HHS SAYS HEALTH INSURANCE MARKETPLACE ENROLLMENT HITS 4.2 MILLION

FROM:  DEPARTMENT OF HEALTH AND HUMAN SERVICES 
Enrollment in the Health Insurance Marketplace climbs to 4.2 million in February
27 percent of February Federal Marketplace enrolled are young adults

Enrollment in the Health Insurance Marketplace continued to rise in February to a five-month total of 4.2 million.

As in January, the percent of young adults who selected a Marketplace plan was 3 percentage points higher than it was from October through December (27 percent versus 24 percent).  Based on enrollment patterns in other health care programs, it is expected that more people will sign up as we get closer to the March 31st deadline.

“Over 4.2 million Americans have signed up for affordable plans through the Marketplace,” said HHS Secretary Kathleen Sebelius. “Now, during this final month of open enrollment our message to the American people is this: you still have time to get covered, but you’ll want to sign up today – the deadline is March 31st.”

Key findings from today’s report include:

More than 4.2 million (4,242,300) people selected Marketplace plans from Oct. 1, 2013, through Mar. 1, 2014, including 1.6 million in the State Based Marketplaces and 2.6 million in the Federally-facilitated Marketplace. About 943,000 people enrolled in the Health Insurance Marketplace plans in the February reporting period, which concluded March 1, 2014.
Of the more than 4.2 million:
55 percent are female and 45 percent are male;
31 percent are age 34 and under;
25 percent are between the ages of 18 and 34;
63 percent selected a Silver plan (up one percentage point over the prior reporting period), while 18 percent selected a Bronze plan (down one point); and
83 percent selected a plan and are eligible to receive Financial Assistance (up one point).
Today’s report details state-by-state information where available.  In some states, only partial datasets were available.

The report features cumulative data for the five-month reporting period because some people apply, shop, and select a plan across monthly reporting periods.  Enrollment is measured as those who selected a plan.

HHS HELPS PATIENTS ACCESS LAB TEST REPORTS

FROM:  DEPARTMENT OF HEALTH AND HUMAN SERVICES 
HHS strengthens patients’ right to access lab test reports

As part of an ongoing effort to empower patients to be informed partners with their health care providers, the Department of Health and Human Services (HHS) has taken action to give patients or a person designated by the patient a means of direct access to the patient’s completed laboratory test reports.

“The right to access personal health information is a cornerstone of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule,” said Secretary Kathleen Sebelius. “Information like lab results can empower patients to track their health progress, make decisions with their health care professionals, and adhere to important treatment plans.”

The final rule announced today amends the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations to allow laboratories to give a patient, or a person designated by the patient, his or her “personal representative,” access to the patient’s completed test reports on the patient’s or patient’s personal representative’s request. At the same time, the final rule eliminates the exception under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to an individual’s right to access his or her protected health information when it is held by a CLIA-certified or CLIA-exempt laboratory. While patients can continue to get access to their laboratory test reports from their doctors, these changes give patients a new option to obtain their test reports directly from the laboratory while maintaining strong protections for patients’ privacy.

The final rule is issued jointly by three agencies within HHS: the Centers for Medicare & Medicaid Services (CMS), which is generally responsible for laboratory regulation under CLIA, the Centers for Disease Control and Prevention (CDC), which provides scientific and technical advice to CMS related to CLIA, and the Office for Civil Rights (OCR), which is responsible for enforcing the HIPAA Privacy Rule.

Under the HIPAA Privacy Rule, patients, patient’s designees and patient’s personal representatives can see or be given a copy of the patient’s protected health information, including an electronic copy, with limited exceptions. In doing so, the patient or the personal representative may have to put their request in writing and pay for the cost of copying, mailing, or electronic media on which the information is provided, such as a CD or flash drive. In most cases, copies must be given to the patient within 30 days of his or her request.

HHS LAUNCHES VIDEO CONTEST TO INFORM YOUNG PEOPLE ABOUT AFFORDABLE CARE ACT

FROM:  HEALTH AND HUMAN SERVICES 
HHS launches partnership and video contest with Young Invincibles

JANUARY 30, 2014

HOUSTON, Texas – Today, Health and Human Services (HHS) Secretary Kathleen Sebelius and Young Invincibles announced the Healthy Young America video contest in an effort to inform young people about health insurance coverage and new options under the Affordable Care Act.

