Washington State Healthcare Solutions

1. Well, I found a first trap because of excessive exchange funding. This effects all clients that have had apple health. Clients are now able to get extensions automatically on their apple health up to a year at a time. I have a family that is now at 200%+ of the poverty level that was granted this extension. Their healthcare is paid by tax dollars and as their broker I receive zero commission. Would you like to make $60,000+ a year and have medicaid for the entire family? Previous to the ACA brokers were paid $100 per enrollment with an average of 10% of people a year coming off medicaid during any given year. 2. If you have been following this was an excerpt from a Health Care Authority recent audit sent Oct 23rd. HCA regularly conducts audits of Washington Apple Health eligibility. Recent audits by HCA found numerous cases of inaccurate income reported on Washington Apple Health (Medicaid) applications in Healthplanfinder. Clients found to have discrepancies in their reporte...

The first week of open enrollment has been exciting. We have had some new customers and some old. When we first started and I looked at the system, I let everyone know; the first rule is always use a broker. This year is truer than ever before. Here are the challenges: 1. There are 143 plans for individuals. 30 plans for Small business and 8 dental for kid s. These are plans that myself and many brokers have been training for months. This is a monstrous variety to choose from. 2. There are some plans that are only available on the exchange that are great even if you don’t have subsidy. The first year, we only had one company and now we have three that are going this route. 3. There are still some errors with the system. I was able to catch one early that no tax subsidy was being applied. It was $30 a month that the gentleman could use for other expenses. 4. I am still seeing businesses offering group plans that are either unaffordable or more expensive than some of the plans on ...

Before I started working with Healthcare, I was a big fan of a single payer system. The more involved and the more understanding led me to a position that I do not believe single payer is possible in the United States. I can say this due to the continuous exploitation of sick people and tax dollars by unethical individuals. Here are some examples: 1. I am a veteran that does not like the VA. I remember the hanging fluorescent tubes from the ‘70s. It has been rocked by countless scandals throughout the years. Whether it is document shredding the applications of Veterans ; to bonuses paid to poorly behaving employees ; to waiting lists for waiting lists . They may do some good treatments however it needs to be overhauled at the least or dismantled at the best. 2. Medicare is another American System that people talk about expanding because of low administrative costs. We see abuses in Fraud and False Billing . It is a team event of ineffective management on the government level and un...