Monday, April 29, 2013

As Health Law Changes Loom, A Shift To Part-Time Workers

April 29, 2013

Listen to the Story 4 min 39 sec Playlist Download Transcript   Enlarge image i

An employee serves customers at an Olive Garden restaurant in Naperville, Ill. In December, Darden Restaurants, the chain's parent company, said it won't rule out shifting full-time workers to part time to save on health care costs.

Scott Boehm/AP Images for Olive Garden

An employee serves customers at an Olive Garden restaurant in Naperville, Ill. In December, Darden Restaurants, the chain's parent company, said it won't rule out shifting full-time workers to part time to save on health care costs.

Scott Boehm/AP Images for Olive Garden

Nearly all of the remaining provisions of the new health care law go into effect next January, including one that requires businesses with 50 or more full-time employees to pay for their health care or pay a penalty.

Some businesses may already be making personnel changes to save money when that provision of the Affordable Care Act kicks in. One option on the table: shifting full-time workers to part time.

Duane Davis thinks that's what happened to him. He'd probably still be stocking clothing at the Juicy Couture store in New York City if he still got 30 to 40 hours a week of work like he used to. The work environment "was very cool," he says, and he liked his co-workers.

But Davis quit because he couldn't get enough hours. If he'd stayed and worked 30 or more hours a week, he would have been eligible for employer-paid health care starting next year. But earlier this year, Davis says, he was told he could work no more than 23 hours.

"If we were ever going over those hours, they'd tell us to go home. Because we were going over the amount of hours that we were given for the week," Davis says.

According to Davis, business wasn't down and there was plenty to do. But he says management seemed eager to shift its employee roster from majority full time to majority part time.

Davis has no proof, but he suspects it's because the company is preparing for the new health care law.

"It was crazy," Davis says of the hour limits. "I was always trying to understand � if you don't have hours to give out to part-time workers, why [are] you hiring new part-time workers?"

Shots - Health News Health Law Could Penalize Small Businesses With Part-Timers

For Employers, A Cost-Benefit Analysis

Shots - Health News Rising Health Costs Lead Companies To Drop Part-Time Benefits

Juicy Couture's parent company, Fifth & Pacific, didn't respond to requests for comment. But the Papa John's pizza chain and Darden Restaurants, which owns Red Lobster and Olive Garden, have both publicly stated they may reduce workers' hours to stay under the 30-hour-a-week limit.

Rob Wilson, president of the temp agency Employco, says he's observing similar shifts happening across his business.

"We're seeing it quite a bit," he says. "Instead of saying, 'I want one person for 40 hours a week,' [employers are saying], 'I'll take two people for 20 hours or 25 hours a week.'"

Wilson says the health care issue is also reshaping his own business. A typical temp working full time makes a gross profit of about $3,000 a year for Employco. But the cost to insure that person would come to $2,900.

That means just $100 in profit per employee before he advertises or pays his recruiters and his payroll department. "You can't survive on $100," Wilson says, "so you really have to pass that cost on."

In other words, Wilson will have to charge his clients more � if they are willing to pay. And from his perspective, this basic math adds up to a big labor market problem. "Your underemployed population in America is just going to go up dramatically," Wilson predicts.

But experts say it's not clear that this workforce shift is attributable to the health care law. Some say employers have been shifting employees more toward part time for years � especially in the retail and hospitality industries � to increase flexibility and minimize benefit costs.

Neil Trautwein, a vice president at the National Retail Federation, notes that the Affordable Care Act is just one of many cost considerations for employers. "The ACA doesn't become the determinative factor, but it does become a factor," he says.

A Shift With 'Hidden Costs'

Elise Gould, director of health policy research at the Economic Policy Institute, a liberal think tank, says the new provision won't affect most workers. But studies show about 2 million workers could potentially get fewer hours � and therefore remain without health insurance.

"Workforces that are based on part-time work, a lot of those workers already are not eligible," Gould says. But, she adds, "to the extent that they have some workers that are working, say, 32 hours a week, are they going to move them down? Absolutely. Those are the workers that are most at risk."