“Health insurance is out of reach for millions of young people today—because it costs too much, or isn’t offered through a job,” Secretary Sebelius said.  “Soon the Health Insurance Marketplace will give uninsured young people the opportunity to enroll in affordable health insurance, and the Healthy Young America video contest will help them tell their stories to other young people.”

The Affordable Care Act is making health care more affordable and accessible for 19 million uninsured young adults across the country.  Three million previously uninsured young adults have joined their parents’ health insurance plan because of the health care law.

“The Millennial generation has always been a creative generation, which is why we are so pleased to partner with HHS in launching the Healthy Young America video contest.  “Educating millions of young people about the changes coming this year is vital to helping them achieve economic security,” Aaron Smith, co-founder and executive director of Young Invincibles. “This competition will engage young people by reaching them through a medium that they prefer to use when sharing and receiving content.”

Young Invincibles is in the midst of a nationwide campaign designed to inform young adults about coming changes and new options.  “The campaign includes health care “train the trainers” to help community leaders be informed about new changes. A website with frequently-asked questions and a mobile app to help consumers learn about their options, find local health care services, and get information on enrollment events this fall are also included in the campaign.

Young people can access a variety of online tools now, through HealthCare.gov, and count on in-person help to get answers to their questions to help them enroll October 1. Young people can use HealthCare.gov to join web chats or call toll free 1-800-318-2596, to get help from a trained customer service representative.

There will also be people in local communities who can provide direct help with their coverage choices. Last week, HHS awarded $67 million to 105 Navigator grant applicants and recognized more than 100 national organizations and businesses who have volunteered to help Americans learn about the Marketplace.  More than 1,200 community health centers across the country are preparing to help enroll uninsured Americans in coverage, and a partnership with the Institute of Museum and Library Services will help trusted local libraries be a resource for consumers who want information on their options.

HHS ANNOUNCES 2.2 MILLION AMERICANS SELECTED PLANS IN HEALTH INSURANCE MARKETPLACE

FROM:  DEPARTMENT OF HEALTH AND HUMAN SERVICES 
2.2 million Americans selected plans in the Health Insurance Marketplace from October through December
Thirty percent of those who selected plans were under age 35

Nearly 2.2 million people have selected plans from the state and federal marketplaces by Dec. 28, 2013 (the end of third reporting period for open enrollment), Health and Human Services Secretary Kathleen Sebelius announced today.

A new HHS report provides the first demographic information about enrollees. December alone accounted for nearly 1.8 million enrollees in state and federal marketplaces. Enrollment in the federal Marketplace in December was seven-fold greater than the combined total for October and November – and eight-fold greater for young adults ages 18 to 34.

“Americans are finding quality affordable coverage in the Marketplace, and best of all, because coverage began on New Year’s Day, the promise and hope of the Affordable Care Act is now a reality,” Secretary Sebelius said. “Our outreach efforts have ramped up, so whether it’s through public service announcements, events, our champions or other means, we are doing all we can to find, inform and enroll those who can benefit from the Marketplace.  There is still plenty of time for you and your family to sign up in a private plan of your choice, so visit HealthCare.gov to learn more and sign up now.”

Key findings from today’s report include:

Nearly 2.2 million (2,153,421) people selected Marketplace plans from Oct. 1 through Dec. 28, 2013
These signups in the state and federal marketplaces represent a nearly five-fold increase from October-November, including nearly 1.8 million (1,788,739) people who selected a plan in December (compared with the previous two-month cumulative total of 364,682 through Nov. 30, 2013).
Of the almost 2.2. million:
54 percent are female and 46 percent are male;
30 percent are age 34 and under;
24 percent are between the ages of 18 and 34, and;
60 percent selected a Silver plan, while 20 percent selected a Bronze plan; and
79 percent selected a plan with Financial Assistance.
Today’s report also details state-by-state information where available.  In some cases, only partial datasets were available for state marketplaces.

The report features cumulative data for the three-month period because some people apply, shop, and select a plan across monthly reporting periods.  Enrollment is measured as those who selected a plan.

