it can change its classification in effect making those larger payments permanent, but to do that it also needs federal support. 

A total of 16.4 million non-elderly adults have gained health insurance coverage since the Affordable Care Act became law five years ago this month. It's a reduction in the ranks of the uninsured the the Department of Health and Human Services called historic.

Connect for Health Colorado
connectforhealthco.com

According to the latest data, more than 100,000 Coloradans have sign up for private health insurance through the state’s exchange.  

Open enrollment for Connect for Health Colorado started last month.

As of Monday, more than 136,000 residents have signed up for coverage.

Breaking down those numbers, more the 27,000 people enrolled for Medicaid and 932 signed up for CHP+, the state’s health plan for low-income children and pregnant women.

The exchange has also seen more than 108,000 enrollments in private insurance plans.

A Shots post earlier this week by NPR's John Ydstie detailed the "family glitch" in the Affordable Care Act. That's where people who can't afford their insurance at work aren't eligible for help in the new insurance exchanges. Many of these Americans, most of whom make middling incomes, will remain uninsured.

That story got us wondering: Who else is getting left out by health law? And who is getting coverage?

Connect for Health Colorado
connectforhealthco.com

Officials with Connect for Health Colorado say more than 22,000 people enrolled for health coverage last month.

Open enrollment for the state’s insurance exchange began on Nov. 15.  

During the first two-week enrollment period 9,719 people signed up for private coverage, 12,533 enrolled for Medicaid, and 172 signed up for the state's Child Health Plan Plus (CHP+), according to state data. 

Marty Durlin/KVNF

As the Affordable Care Act takes effect this year, Delta County Memorial Hospital Administrator Jason Cleckler is navigating uncertain terrain.