It's not clear that relying on more part-time workers to avoid health care costs is a financially sound tradeoff for employers. Carrie Gleason, executive director of the Retail Action Project, a worker advocacy group, says "there are tremendous hidden costs to having a large part-time workforce."

Scheduling workers will be a bigger headache if employers rely on more part-time workers, Gleason says. And there's more turnover, which increases a business's training and customer service costs.

"This is a massive growing retail sector. It's one of the few sectors that are actually creating jobs," Gleason says. "Yet it's creating this workforce that's really reliant on government support or going to the emergency room to get health care."

If employers get around paying for health care costs, Gleason says, it will simply shift the burden of cost elsewhere.

Share 236Facebook 9Twitter Google+ Email Comment More From Business EuropeEurope Bans Pesticides In Move To Protect Honey BeesFoodIf TV's Your Cup Of Tea, Try A Character-Infused BlendBusinessAs Health Law Changes Loom, A Shift To Part-Time WorkersTechnologyTech Week Ahead: Touch Screen Keyboards

More From Business

Comments   You must be signed in to leave a comment. Sign In / Register

Please keep your community civil. All comments must follow the NPR.org Community rules and terms of use, and will be moderated prior to posting. NPR reserves the right to use the comments we receive, in whole or in part, and to use the commenter's name and location, in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

Please enable Javascript to view the comments powered by Disqus.

Wednesday, April 24, 2013

Philadelphia Case Exposes Deep Rift In Abortion Debate

More From Shots - Health News HealthGut Bacteria's Belch May Play A Role In Heart DiseaseHealthPhiladelphia Case Exposes Deep Rift In Abortion DebateHealthThe DEA Wants Your Old Meds, No Questions AskedHealthFirst Case Of New Bird Flu Found Outside China

More From Shots - Health News

Comments   You must be signed in to leave a comment. Sign In / Register

Please keep your community civil. All comments must follow the NPR.org Community rules and terms of use, and will be moderated prior to posting. NPR reserves the right to use the comments we receive, in whole or in part, and to use the commenter's name and location, in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

Please enable Javascript to view the comments powered by Disqus.

Monday, April 22, 2013

Scammers Find Fertile Ground In Health Law

More From Shots - Health News HealthThe Warts That Bind Your Family And FriendsHealthAs Injuries Rise, More Calls To Refuse The 'Cinnamon Challenge'HealthYoung Adults With Autism Can Thrive In High-Tech JobsHealthScammers Find Fertile Ground In Health Law

More From Shots - Health News

Comments   You must be signed in to leave a comment. Sign In / Register

Please keep your community civil. All comments must follow the NPR.org Community rules and terms of use, and will be moderated prior to posting. NPR reserves the right to use the comments we receive, in whole or in part, and to use the commenter's name and location, in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

Please enable Javascript to view the comments powered by Disqus.

Scammers Find Fertile Ground In Health Law

More From Shots - Health News HealthThe Warts That Bind Your Family And FriendsHealthAs Injuries Rise, More Calls To Refuse The 'Cinnamon Challenge'HealthYoung Adults With Autism Can Thrive In High-Tech JobsHealthScammers Find Fertile Ground In Health Law

More From Shots - Health News

Comments   You must be signed in to leave a comment. Sign In / Register

Please keep your community civil. All comments must follow the NPR.org Community rules and terms of use, and will be moderated prior to posting. NPR reserves the right to use the comments we receive, in whole or in part, and to use the commenter's name and location, in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

Please enable Javascript to view the comments powered by Disqus.

Monday, April 15, 2013

Pretending To Be A 'Good Nurse,' Serial Killer Targeted Patients

April 15, 2013

Listen to the Story 30 min 40 sec Playlist Download Transcript   The Good Nurse

A True Story of Medicine, Madness, and Murder

by Charles Graeber

Hardcover, 307 pages | purchase

close Purchase Featured Books The Good Nurse A True Story of Medicine, Madness, and Murder Charles Graeber Amazon » iBookstore » Independent Booksellers » Your purchase helps support NPR Programming. How? Nonfiction Mysteries, Thrillers & Crime

More on this book:

NPR reviews, interviews and more Read an excerpt

In 2003, police in Somerset County, N.J., arrested a hospital nurse named Charlie Cullen who was suspected of injecting patients with lethal doses of a variety of medications. Cullen would turn out to be one of the nation's most prolific serial killers, murdering dozens, perhaps hundreds of people in nine hospitals over a 16-year period.