HHS SAYS ALMOST 365,000 HAVE SELECTED HEALTH INSURANCE MARKETPLACE PLANS

FROM:  U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 
December 11, 2013

Nearly 365,000 Americans selected plans in the Health Insurance Marketplace in October and November
1.9 million customers made it through the process but have not yet selected a plan; an additional 803,077 assessed or determined eligible for Medicaid or CHIP

Health and Human Services (HHS) Secretary Kathleen Sebelius announced today that nearly 365,000 individuals have selected plans from the state and federal Marketplaces by the end of November. November alone added more than a quarter million enrollees in state and federal Marketplaces. Enrollment in the federal Marketplace in November was more than four times greater than October’s reported federal enrollment number.

Since October 1, 1.9 million have made it through another critical step, the eligibility process, by applying and receiving an eligibility determination, but have not yet selected a plan.  An additional 803,077 were determined or assessed eligible for Medicaid or the Children’s Health Insurance Program (CHIP) in October and November by the Health Insurance Marketplace.

“Evidence of the technical improvements to HealthCare.gov can be seen in the enrollment numbers.  More and more Americans are finding that quality, affordable coverage is within reach and that they'll no longer need to worry about barriers they may have faced in the past – like being denied coverage because of a pre-existing condition,” Secretary Kathleen Sebelius said. “Now is the time to visit HealthCare.gov, to ensure you and your family have signed up in a private plan of your choice by December 23 for coverage starting January 1. It's important to remember that this open enrollment period is six months long and continues to March 31, 2014.”

The HHS issue brief highlights the following key findings, which are among many newly available data reported today on national and state-level enrollment-related information:

November’s federal enrollment number outpaced the October number by more than four times.
Nearly 1.2 million Americans, based only on the first two months of open enrollment, have selected a plan or had a Medicaid or CHIP eligibility determination;
Of those, 364,682 Americans selected plans from the state and federal Marketplaces; and
803,077 Americans were determined or assessed eligible for Medicaid or CHIP by the Health Insurance Marketplace.
39.1 million visitors have visited the state and federal sites to date.
There were an estimated 5.2 million calls to the state and federal call centers.
The report groups findings by state and federal marketplaces.  In some cases only partial datasets were available for state marketplaces.  The report features cumulative data for the two month period because some people apply, shop, and select a plan across monthly reporting periods.  These counts avoid potential duplication associated with monthly reporting.  For example, if a person submitted an application in October, and then selected a Marketplace plan in November, this person would only be counted once in the cumulative data.

HHS SAYS HALF OF ELIGIBLE ADULTS COULD GET HEALTH INSURANCE FOR $50 OR LESS

FROM:  U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 
Half of single young adults eligible for the Health Insurance Marketplace could get coverage for $50 or less

A new report released today by the Department of Health and Human Services (HHS) shows that nearly half (46 percent) of single young adults who are uninsured and may be eligible for coverage in the Health Insurance Marketplace could get coverage for $50 or less per month.

“The health care law is making health insurance more affordable for young adults,” said HHS Secretary Kathleen Sebelius.  “With nearly half of single, Marketplace-eligible uninsured young adults able to get coverage at $50 or less per month, the health care law is delivering the quality, affordable coverage people are looking for.”

Young adults are the age group most likely to be without health insurance.  But through the Health Insurance Marketplace, young adults can purchase quality, affordable coverage and get lower costs on monthly premiums through tax credits.  Young adults may also be eligible for Medicaid.  The amount an individual can save depends on his or her family income and size.

Today’s report examines data from the 34 Federally-facilitated and State Partnership Marketplaces and finds that out of 2.9 million single young adults ages 18 to 34 who may be eligible for coverage in the Marketplace, 1.3 million (46 percent) could purchase a bronze plan for $50 per month or less after tax credits.   In the 34 states, a total of 1.9 million young adults, representing nearly 7 in 10 (66 percent) of the potentially Marketplace-eligible uninsured ages 18 to 34, may be able to pay $100 or less for coverage in 2014.

