Ed is back, and fired up on health care!

>> understands one thing, power.

>> the perception that we're the party of the rich unfortunately continues to grow.

>> 40% are with him who believe they are victims.

>> that's frustrating. they play for power and not the people. that's their world but that's not the real america . that's not the real america .

>> new york city here we come. let's get to work.

>> well safe land in the big city . here we are. we're back on "the ed show." glad to be wu you. i haven't changed and i want you to know that and neither have the issues that i care about what had made "the ed show" the years over misnbc. matters that are important to middle class americans . so i thought on our first weekend show we would talk about something i keep hearing on the road wherever i go. it's health care . when you talk about families, when you talk about business. it's health care . it's important to keep in mind that john boehner , eric canter are still concerned about only one thing, taking away your health insurance .

>> obama care is going to drive up the cost of health care , drive up the cost of health insurance an make it harder fer sml businesses to hire workers.

>> we believe that at the core, i believe that at the core of who i am and i'm going to do everything i can to make sure that we don't wreck the best health care delivery system the world has ever known.

>> but you've called this the law of the land .

>> well, that just happens to be a fact. i want to repeal the law of the land . is that career? i don't know how he says it with a straight face. how can he believe that. that's what i want to focus on. the template of the rights have not changed a bit. john boehner and the republicans are still lying about health care . on friday the president on the offensive, he set the record straight .

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Ed is back, and fired up on health care!

The Doctor Will See You Now: Cigna Teams with MDLIVE to Offer Health Care Access 24/7/365

BLOOMFIELD, Conn. & SUNRISE, Fla.--(BUSINESS WIRE)--

Global health service company Cigna (CI) today announced it will work with MDLIVE, a leading telehealth provider of online and on-demand health care delivery services and software, to offer eligible Cigna health plan customers access to 24/7/365 online video or telephone consultations with Board-Certified Internal Medicine, Family Practice, and Pediatric physicians.

The collaboration is reflective of the two companies common goals of offering access to quality, affordable health care with a superior customer experience.

We are committed to offering our customers services that help improve their health and make their lives easier -- and MDLIVE represents anytime, anywhere access to quality care, saidJackie Aube, the head of product development at Cigna. MDLIVEs telehealth services enable our increasingly mobile and time-constrained customers to schedule a virtual consult with a Board Certified physician and resolve a non-emergency medical issue in less than one hour. Its cost-effective and convenient for minor illnesses such as allergies, pink eye and sinus infections.

MDLIVE offers the nations largest telehealth network, specializing in online and on-demand health care delivery services with fully integrated software that allows information to be easily captured and transferred to a patients primary physician. MDLIVE physicians are state-licensed, U.S. Board Certified and credentialed following national credentialing guidelines and have an average of 15 years of practical experience. Eligible Cigna health plan customers will be able to choose a convenient appointment time or request to speak to an available health care professional on demand (average response time of 11 minutes) for non-emergency medical issues such as cold and flu, rashes, sinus issues and headaches for children and adults.

Cigna will begin offering the MDLIVE program to several self-insured employersinterested intesting this approach with their employeesas part of theirhealth programeffective January 1, 2014.

As the leading telehealth provider in the nation, we are especially pleased to team with Cigna, one of the worlds pre-eminent health service companies, said Randy Parker, CEO of MDLIVE. We have a closely shared vision for bringing the best technology to bear on providing consumers with an experience never before seen in health care that focuses on each person as an individual, accessible where and when they want it, and in a confidential and convenient virtual environment. We are proud to work with Cigna and look forward to a relationship that will literally re-define how quality health care can be available to all, and on their own terms.

Cigna has been a frontrunner in offering reimbursable virtual house calls nationally since 2007. Cigna's initial telehealth offering was through RelayHealth, which offers webVisit consultations using an online, structured interview format to communicate eligible health plan customers non-urgent, routine health issues to their Cigna-contracted physician.

MDLIVE will add the new dimension to Cigna's portfolio of convenience care and telehealth options, making access to care more convenient, affordable for customers and appropriately compensating health care professionals for their services while continuing to support the existing patient-doctor relationship.