Journalist Charles Graeber spent six years investigating the Cullen case, and is the only reporter to have spoken with Cullen in prison. In his new book, The Good Nurse, Graeber pieces together the elements of Cullen's story.

"We'll never know how many people Charlie Cullen ultimately killed," Graeber tells Fresh Air's Dave Davies. "Charlie Cullen doesn't know how many people he killed. He initially could recall 40 and also said there was a large part of his life that was a fog during which he would have no ability to recall. But during that fog � those fogs lasted years � he said there were probably multiples a week."

Graeber � who has written for Wired, GQ and New York Magazine, among other publications � focuses not only on Cullen's tortured life and crimes, but on why Cullen wasn't stopped for so long, despite plenty of evidence he was harming patients. In case after case, Graeber writes, hospital staff believed Cullen was harming patients and pressured him to leave, but failed to alert state regulators or take other steps that might have ended his killing spree. Graeber has his suspicions of why the hospitals failed to report Cullen to the police, but stops short of directly pointing fingers.

He says that in writing the book he has tried "[to lay] it out so that a reader can see the facts laid side by side and decide for themselves the culpability of the hospitals, what they knew, when they knew, what they should have done; and certainly laws have changed in the wake of this."

One of the reasons that Cullen's crimes were so difficult to pinpoint is that human error and death are simply part of the hospital experience.

"Other incidents such as medication errors that are more routine, he had a lot of those as well," says Graeber, "and it's again difficult to sort out which ones were legitimate mistakes and which were simply the M.O. of murder. And more of those should have been reported; very few were, and the question time after time is, 'Should more have been reported?' Yes, absolutely. And you have to go hospital-by-hospital, case-by-case and really look at which incidents should have been reported."

Interview Highlights

On the actions of the hospitals

"The first actions you see time and time again at these hospitals is a legal action rather than an effective investigative reaction. And oftentimes, you'll find that what becomes � certainly in retrospect � to be a real burden of evidence against one guy ... when it starts to really look like this guy is dirty, that's the time he gets moved on one way or the other. He's pushed out or pressured out. So do the hospitals know? That's a question a reader needs to ask, and I think I provide enough evidence that they'll be able to draw that conclusion. But certainly he should have been stopped before he was, and because he wasn't, he killed a lot more people."

Medical student turned journalist Charles Graeber has written about science, crime and business for The New Yorker, Wired and New York Magazine, among other publications.

Gabrielle V. Allen/Twelve Books

On Cullen's troubled childhood, possible sexual abuse and his first attempt at murder

"When asked directly about abuse of that sort in the house he gets very angry. He has gotten very angry with family members, with ex-wives, when they've tried to get him to seek counseling, when they've tried to take him aside, because the pattern � it certainly seems to fit the pattern. He won't say, but he felt unsafe. There were strange men in and out of that house. He had a brother-in-law that came to live with one of his sisters when his sister was pregnant. There was a lot of domestic abuse surrounding that. Exactly what happened to the child is not clear. Eventually the sister ran away, but the brother-in-law stayed, and he and Charlie had a tortured relationship that Charlie had reported to at least one � if not two � of his later lovers that he'd tried to poison that brother's drink. He'd put lighter fluid in the vodka, which is sort of an early example of what would become his pattern for life: a way of passively dealing with things."

On Cullen's narcissism

"His thinking is circular, narcissistic and then the question is how far does that narcissism go? Is it sociopathic? And the answer to that lies somewhere in, well, you have to ask yourself, 'What sort of a person can kill someone and be there as they die and not have it seem to really affect their day at all, or in fact affect their future behavior in any negative fashion for 16 years?'"