According to the report, an additional 1 million eligible uninsured single young adults may qualify for Medicaid in the states that have opted to expand the program in 2014. Today’s report also shows that if each of the 34 states expanded its Medicaid program, the proportion of young adults who could obtain low-cost coverage would be even greater.  If each of the 34 states expanded its Medicaid program, 4.9 million uninsured single young adults would be eligible for Medicaid.

While some states are expanding their Medicaid programs in 2014, other states are not doing so.  Under the health care law, states can receive 100 percent federal funding in 2014 to expand their Medicaid programs to cover people with incomes up to 133 percent of the federal poverty level.  That’s about $15,800 a year for an individual, or about $32,500 for a family of four.

STATEMENT BY HHS SECRETARY SEBELIUS ON OVARIAN CANCER AWARENESS MONTH

FROM:  U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, 
National Ovarian Cancer Awareness Month 2013
A statement by HHS Secretary Kathleen Sebelius

This year, thousands of American women – our mothers, grandmothers, aunts, daughters, and friends – will die from ovarian cancer. During September, we observe National Ovarian Cancer Awareness Month to recognize those who have died and recommit ourselves to helping the women who are fighting for their health.

Every year, more than 20,000 women in the United States are diagnosed with ovarian cancer, which is the fifth leading cause of cancer death for women and accounts for more than 14,000 deaths a year.

The administration advances scientific research to improve prevention, diagnosis and treatment. When ovarian cancer is found in its early stages, treatment is most effective, but, there is currently no proven method to screen for ovarian cancer in women.

That is why awareness is key to women’s survival. Ovarian cancer often does have signs and symptoms, so it is important to pay attention to your body –to be aware-- and know what is normal for you.  If you have vaginal bleeding that is not normal for you, see a doctor right away. Also see your health care provider if you have any of the other signs that are not normal for you, such as pain in the pelvic or abdominal area or bloating, for two weeks or longer.

Know your risk factors. All women are at risk for ovarian cancer, but older women are more likely to get the disease than younger women.  There are some factors that may increase your risk, including if you have genetic mutations called BRCA1 or BRCA2, have had certain cancers, breast,uterine,or have never given birth or have had trouble getting pregnant.

Having any of these symptoms or factors does not mean you have or will get ovarian cancer. But you should speak with your health care professional about your risk and whether you need genetic counseling and further examination.

The Affordable Care Act is making health care more accessible and providing important protections for women. Insurers must cover –at no out-of-pocket cost -- an annual well-woman visit, which is a good time for women to discuss their concerns about ovarian cancer with their health care provider. The law also guarantees coverage for genetic counseling and testing for certain women at high risk for ovarian cancer.

Women who are enrolled in Medicare part B can discuss any concerns at the annual wellness visit, which is available without part B coinsurance or satisfying the deductible. We also know that women-- and men -- without insurance are less likely to get the primary health care that they need to get healthy and to catch serious conditions like ovarian cancer in their early and more treatable stage. The good news is for millions of Americans who are uninsured or under-insured, new options for affordable, quality health insurance are around the corner.

In just a few weeks, every state will have an online Health Insurance Marketplace where people can find a plan that fits their budget and needs. Open enrollment starts October 1 for coverage that begins as soon as January 1, 2014.  You can find information and updates at HealthCare.gov – and the Spanish-language version at CuidadoDeSalud.gov. Sign up now at either site for a personal account to begin the process.

Also, in 2014, the health law makes it illegal to deny coverage or charge more if a woman has ovarian cancer or other pre-existing condition.

Remember: Being aware of what’s normal for our bodies and having access to quality health care are vital weapons in the fight against ovarian cancer.

Learn more about the risks and symptoms of ovarian and other gynecologic cancers.

See the National Cancer Institute’s What You Need to Know About Ovarian Cancer booklet and check out the Centers for Disease Control and Prevention’s Inside Knowledge: Get the Facts About Gynecologic Cancer campaign and read survivors’ personal stories.

HHS PROPOSES NEW RULE TO ENHANCE CHILDREN'S SAFTEY

FROM: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

May 16, 2013
HHS announces actions to improve safety and quality of child care
　

Helping to answer President Obama’s call to ensure quality early education for every American child, the U.S. Department of Health and Human Services (HHS) proposed today a new regulation for public comment that will better ensure children’s health and safety in child care and promote school readiness. Under the proposed rule, states, territories and tribes would be required to strengthen their standards to better promote the health, safety and school readiness of children in federally funded child care.