To watch a short video on MDLIVE services please view here: http://www.mdlive.com/cignavideo

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The Doctor Will See You Now: Cigna Teams with MDLIVE to Offer Health Care Access 24/7/365

Obama declared health care law 'is here to stay'

WASHINGTON (AP) -- Caught between nervous Democrats and emboldened Republicans, President Barack Obama on Friday stepped up the sales pitch on his health care overhaul as the final elements of his top domestic achievement go into effect. With his legacy and the law's success at stake, Obama said: "The law is here to stay."

Behind the scenes, the White House readied a campaign-style effort to get healthy young people to sign up for the insurance "exchanges" in order to keep premium costs from skyrocketing. On Capitol Hill, House Republicans are planning yet another vote to try to try to repeal the law.

The insurance exchanges are the centerpiece of the landmark overhaul of the nation's health insurance system and the White House mobilization is crucial to the success of the health care law and, by extension, to Obama's place in history as the first president in decades to expand health care coverage.

"There's a lot that this law is already doing for Americans with insurance," Obama said during a Mother's Day-themed event at the White House. "There's a lot more that's going to happen for folks who don't have insurance."

But he cautioned: "We still have a lot of work to do in the coming months to make sure more Americans can buy affordable health coverage."

And he urged the public not to be swayed by what he said were scare tactics from critics of the law who might blame it for rising premiums.

"Don't be bamboozled," he said.

Underscoring the policy and political consequences, the White House plans to employ both the resources of government as well as those of his reconfigured political operation as it aimed to enroll 7 million people in health insurance exchanges between Oct. 1 and the end of March. The goal is to get 30 million people to sign up within five years.

Moreover, the composition of those signing up for the new exchanges matters just as much as the overall totals. In order to keep premium costs down, officials say they must register 2.7 million healthy people between the ages of 18 and 35 in order to counteract the costs of ensuring seniors and people with health problems.

The White House's hopes that Obama's East Room event would draw broad attention crumpled, however, when the president's event had to compete for attention with revelations about administration deliberations over the September attack on U.S. diplomats in Benghazi, Libya, and an acknowledgement by the Internal Revenue Service that its workers had singled out conservative groups for additional review.

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Obama declared health care law 'is here to stay'

Obama steps up push to promote health care overhaul

WASHINGTON President Barack Obama on Friday stepped up the sales pitch on his health care overhaul as the final elements of his top domestic achievement go into effect. With his legacy and the law's success at stake, Obama said: "The law is here to stay."

Behind the scenes, the White House readied a campaign-style effort to get healthy young people to sign up for the insurance "exchanges" in order to keep premium costs from skyrocketing. On Capitol Hill, House Republicans are planning another vote to try to try to repeal the law.

The insurance exchanges are the centerpiece of the landmark overhaul of the nation's health insurance system. The White House mobilization is crucial to the success of the health care law and, by extension, to Obama's place in history as the first president in decades to expand health care coverage.

"There's a lot that this law is already doing for Americans with insurance," Obama said during a Mother's Day-themed event at the White House. "There's a lot more that's going to happen for folks who don't have insurance."

But he cautioned, "We still have a lot of work to do in the coming months to make sure more Americans can buy affordable health coverage."

He urged the public not to be swayed by what he said were scare tactics from critics of the law who might blame it for rising premiums. "Don't be bamboozled," he said.

Underscoring the policy and political consequences, the White House plans to employ both the resources of government as well as those of his reconfigured political operation as it aimed to enroll 7 million people in health insurance exchanges between Oct. 1 and the end of March. The goal is to get 30 million people to sign up within five years.

Moreover, the composition of those signing up for the new exchanges matters just as much as the overall totals. To keep premium costs down, officials say they must register 2.7 million healthy people between the ages of 18 and 35 in order to counteract the costs of insuring seniors and people with health problems.

The public remains divided over the health care law. As a result, the White House is planning an election-like campaign to target those uninsured or individually insured young people, an effort reminiscent of the sophisticated voter outreach that helped Obama twice win the White House.

The administration has identified where many of the healthy and uninsured young live and will be working with health clinics, hospitals, churches and other groups to sign them up for the exchanges.

