Phil Galewitz covers Medicaid, Medicare, long‐term care, hospitals and various state health issues. He has covered the health beat for nearly two decades. He is a board member of the Association of Health Care Journalists. In 2004‐05, he was a Kaiser Media Fellow and wrote about community solutions to the uninsured. Before coming to KHN, he was at The Palm Beach Post and was a national health industry writer for the Associated Press and The Patriot‐ News in Harrisburg, Pa. He has a BA in health planning and administration and a master's in public administration with an emphasis in health policy. | Contact: PGalewitz@kff.org | @PhilGalewitz
High demand for care and a larger-than-expected number of older, sicker enrollees are key factors.
The state is among the first to use financial incentives to encourage enrollees to boost their health.
Technological glitches at the federal and state levels and inadequate staffing have delayed eligibility determinations.
Many inner-city hospitals in Medicaid-expansion states report big drops in the number of uninsured people for whom they provide care.
Some say early concerns were exaggerated, though late enrollment and Medicaid problems also have cut demand.
Tight deadlines and technical challenges dampen enthusiasm among states to set up their own online insurance marketplaces.
President says others have been denied the law’s benefits because many states haven’t expanded Medicaid.
But the number of enrollees, especially those between 18 and 34, continues to lag expectations.
With less than four weeks to go before the deadline, ads and direct appeals take aim at young people, Latinos and others without insurance coverage.
Experts say that costs may rise for some enrollees, but rates have been largely stable for most.