Millions of working parents depend on child care and assume certain safety requirements are already in place for their children, but standards vary widely across the states. Many states do not enforce even basic standards such as fingerprinting, background checks and first aid training for providers. This puts our children at risk.

"Many children already benefit from the excellent care of high-quality child care providers who are meeting or exceeding the proposed requirements," said HHS Secretary Kathleen Sebelius. "However, too many children remain in settings that do not meet minimum standards of health and safety. These basic rules ensure that providers take necessary basic steps to shield children from an avoidable tragedy."

The proposed rule would only apply directly to child care providers who accept Child Care and Development Fund (CCDF) funds. More than 500,000 providers serve about 1.6 million low-income children through CCDF. Many more children would benefit, however, because the providers also serve non-CCDF children.

Under the proposed rule, states would require that all CCDF-funded child care providers:
Receive health and safety trainings in specific areas
Comply with applicable state and local fire, health and building codes
Receive comprehensive background checks (including fingerprinting)
Receive on-site monitoring
The rule would also require states to share information with parents through user-friendly websites about provider health, safety and licensing information. While some states already post health and safety reports online, the new rule would bring all states up to this standard.

"Parents know the needs of their own children," said Shannon Rudisill, director of the Office of Child Care. "However, parents don’t always have enough information to help them make the right choice when choosing a child care provider. This proposal would give parents the necessary tools to choose quality care that fully meets their needs."

While the proposed rule establishes new minimum standards, it also recognizes the need for innovation and flexibility and allows states and communities to tailor their specific approaches to best meet the needs of the children and families they serve. The rule would not change or impede a state’s ability to license child care providers as they see fit.

The administration continues to work with Congress to reauthorize the Child Care and Development Block Grant, which was last reauthorized in 1996. This rule does not take the place of reauthorization, but rather proposes long overdue reforms to better ensure that low-income working families have access to safe, high-quality child care that is essential for healthy early childhood development.

HHS is requesting the public’s input on this proposed regulation. The comment process, which lasts for 75 days, allows for feedback on the proposed rule.

HHS SAYS 71 MILLION AMERICANS WILL RECEIVE PREVENTITIVE CARE DUE TO AFFORDABLE CARE ACT

Credit:  Veterans Affairs

FROM: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Affordable Care Act extended free preventive care to 71 million Americans with private health insurance
Health Care Law’s third anniversary sees health costs slowing down, more value for consumers

Health and Human Services (HHS) Secretary Kathleen Sebelius announced today that about 71 million Americans in private health insurance plans received coverage for at least one free preventive health care service, such as a mammogram or flu shot, in 2011 and 2012 because of the Affordable Care Act. The new data was released in a report from HHS today.

Additionally, an estimated 34 million Americans in traditional Medicare and Medicare Advantage plans have received at least one preventive service, such as an annual wellness visit at no out of pocket cost because of the health care law.

Taken together, this means about 105 million Americans with private health plans and Medicare beneficiaries have been helped by the Affordable Care Act’s prevention coverage improvements.

Preventive services, consumer protections, and other reforms under the Affordable Care Act are giving millions of Americans of all ages more value for their health care dollars and contributing to the slowest growth in health care costs in 50 years.

"Preventing illnesses before they become serious and more costly to treat helps Americans of all ages stay healthier," Secretary Sebelius said. "No longer do Americans have to choose between paying for preventive care and groceries."

Secretary Sebelius released the preventive services report as HHS celebrates the Affordable Care Act’s third anniversary this week. The law is keeping down costs and providing more value for consumers and taxpayers through new consumer protections, holding insurance companies accountable, building a smarter health care system, and providing seniors with vital savings on their prescription drugs.

The Affordable Care Act is giving Americans better value for their health insurance plans by:
Eliminating lifetime dollar caps on essential health benefits, and phasing out annual caps. About 105 million Americans no longer have to fear their benefits will disappear when they need them most because their insurer put a lifetime cap on the amount it would pay.
Prohibiting health insurance companies from denying coverage to children based on a pre-existing condition, such as asthma or cancer.
And in 2014, it will be illegal for health insurance companies to deny coverage to any American or to charge more because of a pre-existing condition. No longer will 129 million Americans with health conditions have to fear seeing their premiums increased or getting locked out of the insurance market.
The law will also make it illegal for a health insurer to charge women more simply because they are women. "That means," Secretary Sebelius said, "being a woman will no longer be a pre-existing condition."