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Obama steps up push to promote health care overhaul

Margaret Comeau: Legislative Briefing on California Children with Special Health Care Needs – Video


Margaret Comeau: Legislative Briefing on California Children with Special Health Care Needs
Children with Special Health Care Needs in Medi-Cal and the California Exchange - Margaret Comeau, The Catalyst Center.

By: CSHCNvideo

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Margaret Comeau: Legislative Briefing on California Children with Special Health Care Needs - Video

Advocate Health Care Boosting Stroke Awareness Through Social Media and Brand Journalism

OAK BROOK, IL--(Marketwired - May 09, 2013) - Oak Brook-based Advocate Health Care is pulling out all of the stops to help raise awareness about stroke and stroke prevention during National Stroke Awareness Month. Using an integrated strategy, Advocate is not only relying on marketing but is tapping into social media and building a strong brand journalism platform to engage patients and the communities it serves.

"We want to make our footprint when it comes to building healthy communities across Chicagoland and beyond," said Advocate's director of public affairs, Stephanie Johnson. "This is about meeting patients where they're having discussions and getting information and that happens to be online."

On May 16 at 11:30 a.m., Advocate will host a live chat with Interventional Neuroradiologist, Thomas Grobelny, MD, about stroke and brain aneurysm. The program will stream live on Advocate's web and Facebook pages and give viewers a chance to ask any questions they want in real-time.

Last month's edition of AdvocateLive garnered nearly 74,000 views and nearly 100 questions for guest nutritionist, Jaclyn Sprague.

Stroke is also the theme this month on Advocate's new health website, health enews, which launched in March and already has nearly 35,000 subscribers to its daily newsfeed.

Health enews keeps readers plugged into daily breaking health news and also has plenty of useful health tips and features. Reporters can also use the site to get story ideas and make connections with Advocate's experts.

Already, national news outlets including CNN and Chicago Tribune have covered stories based on articles featured on the website.

Stroke is the topic of conversation among Advocate's nearly 18,000 Facebook fans and 1,200 Twitter followers as well this month. Advocate hopes this full-throttle approach will continue to engage patients and the communities it serves and make a huge impact on helping people adopt healthier lifestyle habits.

You can check out the full story behind Advocate's health enews websitehere.

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Advocate Health Care Boosting Stroke Awareness Through Social Media and Brand Journalism

Ghost Issue? Health Care and the Aged (in Opinion)

A rapidly aging population is just one of many health system challenges facing BC's next government.

We have been surprised, to say the least, at the lack of public discourse around health care during this election period. As a top-of-mind issue for British Columbians, you'd think it would be as central as the always large and looming economy. So what are the burning issues in health care, and how do the party platforms stack up? Here's our take, with a particular focus on seniors.

The challenge:

When we talk about "health care" we're talking about a large and complex system that includes three major areas: primary care (family doctors and health centres), acute care (hospitals and emergency services), and home and community based care (services for seniors and others who require support in their homes, communities or residential facilities). There are also issues related to technology, drugs, education and training, funding models, integration across different parts of the system, patient rights, privatization... and more.

Health care is by far the largest expenditure in the provincial budget. Dire warnings in recent years about the financial "sustainability" of Medicare have prompted fears that aging baby boomers will soon overwhelm the system, leaving few resources for the needs of younger generations. The CCPA has published extensively on this issue, pointing out that it is the costs associated with new health technologies, such as new surgical techniques, diagnostics, prescription drugs, and end-of-life interventions that are key cost drivers, not the growing number of seniors. And our research has shown how we can improve access to surgical care and prescription drugs while also helping to contain costs.

But when it comes to seniors and the aging population, the home and community care system is particularly vital. Ask any community seniors group in B.C. how this system is doing and you're likely to hear a similar story: it's more of a fragmented patchwork of services than a system, it is extremely confusing to navigate, and seniors and their families are ending up in impossible situations as a result. It is a story well-documented by B.C.'s Ombudsperson in her recent landmark systemic investigation into the crisis in seniors care.

