Affordable Care Act

Dr. David Barbe
Scott Harvey / KSMU

Six months ago, 97 of Missouri’s 114 counties only had one insurance participant in the Affordable Care Act exchanges. Today, 24 counties have no provider at all. As insurers across the country have dropped out of the exchanges established under the ACA, or Obamacare, it’s underscored the need to stabilize the market.

More insurance companies bring patient options and potentially reduced costs. Getting them into the market requires the right incentive.  

Anthem Blue Cross Blue Shield, one of Missouri’s largest insurers, no longer covers emergency room visits that it deems unnecessary.

The policy aims to save costs and direct low-risk patients to primary care physicians and urgent care clinics. But doctors say patients may avoid going to a hospital when they really need it, if they fear a large bill.

Updated at 5:37 p.m. ET

The House voted Thursday to narrowly approve a Republican-drafted measure that would eliminate many of the provisions of the Affordable Care Act — the first step toward keeping one of President Trump's campaign pledges and a victory for GOP lawmakers who have long railed against Obamacare, as the ACA is commonly known. The vote was 217-213.

The measure moves to the Senate, where its fate is far from certain — and where top lawmakers in both parties are already signaling that there is a long legislative process ahead.

U.S. Sen. Roy Blunt for years wasn’t shy about his disdain for the Affordable Care Act, condemning it on the Senate floor, in town hall meetings and during interviews.

Then came Tuesday, when the Republican said fixing President Barack Obama’s signature health-care law doesn’t hinge on whether Congress takes action this week to do away with it entirely.

Screenshot / / Department of Health and Human Services

Darvin Bentlage says his health insurance plan used to be the same as all the other cattle farmers in Barton County, Missouri: stay healthy until he turned 65, then get on Medicare. But when he turned 50, things did not go according to plan.

“Well, I had a couple issues,” he says.

He’s putting it mildly.

Over two years time he had Hepatitis C and diverticulitis, and that’s on top of his diabetes, persistent kidney stones and other problems.

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