HHS SAYS HEALTH CARE OPTION COMPARISONS BEGIN IN 2014

Ambulances.  Credit:  U.S. Air Force.

FROM: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health care law allows consumers to easily find and compare options starting in 2014
New rule will expand mental health and substance use disorder benefits to 62 million Americans

Department of Health and Human Services (HHS) Secretary Kathleen Sebelius today announced a final rule that will make purchasing health coverage easier for consumers. The policies outlined today will give consumers a consistent way to compare and enroll in health coverage in the individual and small group markets, while giving states and insurers more flexibility and freedom to implement the Affordable Care Act.

"The Affordable Care Act helps people get the health insurance they need," said Secretary Sebelius. "People all across the country will soon find it easier to compare and enroll in health plans with better coverage, greater quality and new benefits."

Today’s rule outlines health insurance issuer standards for a core package of benefits, called essential health benefits, that health insurance issuers must cover both inside and outside the Health Insurance Marketplace. Through its standards for essential health benefits, the final rule released today also expands coverage of mental health and substance use disorder services, including behavioral health treatment, for millions of Americans.

A new report by HHS, also released today, details how these provisions will expand mental health and substance use disorder benefits and federal parity protections for 62 million more Americans.

In the past, nearly 20 percent of individuals purchasing insurance didn’t have access to mental health services, and nearly one third had no coverage for substance use disorder services. The rule seeks to fix that gap in coverage by expanding coverage of these benefits in three distinct ways:
By including mental health and substance use disorder benefits as Essential Health Benefits
By applying federal parity protections to mental health and substance use disorder benefits in the individual and small group markets
By providing more Americans with access to quality health care that includes coverage for mental health and substance use disorder services
To give states the flexibility to define essential health benefits in a way that would best meet the needs of their residents, this rule also finalizes a benchmark-based approach. This approach allows states to select a benchmark plan from options offered in the market, which are equal in scope to a typical employer plan. Twenty-six states selected a benchmark plan for their state, and the largest small business plan in each state will be the benchmark for the rest.

The rule additionally outlines actuarial value levels in the individual and small group markets, which helps to distinguish health plans offering different levels of coverage. Beginning in 2014, plans that cover essential health benefits must cover a certain percentage of costs, known as actuarial value or "metal levels." These levels are 60 percent for a bronze plan, 70 percent for a silver plan, 80 percent for a gold plan, and 90 percent for a platinum plan. Metal levels will allow consumers to compare insurance plans with similar levels of coverage and cost-sharing based on premiums, provider networks, and other factors. In addition, the health care law limits the annual amount of cost sharing that individuals will pay across all health plans – preventing insured Americans from facing catastrophic costs associated with an illness or injury.

Policies in today’s rule also provide more information on accreditation standards for qualified health plans (QHPs) that will be offered through the Health Insurance Marketplaces (also known as Exchanges), one-stop shops that will provide access to quality, affordable private health insurance choices.

Together, these provisions will help consumers compare and select health plans in the individual and small group markets based on what is important to them and their families. People can make these choices knowing these health plans will cover a core set of critical benefits and can more easily compare the level of coverage based on a uniform standard. Further, these provisions help expand choices and competition on the Marketplaces.

HHS SAYS AFFORDABLE CARE ACT WILL SAVE SENIORS $5000 OVER 12 YEARS

Photo: HHS Secretary Kathleen Sebelius

FROM: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Through the Affordable Care Act, Americans with Medicare will save $5,000 through 2022
5.5 million seniors saved money on prescription drugs and 19 million got free preventive care in 2012
Because of the health care law – the Affordable Care Act – the average person with traditional Medicare will save $5,000 from 2010 to 2022, according to a report today from the U.S. Department of Health and Human Services. People with Medicare who have high prescription drug costs will save much more – more than $18,000 – over the same period.

