Affordable Care Act.......The Missing Link....It is not Australopithecus

Houston, we  have a problem  "Failure to Launch"

Despite a goal of access to health care for all, however the hinge on the door for acccess is squeaking. News such as this are appearing in medical news.

Family Planning Clinics In Calif. Squeezed By Health Law KQED - February 10, 2014 Millions Trapped in Health-Law Coverage Gap Wall Street Journal - February 9, 2014 They quit their jobs, thanks to health-care law Washington Post - February 9, 2014 Enrolling in Covered California is not for the weak of heart, or spirit.  For those who were previously uninsured for a variety of reasons the affordable care act raise spirits with the elimination of the fear of not being able to pay for health care. The current system was not sustainable financially, however health care is available taking away the financial morass of insurance companies, bureaucracy and government.  Neither government, nor insurance companies provide health care. Physiciains, nurses, hospitals and many other providers care for patients. A consequence of the change will be the marked reduction in 'free care'. The old model of those fortunate enough to pay for their own care, and providers and hospitals having deep pockets to finance care for the less priveleged of our society. In order to assure health care and security for all the down side is forfeiting freedom. The tyranny of absolute security is freedom. Some of  us understand the concept and the reason for opposition to the affordable care act.  Others see it as an opportunity   for free health care.   Those whol will receive this generosity are often not only uninsured, but also un-empowered, and have little impact, are passive and do not have resources, nor influence to make changes. The U.S. Constitution (    )  guarrantees the pursuit of life, liberty and the pursuit of happiness.  That statement places us in a conundrum.  Does that mean care to avoid illness, or treatment to keep one alive? This is not some ephemeral abstract thought embodied in our founding document. Other constitutional guarrantees in the past have been manipulated to make change The Affordable Care Act in Californa is known as  'Covered California'.  Patients who sign up are screened for eligibilty based on income and household size. Those who's income is greater than........are required to purchase a subsidized health insurance policy or face a fine.  Some of these policies look nice, offered by stable companies, such as Blue Shield, Healthnet, Anthem and their providers are listed under providers for Covered California.  However with a more in depth search you will find they did not receive contracts and are not providers.  (small details).....this will reduce access to providers (and some hospitals). None of this has been adequatly explained  Some who look forward to using Covered California should call their chosen provider and ask if they are a provider for Covered California.   Many of them are not, and some may not even know if they are signed up for it.

ACA Enrollment Issue? If All Else Fails Try Social Media

From Fierce Health Payers

Many consumers can't get through to insurers due to long customer service wait times, so they're turning to social media--Twitter in particular--to express their complaints and criticisms. And insurers are listening, often responding directly to consumers with ways to immediately rectify the problems.

The Affordable Care Act has severely effected customer service for all companies participating in the affordable care act.  Frustration has mounted even for those not involved with health benefit exchanges or subsidized care. Anthem Blue Cross in California is experiencing the brunt of many tweets after it canceled individual plans and switched hundreds of its members into new plans and withdrew premiums from their bank accounts without their knowledge. In several situations, Anthem spokesperson Darrel Ng tweeted individually to people who complained about the withdrawals, asking for their contact information so he could resolve the problem, ProPublica reported.

Did you know that Anthem has been using social media for customer service and complaints for some time?

Ng told ProPublica that consumers now are interacting with companies, including Anthem, beyond the traditional phone call. "In response to this new demand, we created our customer service Twitter account @AskAnthem several years ago to assist members," he said. "As consumers themselves started proactively contacting our other Twitter accounts, we started directing these inquiries to customer service for assistance."

Aetna spokesperson Matt Wiggin said the insurer recognizes people are using other methods to communicate. "There have been some instances where call volumes have been heavy and if people have not been able to get through or been able to get the information we need, they've either reached out to us through social media or other means available," he told ProPublica.

California HealthCare Foundation has been tracking Twitter comments related to the reform law and its recentreport found less conversation about the law between December 2013 and Jan. 15, 2014, compared to several months ago when HealthCare.gov launched with glitches and enrollment errors.

Recognizing consumers take more frequently to Twitter, insurers Aetna and Cigna have been maintaining a strong social media presence to manage their brand while taking quick action to remedy any complaints aired publicly,FierceHealthPayer previously reported.

"Social media gives us a tremendous opportunity to learn what the community needs," Carissa O'Brien, Aetna's social media director, told KHN. And by using Twitter, Aetna can educate and inform their followers about health and wellness.

She and her team of six employees aim to respond within an hour of the roughly 250 Tweets each month dealing with claims and other services. But O'Brien recognizes that it's just the beginning. "If we're looking to focus a 100-plus-year-old company on social media, that's massive cultural change," she said.

Using Twitter also keeps the insurers accountable. "Social media acts as a public documentation of how you resolve the situation," Ini Augustine, a social media strategist and head of SocialWise Media Group, told KHN. "It's more than a marketing tool."

Insurers like Aetna, Anthem Blue Cross Blue Shield and Cigna have designated Twitter feeds, @aetnahelp   @askanthem and @cignaquestions, respectively, that focus solely on marketing and sharing health-related news.

            

Read more: Insurers increase their Twitter presence to manage image - FierceHealthPayer http://www.fiercehealthpayer.com/story/insurers-increase-their-twitter-presence-manage-image/2013-08-09#ixzz2sP3Ud2Nd
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