On Cullen's hero complex

"Sometimes that's what worked for him. He knew what was wrong with a patient when no one else did. He could be the first to go in there. The other residents remember him jumping on the chest of a patient in just � the sort of � the most dramatic fashion. They appreciated his enthusiasm and his passion, but it seemed a little over the top. But the truth was he did what others could not do, and he did receive praise for that. It did elevate his status, and so there was absolutely an element of ego in the murders."

Read an excerpt of The Good Nurse

Share 682Facebook 4Twitter Google+ Email Comment More From Author Interviews Author InterviewsFollowing The Yellow Brick Road Back To The Origins Of 'Oz'Author InterviewsKenyan Author Ngugi wa Thiong'o Shares WisdomAuthor InterviewsPretending To Be A 'Good Nurse,' Serial Killer Targeted PatientsBooksTall Glass Of Rock Star-Ness: A Q&A With Questlove

More From Author Interviews

Comments   You must be signed in to leave a comment. Sign In / Register

Please keep your community civil. All comments must follow the NPR.org Community rules and Terms of Use. NPR reserves the right to use the comments we receive, in whole or in part, and to use the commenter's name and location, in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

Please enable Javascript to view the comments powered by Disqus.

Thursday, April 11, 2013

Seniors In The South Are More Apt To Be Prescribed Risky Drugs

More From Shots - Health News HealthSeniors In The South Are More Apt To Be Prescribed Risky DrugsHealthOn Call In The Wild: Animals Play Doctor, TooHealthLeading Man's Chin: Universally Hot Or Not? HealthWhy Obama's Budget Could Make Health Waves

More From Shots - Health News

Comments   You must be signed in to leave a comment. Sign In / Register

Please keep your community civil. All comments must follow the NPR.org Community rules and terms of use, and will be moderated prior to posting. NPR reserves the right to use the comments we receive, in whole or in part, and to use the commenter's name and location, in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

Please enable Javascript to view the comments powered by Disqus.

Wednesday, April 10, 2013

Sweeping Anti-Abortion Bill Expected To Become Kan. Law

Kansas legislators gave final passage to a sweeping anti-abortion measure Friday night, sending Gov. Sam Brownback a bill that declares life begins "at fertilization" while blocking tax breaks for abortion providers and banning abortions performed solely because of the baby's sex.

The House voted 90-30 for a compromise version of the bill reconciling differences between the two chambers, only hours after the Senate approved it, 28-10. The Republican governor is a strong abortion opponent, and supporters of the measure expect him to sign it into law so that the new restrictions take effect July 1.

In addition to the bans on tax breaks and sex-selection abortions, the bill prohibits abortion providers from being involved in public school sex education classes and spells out in more detail what information doctors must provide to patients seeking abortions.

The measure's language that life begins "at fertilization" had some abortion-rights supporters worrying that it could be used to legally harass providers. Abortion opponents call it a statement of principle and not an outright ban on terminating pregnancies.

"The human is a magnificent piece of work at all stages of development, wondrous in every regard, from the microscopic until full development," said Sen. Steve Fitzgerald, a Leavenworth Republican who supported the bill.

Abortion opponents argue the full measure lessens the state's entanglement with terminating pregnancies, but abortion-rights advocates say it threatens access to abortion services.

The declaration that life begins at fertilization is embodied in "personhood" measures in other states. Such measures are aimed at revising their constitutions to ban all abortions, and none have been enacted, though North Dakota voters will have one on the ballot in 2014.

But Kansas lawmakers aren't trying to change the state constitution, and the measure notes that any rights suggested by the language are limited by decisions of the U.S. Supreme Court. It declared in its historic Roe v. Wade decision in 1973 that women have a right to obtain abortions in some circumstances, and has upheld that decision while allowing increasing restrictions by states.

Thirteen states, including Missouri, have such language in their laws, according to the National Right to Life Committee.