Problems of underfunding and lack of coordination date back to the 1990s, but worsened significantly over the last decade due to reduced access to services and poorly planned restructuring. Between 2001/02 and 2009/10, for example, access to residential care dropped by 21 per cent, and access to home support dropped by 30 per cent. As the July 2012 CCPA study, Caring for BC Aging Population: Improving Health Care for All finds:

The impact of these changes can be seen in the 35 per cent increase since 2005/06 in hospital beds occupied by patients who couldn't be discharged because the appropriate residential or home health services were not available.

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Ghost Issue? Health Care and the Aged (in Opinion)

Health Care Providers Beta Testing New URAC Accreditation for Clinical Integration

Washington, DC (PRWEB) May 08, 2013

Several organized physician groups are beta testing URACs new clinical integration accreditation program standards. URAC, an independent accreditation organization advancing quality and value throughout health care, created the new program to serve as a roadmap for health providers to achieve clinical integration and accountable care. By earning URAC accreditation, providers will demonstrate they are delivering improved patient care and reducing costs.

URACs clinical integration accreditation program guides health care providers in a number of areas for transforming care delivery, including operations, health information technology, clinical management, care coordination, and population health.

We value the insights the beta testers have shared about URACs clinical integration accreditation, said Jane Webster, senior vice president for research, development and planning at URAC. Feedback from health care providers helps to develop a product that matches industry needs. The beta testers also gain an advantage in the market by becoming early adopters, building the organizational foundation needed to become a fully accountable clinically integrated network.

Clinically integrated providers unite around the needs of each patient, delivering care based on a common set of clinical best practices. URACs new standards have been carefully designed to align with Federal Trade Commission (FTC) antitrust regulations. The program works for a variety of health providers, from small to large, including specialty groups.

The benefits of becoming clinically integrated are substantial for improving care delivery, reducing cost, and demonstrating evidence-based outcomes. Hallmarks include seamless care coordination, timely sharing of patient medical information, and close tracking of care referrals and follow-up.

The following health care providers are beta testing URACs clinical integration accreditation program:

About URAC URAC, an independent, nonprofit organization, promotes health care quality through its accreditation, education and measurement programs. URAC offers a wide range of quality benchmarking programs and services that keep pace with the rapid changes in the health care system and provides a symbol of excellence for organizations to validate their commitment to quality and accountability. Through its broad-based governance structure and an inclusive standards development process, URAC ensures that all stakeholders are represented in establishing meaningful quality measures for the entire health care industry.

As a leading national accrediting organization, URAC accreditation programs span the health care spectrum. URAC is recognized by State and Federal regulatory agencies for these programs. Most notably, the Administration has recognized URAC as an approved accreditor for health plans participating on health insurance exchanges.

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Health Care Providers Beta Testing New URAC Accreditation for Clinical Integration

Growth of Health Care Spending, Prices & Employment Each Head Lower

ANN ARBOR, Mich.--(BUSINESS WIRE)--

National health care spending in March 2013 grew 3.8 percent relative to March 2012, one-tenth below the February rate, putting it below the record low levels seen annually in 2009 2011, and below our estimate of 4.3 percent for 2012. Meanwhile, health care employment may finally be slowing with an average gain of 19,000 jobs per month for 2013, compared with 27,000 per month during 2012.

Health care prices in March 2013 were 1.6 percent higher than in March 2012, one-tenth below the February rise, and second lowest reading since December 1997s 1.3 percent figure. The 12-month moving average at 1.9 percent is the lowest rate since a 1.8 percent reading recorded in October 1998.

Health care employment rose by 19,000 jobs in April 2013, matching the average growth for the first four month of the year. With a better than expected 165,000 economy-wide jobs created, plus upward revisions for February and March totaling 114,000, the health sector share of total employment dropped slightly to 10.72 percent, off the revised all-time high of 10.73 percent last seen in January 2013.

These data come from the May Health Sector Economic IndicatorsSM briefs released by Altarum Institutes Center for Sustainable Health Spending. The briefs, covering health care spending, utilization, prices, and employment are at http://www.altarum.org/HealthIndicators.

The somewhat slower growth in health spending is driven by slower health care price growth which, in turn, is following slower economy-wide inflation, said Charles Roehrig, director of the Center. Our research suggests that the recession continues to push down on health spending, cutting growth by a percentage point or more. And while the data are noisy, health providers may finally be cutting back employment in light of reimbursement pressures.