HHS Secretary Kathleen Sebelius also announced that, because of the health care law, more than 5.5 million seniors and people with disabilities saved nearly $4.5 billion on prescription drugs since the law was enacted. Seniors in the Medicare prescription drug coverage gap known as the donut hole have saved an average of $641 in the first eight months of 2012 alone. This includes $195 million in savings on prescriptions for diabetes, over $140 million on drugs to lower cholesterol and blood pressure, and $75 million on cancer drugs so far this year. Also in the first eight months of 2012, more than 19 million people with original Medicare received at least one preventive service at no cost to them.

"I am pleased that the health care law is helping so many seniors save money on their prescription drug costs," Secretary Sebelius said. "A $5,000 savings will go a long way for many beneficiaries on fixed incomes and tight budgets."

The health care law includes benefits to make Medicare prescription drug coverage more affordable. In 2010, anyone with Medicare who hit the prescription drug donut hole received a $250 rebate. In 2011, people with Medicare who hit the donut hole began receiving a 50 percent discount on covered brand-name drugs and a discount on generic drugs. These discounts and Medicare coverage gradually increase until 2020, when the donut hole will be closed.

The health care law also makes it easier for people with Medicare to stay healthy. Prior to 2011, people with Medicare had to pay for many preventive health services. These costs made it difficult for people to get the health care they needed. For example, before the health care law passed, a person with Medicare could pay as much as $160 for a colorectal cancer screening. Because of the Affordable Care Act, many preventive services are now offered free to beneficiaries (with no deductible or co-pay) so the cost is no longer a barrier for seniors who want to stay healthy and treat problems early.

In 2012 alone, 19 million people with traditional Medicare have received at least one preventive service at no cost to them. This includes 1.9 million who have taken advantage of the Annual Wellness Visit provided by the Affordable Care Act – almost 600,000 more than had used this service by this point in the year in 2011. In 2011, an estimated 32.5 million people with traditional Medicare or Medicare Advantage received one or more preventive benefits free of charge.

AFFORDABLE INSURANCE EXCHANGES MOVING FORWARD

FROM: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

States continue to move forward, build Affordable Insurance Exchanges

August 23, 2012
　
Today, Health and Human Services (HHS) Secretary Kathleen Sebelius announced that California, Connecticut, Hawaii, Iowa, Maryland, Nevada, New York, and Vermont have received new grants to help support the establishment of Affordable Insurance Exchanges. Starting in 2014, consumers and small businesses will have access to high-quality, affordable health insurance through an Exchange – a one-stop marketplace where consumers can choose a private health insurance plan that fits their health needs and have the same kinds of insurance choices as members of Congress.

"We continue to support states as they move forward building an Exchange that works for them," Secretary Sebelius said. "Thanks to the health care law, Americans will have more health insurance choices and the ability to compare insurance plans."

In every state, Exchanges will allow consumers to shop for and enroll in private health plans that meet their needs. Consumers will be able to learn if they are eligible for tax credits and cost-sharing reductions, or other health care programs like the Children’s Health Insurance Program. Small employers will be eligible to receive tax credits for coverage purchased for employees through the Exchange. These competitive marketplaces make purchasing health insurance easier and more understandable and offer consumers and small businesses increased competition and choice.

Today’s awards will give states additional resources and flexibility to establish an Exchange. California, Hawaii, Iowa, and New York today have been awarded Level One Exchange Establishment grants, which provide one year of funding to states that have begun the process of building their Exchange. Connecticut, Maryland, Nevada, and Vermont were awarded Level Two Establishment grants, which are provided to states that are further along in building their Exchange and offers funding over multiple years.

Previously, 49 states, the District of Columbia and four territories received grants to begin planning their Exchanges. With today’s awardees, 34 states and the District of Columbia have also received Establishment grants to begin building their Exchanges.

On June 29, HHS announced a funding opportunity providing states with 10 additional opportunities to apply for funding to establish a state-based Exchange, state Partnership Exchange, or prepare state systems for a Federally-facilitated Exchange. States can apply for Exchange grants through the end of 2014, and may use funds during the initial start-up year. This schedule ensures that states have the support and time necessary to build an Exchange that best fits the needs of their residents.