Sen. David Haley, a Kansas Democrat who opposed the bill, zeroed in on the statement, saying that supporters of the bill were pursuing a "Taliban-esque" course of letting religious views dictate policy limiting women's ability to make decisions about health care and whether they'll have children.

And in the House, Rep. John Wilson, a Lawrence Democrat, complained that the bill was "about politics, not medicine."

"It's the very definition of government intrusion in a woman's personal medical decisions," he said.

Brownback has signed multiple anti-abortion measures into law, and the number of pregnancies terminated in the state has declined 11 percent since he took office in January 2011.

The governor said he still has to review this year's bill thoroughly but added, "I am pro-life."

This year's legislation is less restrictive than a new North Dakota law that bans abortions as early as the sixth week of pregnancy and a new Arkansas law prohibiting most abortions after the 12th week. But many abortion opponents still see it as a significant step.

"There is a clear statement from Kansas with respect to the judgment on the inherent value of human life," said Senate Public Health and Welfare Committee Chairwoman Mary Pilcher-Cook, a Shawnee Republican and leading advocate for the measure.

The bill passed despite any solid data on how many sex-selection abortions are performed in Kansas. A 2008 study by two Columbia University economists suggested the practice of aborting female fetuses � widespread in some nations where parents traditionally prefer sons � is done in the U.S. on a limited basis.

But legislators on both sides of the issue said the practice should be banned, however frequent it is.

The bill also would require physicians to give women information that addresses breast cancer as a potential risk of abortion. Advocates on both sides acknowledge there's medical evidence that carrying a fetus to term can lower a woman's risk for breast cancer, but doctors convened by the National Cancer Institute a decade ago concluded that abortion does not raise the risk for developing the disease.

The provisions dealing with tax breaks are designed to prevent the state from subsidizing abortions, even indirectly. For example, health care providers don't have the pay the state sales tax on items they purchase, but the bill would deny that break to abortion providers. Also, a woman could not include abortion costs if she deducts medical expenses on her income taxes.

"Every taxpayer will be able to know with certainty that their money is not being used for abortion," Pilcher-Cook said.

But Jordan Goldberg, state advocacy counsel for the New York City-based Center for Reproductive Rights, called the tax provisions "appalling and discriminatory."

"It's probably, if not definitely unconstitutional, and it's incredibly mean-spirited," she said.

___

The anti-abortion legislation is HB 2253.

___

Associated Press Writer Maria Fisher in Kansas City, Mo., also contributed to this report. Follow John Hanna on Twitter at www.twitter.com/apjdhanna

Share 1492Facebook 11Twitter Google+ Email Comment More From Around the Nation NewsStudents Stopped Stabbing Suspect At Texas CollegePoliticsImmigration Protesters Aim For Rally To Motivate Lawmakers Around the NationCourt: ExxonMobile Guilty In N.H. Contamination SuitAround the NationMobile Clinic Looks Out For Detroit's Homeless

More From Around the Nation

Comments   You must be signed in to leave a comment. Sign In / Register

Please keep your community civil. All comments must follow the NPR.org Community rules and terms of use, and will be moderated prior to posting. NPR reserves the right to use the comments we receive, in whole or in part, and to use the commenter's name and location, in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

Please enable Javascript to view the comments powered by Disqus.

Obama Budget to Include Cuts to Programs in Hopes of Deal

From the New York Times –

President Obama next week will take the political risk of formally proposing cuts to Social Security and Medicare in his annual budget in an effort to demonstrate his willingness to compromise with Republicans and revive prospects for a long-term deficit-reduction deal, administration officials say.

In a significant shift in fiscal strategy, Mr. Obama on Wednesday will send a budget plan to Capitol Hill that departs from the usual presidential wish list that Republicans typically declare dead on arrival. Instead it will embody the final compromise offer that he made to Speaker John A. Boehner late last year, before Mr. Boehner abandoned negotiations in opposition to the president�s demand for higher taxes from wealthy individuals and some corporations.

Congressional Republicans have dug in against any new tax revenues after higher taxes for the affluent were approved at the start of the year. The administration�s hope is to create cracks in Republicans� antitax resistance, especially in the Senate, as constituents complain about the across-the-board cuts in military and domestic programs that took effect March 1.

