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Millions of Blacks still not covered

Freddie Allen | 1/13/2014, 10:58 a.m.
As the Obama administration makes strides to improve the functionality of HealthCare.gov, the flagship website for the Affordable Care Act, ...
Anton Gunn Freddie Allen

WASHINGTON – As the Obama administration makes strides to improve the functionality of HealthCare.gov, the flagship website for the Affordable Care Act, Republican lawmakers continue to block federal funds that would help millions of poor Blacks get health insurance coverage.

A progress report on the improved performance of HealthCare.gov cited hundreds of software bugs that generate errors, and hardware and infrastructure ill-equipped to handle any significant volume to site.

“For some weeks in the month of October, the site was down an estimated 60 percent of the time,” the progress report stated.

Two months later, after insiders revealed that the site crashed on a test run with just a few hundred concurrent users, HHS officials said the site is more stable and can handle 50,000 users at a time.

Anton Gunn, director of External Affairs in the Office of Intergovernmental and External Affairs at the U.S. Department of Health and Human Services, said that in the first two months, 1.2 million Americans selected marketplace health insurance plans or they received a determination that they were eligible for Medicaid or the children’s health insurance program. Another 1.9 million people have completed the application process through HealthCare.gov and are still in the process of shopping for a plan.

“The bottom line is that HealthCare.gov, beginning Dec. 1, is night and day from where it was on Oct. 1,” Gunn said.

Last week, HHS announced that ex-Microsoft executive Kurt DelBene would replace Jeff Zients as the leader of the HealthCare.gov project. According to a statement released by the Health Department, DelBene will oversee field operations for HealthCare.gov and provide advice on additional enrollment channels, marketing and communications.

Applicants who completed the application and selected a plan by Dec. 23 were enrolled in marketplace coverage that began on Jan. 1. Applicants who want to enroll in marketplace coverage for Feb. 1 should complete the application and selected a plan by Jan. 15 and pay the premium before the deadline. Open enrollment closes on March 31.

Despite the website upgrades that include a feature that allows visitors to window shop for health care plans without creating an account, one of the biggest threats to the success of the Affordable Care Act is Republican obstruction at the state level.

According to a recent report released by the Department of Health and Human Services, if all states expanded Medicaid coverage, 95 percent of Blacks who don’t have health insurance might qualify for Medicaid, the Children’s Health Insurance Program or tax credits that would decrease the burden of paying premiums out-of-pocket. Blacks account for 16 percent of Americans that fit into the eligible uninsured category and “more than 2.2 million African American adults live in states that are not expanding Medicaid,” the report stated.

Blacks often go without health insurance coverage at higher rates than their White counterparts.

According to a report by the Kaiser Family Foundation, 25 percent of nonelderly Black adults lack coverage compared to 15 percent of Whites. The report found that, as of two weeks ago, 25 states were not expanding Medicaid.