The health spending share of GDP was 18.1 percent in March, up from 16.4 percent at the start of the recession in December 2007. Implicit per capita health care utilization averaged 1.3 percent growth over the last 12 months.

Altarum Institute (www.altarum.org) integrates objective research and client-centered consulting skills to deliver comprehensive, systems-based solutions that improve health and health care. Altarum employs more than 400 individuals and is headquartered in Ann Arbor, Mich., with additional offices in the Washington, D.C., area; Atlanta, Ga.; Portland, Maine; and San Antonio, Texas.

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Growth of Health Care Spending, Prices & Employment Each Head Lower

Health Net Announces Appearance at Bank of America Merrill Lynch 2013 Health Care Conference

LOS ANGELES--(BUSINESS WIRE)--

Health Net, Inc. (HNT) today announced that members of its management team are scheduled to present at the Bank of America Merrill Lynch 2013 Health Care Conference on May 14, 2013, at approximately 1:00p.m. Eastern time (10:00a.m. Pacific time).

A live webcast and replay of the presentation will be available at http://www.healthnet.com under Investor Relations. The webcast is open to all interested parties. The webcast should be accessed at least 15 minutes prior to its start time. Anyone listening to the webcast will be presumed to have read Health Nets Annual Report on Form 10-K for the year ended December 31, 2012, Quarterly Report on Form 10-Q for the quarterly period ended March 31, 2013, and other reports filed by the company from time to time with the Securities and Exchange Commission.

About Health Net

Health Net, Inc. is a publicly traded managed care organization that delivers managed health care services through health plans and government-sponsored managed care plans. Its mission is to help people be healthy, secure and comfortable. Health Net provides and administers health benefits to approximately 5.4million individuals across the country through group, individual, Medicare (including the Medicare prescription drug benefit commonly referred to as Part D), Medicaid, U.S. Department of Defense, including TRICARE, and Veterans Affairs programs. Through its subsidiaries, Health Net also offers behavioral health, substance abuse and employee assistance programs, managed health care products related to prescription drugs, managed health care product coordination for multi-region employers, and administrative services for medical groups and self-funded benefits programs.

For more information on Health Net, Inc., please visit Health Nets website at http://www.healthnet.com.

Cautionary Statements

Health Net, Inc. and its representatives may from time to time make written and oral forward-looking statements within the meaning of the Private Securities Litigation Reform Act (PSLRA) of 1995, including statements in this and other press releases, in presentations, filings with the Securities and Exchange Commission (SEC), reports to stockholders and in meetings with investors and analysts. All statements in this press release, other than statements of historical information provided herein, may be deemed to be forward-looking statements and as such are intended to be covered by the safe harbor for forward-looking statements provided by PSLRA. These statements are based on managements analysis, judgment, belief and expectation only as of the date hereof, and are subject to changes in circumstances and a number of risks and uncertainties. Without limiting the foregoing, statements including the words believes, anticipates, plans, expects, may, should, could, estimate, intend, feels, will, projects and other similar expressions are intended to identify forward-looking statements. Actual results could differ materially from those expressed in, or implied or projected by the forward-looking information and statements due to, among other things, health care reform and other increased government participation in and regulation of health benefits and managed care operations, including the ultimate impact of the Affordable Care Act, which could materially adversely affect Health Nets financial condition, results of operations and cash flows through, among other things, reduced revenues, new taxes, expanded liability, and increased costs (including medical, administrative, technology or other costs), or require changes to the ways in which HealthNet does business; rising health care costs; continued slow economic growth or a further decline in the economy; negative prior period claims reserve developments; trends in medical care ratios; membership declines; unexpected utilization patterns or unexpectedly severe or widespread illnesses; rate cuts and other risks and uncertainties affecting Health Nets Medicare or Medicaid businesses; Health Nets ability to successfully participate in Californias Coordinated Care Initiative or Arizonas Medicaid program; litigation costs; regulatory issues with federal and state agencies including, but not limited to, the California Department of Managed Health Care, the Centers for Medicare & Medicaid Services, the Office of Civil Rights of the U.S. Department of Health and Human Services and state departments of insurance; operational issues; failure to effectively oversee our third-party vendors; noncompliance by Health Net or Health Nets business associates with any privacy laws or any security breach involving the misappropriation, loss or other unauthorized use or disclosure of confidential information; liabilities incurred in connection with Health Nets divested operations; impairment of Health Nets goodwill or other intangible assets; investment portfolio impairment charges; volatility in the financial markets; and general business and market conditions. Additional factors that could cause actual results to differ materially from those reflected in the forward-looking statements include, but are not limited to, the risks discussed in the Risk Factors section included within Health Nets most recent Annual Report on Form 10-K and subsequent Quarterly Report on Form 10-Q filed with the SEC, and the other risks discussed in Health Nets filings with the SEC. Readers are cautioned not to place undue reliance on these forward-looking statements. Except as may be required by law, Health Net undertakes no obligation to address or publicly update any forward-looking statements to reflect events or circumstances that arise after the date of this release.