Mr. Obama�s proposed deficit reduction would replace those cuts. And if Republicans continue to resist the president, the White House believes that most Americans will blame them for the fiscal paralysis.

Continue reading…

A Healthy Choice For America’s Small Businesses

Ed. note: This post was first published on the official blog of sba.gov. You can see the original post here.

Small businesses are the backbone of our communities. And, in an economy where small businesses create two-thirds of jobs, owners and employees deserve a health insurance market with fairer prices, better choices, and greater certainty. With the implementation of the Affordable Care Act, that market is on its way.

In recent years, the number one concern for millions of small business owners has been health care. Because they had less bargaining power, small businesses paid an average of 18% more for the same health insurance plan offered to their bigger competitors.

As America�s economy continues to get stronger, small businesses across the country are playing a critical role in creating jobs, driving innovation and fostering economic growth.� Now, more than ever, they need every tool available to help their businesses grow and thrive�including a way to give their employees access to quality, affordable health insurance.

In 2014, employers will be able to choose a plan through a new Health Insurance Marketplace and in 2015 and beyond, employers will be able to let their employees choose from a number of plans.

Marketplaces

Beginning in 2014, small business owners will have access to a Marketplace�which opens for enrollment on October 1st�that will allow them to make side-by-side comparisons to find a plan that fits their budget and that�s right for their businesses and employees.

Each Marketplace will operate a Small Business Health Options Program, or SHOP, focused just on small businesses, where employers will be able to choose from a range of affordable plans to offer their employees.� In 2014, employers will be able to choose a plan, from a variety of Marketplace options, to offer their employees.� In States like California in 2014 and in all States starting in 2015, employers will be able to choose a variety of plans to offer to their employees�empowering each employee to choose the plan that best suits his or her needs.

Although we have heard some claims that the opening of our SHOP marketplaces will be delayed, this is not the case�these marketplaces will open for enrollment, as planned, on the first of October. �

With SHOP, every small business owner will be able to:

Access a single place to learn about health insurance and get accurate information on different plans;Make apples-to-apples comparisons of the prices and benefits of private insurance plans for their employees; and,Use their existing insurance broker to access the SHOP, or shop for plans themselves, without a broker�choosing a plan that works for their budget, their business, and their employees.

You can learn more about the Marketplaces by visiting www.healthcare.gov/marketplace.

Tax Credits

Small businesses are also seeing savings thanks to new tax credits available to help them cover their employees.

Many small businesses with fewer than 25 employees have already received a tax credit of up to 35% of their health insurance costs. And beginning in 2014, this tax credit will go up to 50%.�

Increased Transparency

Insurance companies must now publicly justify every rate increase of 10% or more, which has led to a sharp decline in double-digit rate hikes. The proportion of double-digit rate hike requests plummeted from 75% in 2010 to 14% so far in 2013.� Starting in 2014, insurers will have to transparently report every proposed rate increase, even if it�s a 1% bump.

Additional rules require insurers to spend at least 80% of small employer premium dollars on employees� actual health benefits, instead of the insurer�s own administrative costs.� These limits, along with those in the individual market, have already resulted in more than $1 billion being returned to business owners and other consumers.

By making the health insurance market work better for America�s small businesses, the Affordable Care Act will help our small business owners and entrepreneurs get back to the business of being in business, and focus on what they do best: delivering great products and services, creating jobs, and growing our economy.

Affordable Care Act at 3: Looking Forward and Expanding Access

Three years ago, the Affordable Care Act ushered in a new day for health care.

Since then, more than 6.3 million seniors and people with disabilities with Medicare have saved more than $6.1 billion dollars on prescription drugs.� Nearly 71 million Americans got expanded access to preventive service at no charge through their private insurance plans, and 47 million women now have guaranteed access to additional preventive services without cost sharing. More than 3.1 million young adults who were uninsured were able to gain coverage by being able to stay on their parents� insurance policies until they turned 26. �And parents no longer have to worry about insurers denying coverage to their children because of a pre-existing condition.

Americans are getting more value for their health care dollars due to the health care law. Affordable Care Act initiatives are promoting coordinated care; paying for quality, not quantity; and dramatically reducing fraud and waste, contributing to the slowest growth in national health spending in 50 years.�

Consumers also saved $2 billion in 2012, because of programs to review premium rates and to require insurers to provide rebates if they do not spend at least 80% of premiums on care, rather than overhead, such as executive pay and marketing.� And the law�s initiatives have extended the life of the Medicare Trust Fund by eight years.

But that�s only the beginning. Thanks to the health care law, starting October 1, 2013, qualified individuals will have access to quality health insurance through the new Health Insurance Marketplace.

With the Marketplace, there�ll be a whole new way to find health insurance that fits consumers� needs and budgets, with less hassle. Individuals, families, and small business owners in every state and the District of Columbia will be able to shop in the Marketplace for private insurance coverage that begins in January 2014. �

For the first time, you�ll be able to go to one place to learn about health insurance; get accurate information on different plans; and make apples-to-apples comparisons of private insurance plans�including costs and benefits.� You�ll get a clear picture of what you�re paying and what you�re getting before you make a choice. You�ll also be able to learn, with a single application, if you qualify for a free or low-cost plan, or a new kind of tax credit that lowers your monthly premiums right away.

Because the Affordable Care Act outlaws discriminating against anyone with a pre-existing or chronic condition, as of January 1, 2014, no one can be turned away by plans in the Marketplace or charged more because they�re in poorer health�or just because they�re a woman. At last, being a woman will no longer be a pre-existing condition.

And every health insurance plan in the Marketplace will cover a standard set of essential health benefits that includes, among other benefits, hospital stays, prescription drug coverage, preventive services, oral and vision care for kids.

Open enrollment begins October 1, 2013. Get ready now for the Marketplace by signing up for e-mails and text messages for updates and information at https://signup.healthcare.gov/

In June, the site will be unveiling the new Marketplace. You�ll be able to learn everything you need to know about the Marketplace, including how it works, the benefits of health insurance, how to choose a plan based on your needs and lifestyle, and more. Then in the fall, you can use this site to enroll in a plan from home, or from any place you can access the Web.

Every American needs and deserves quality health insurance.� The Marketplace will help ensure that Americans will have access to quality, affordable health insurance.

Learn more about the Health Insurance Marketplace at www.healthcare.gov/marketplace.

Follow Secretary Sebelius on Twitter at @Sebelius.

Wednesday, April 3, 2013

In South Jersey, New Options For Primary Care Are Slow To Take Hold

More From Shots - Health News HealthSide Effects Prompt Patients To Stop Cholesterol DrugsHealthAdministration Hits Pause On Health Exchanges For Small Businesses HealthIn South Jersey, New Options For Primary Care Are Slow To Take HoldHealthCould Wind Turbines Be Toxic To The Ear?

More From Shots - Health News

Comments   You must be signed in to leave a comment. Sign In / Register

Please keep your community civil. All comments must follow the NPR.org Community rules and terms of use, and will be moderated prior to posting. NPR reserves the right to use the comments we receive, in whole or in part, and to use the commenter's name and location, in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

Please enable Javascript to view the comments powered by Disqus.

Tuesday, April 2, 2013

New Medical School Wants To Build Ranks Of Primary Care Doctors

More From Shots - Health News HealthCould Wind Turbines Be Toxic To The Ear?HealthThe Hidden Limitations Of Health Savings AccountsHealthNew Medical School Wants To Build Ranks Of Primary Care DoctorsBooksMining Books To Map Emotions Through A Century

More From Shots - Health News

Comments   You must be signed in to leave a comment. Sign In / Register

Please keep your community civil. All comments must follow the NPR.org Community rules and terms of use, and will be moderated prior to posting. NPR reserves the right to use the comments we receive, in whole or in part, and to use the commenter's name and location, in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

Please enable Javascript to view the comments powered by Disqus.