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Health Net Announces Appearance at Bank of America Merrill Lynch 2013 Health Care Conference

Cost of health care varies widely at North Bay hospitals

Published: Wednesday, May 8, 2013 at 1:12 p.m. Last Modified: Wednesday, May 8, 2013 at 2:03 p.m.

The amount that North Bay hospitals charge for the same procedures varies widely from one facility to another, according to data released Wednesday by the federal government.

For example, a procedure to replace a major joint or reattach a lower extremity can cost $44,278 at Kaiser Permanente Medical Center in Santa Rosa, but up to $136,762 at Santa Rosa Memorial Hospital, according to data released by the U.S. Department of Health and Human Services.

The data was released to the public to help make the U.S. health care system more affordable and accountable, Health and Human Services Secretary Kathleen Sebelius said in a statement.

Currently, consumers don't know what a hospital is charging them or their insurance company for a given procedure, like a knee replacement, or how much of a price difference there is at different hospitals, even within the same city, Sebelius said. This data ... will help fill that gap.

Hospitals nationwide are included in the comparisons, which focus on the 100 most common Medicare inpatient stays. In another example, treatment for poisoning and toxic effects of drugs cost $15,092 at Ukiah Valley Medical Center and $40,828 at Marin General Hospital, the report said.

There are large parts of our health care system that just don't make a lot of sense, said Anthony Wright, executive director of Health Access California, a statewide health care consumer advocacy coalition. The health care pricing and prices make no sense to both lay people and experts, and there needs to be a reform of how providers are paid.

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Cost of health care varies widely at North Bay hospitals

Health care tax credits: Eligibility and economic impact

Ann Battenfield's healthcare coverage has so far been expensive and inefficient. The Affordable Care Act could change her life -- and the lives of millions in similar situations.

WASHINGTON, May 8 -- President Barack Obama made expanding the pool of insured Americans and guaranteeing coverage for those with pre-existing conditions cornerstones of his health care reform effort.

The resulting Affordable Care Act might well have been written for Illinois resident Ann Battenfield. She lacked insurance for 18 months before health care reform became a reality.

Credit: Andrew Hedlund -- Medill News Service

Battenfield has been self-employed since the 1990s and, as a result, was self-insured, but toward the end of that decade it became increasingly difficult to get coverage.

By about 2001 I was out of options, Battenfield said. For a while I would take consulting jobs with companies who offered to keep you on their insurance as long as you worked with them, even though I didnt want to work for the company.

The work was temporary. So, after she finished the job, she would be eligible for COBRA, government-sponsored health insurance for people who lose their jobs or see a reduction in hours.

(Note: Issues ruled by the Internal Revenue Service dictate that anyone between 100 percent and 400 percent of the federal poverty line are eligible. It could be slightly different though if a state decides to participate in the Medicaid expansion.)

In the early 2000s, Battenfield stumbled upon a union that offered health insurance, a windfall that lasted until late 2008.

But she has periodic limb movement disorder that occurs during sleep. Insurance carriers consider it a pre-existing condition, meaning obtaining coverage didnt come down to just costs. It was also eligibility.

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Health care tax credits: Eligibility and economic impact