Julie Rovner

Julie Rovner is a health policy correspondent for NPR specializing in the politics of health care.

Reporting on all aspects of health policy and politics, Rovner covers the White House, Capitol Hill, the Department of Health and Human Services in addition to issues around the country. She served as NPR's lead correspondent covering the passage and implementation of the 2010 health overhaul bill, the Patient Protection and Affordable Care Act.

A noted expert on health policy issues, Rovner is the author of a critically-praised reference book Health Care Politics and Policy A-Z. Rovner is also co-author of the book Managed Care Strategies 1997, and has contributed to several other books, including two chapters in Intensive Care: How Congress Shapes Health Policy, edited by political scientists Norman Ornstein and Thomas Mann.

In 2005, Rovner was awarded the Everett McKinley Dirksen Award for distinguished reporting of Congress for her coverage of the passage of the Medicare prescription drug law and its aftermath.

Rovner has appeared on television on the NewsHour with Jim Lehrer, CNN, C-Span, MSNBC, and NOW with Bill Moyers. Her articles have appeared in dozens of national newspapers and magazines, including The Washington Post, USA Today, Modern Maturity, and The Saturday Evening Post.

Prior to NPR, Rovner covered health and human services for the Congressional Quarterly Weekly Report, specializing in health care financing, abortion, welfare, and disability issues. Later she covered health reform for the Medical News Network, an interactive daily television news service for physicians, and provided analysis and commentary on the health reform debates in Congress for NPR. She has been a regular contributor to the British medical journal The Lancet. Her columns on patients' rights for the magazine Business and Health won her a share of the 1999 Jesse H. Neal National Business Journalism Award.

An honors graduate, Rovner has a degree in political science from University of Michigan-Ann Arbor.

If you think buying health insurance under the Affordable Care Act has been complicated, just wait. Buying dental coverage on the health exchanges, it turns out, is even more confusing.

Dental coverage for children is one of the benefits that must be offered under the law. But, it turns out, a loophole in the law means that — in most states — families don't actually have to buy that coverage.

These rules are so confusing that they even tripped me up.

Health care spending grew at a record slow pace for the fourth straight year in 2012, according to a new government report. But the federal officials who compiled the report disagree with their bosses in the Obama administration about why.

The annual report from the actuaries at the Centers for Medicare and Medicaid Services, published in the journal Health Affairs, found total U.S. health spending totaled $2.8 trillion in 2012, or $8,915 per person.

New Year's Day marked the halfway point to sign up for health insurance through the Affordable Care Act for coverage this year.

And after a dismal start, things seem to be going a lot better on the HealthCare.gov website. Federal officials say more than 1 million people enrolled in coverage by the Christmas Eve deadline for coverage that began January 1.

Giving poor people health insurance, the belief was, would decrease their dependence on hospital emergency rooms by providing them access to more appropriate, lower-cost primary care.

But a study published in the journal Science on Thursday finds that's not the case. When you give people Medicaid, it seems they use both more primary care and more emergency room services.

When it comes to health care, the rollout of the Affordable Care Act was supposed to be measured in the millions. That's how many people were expected to sign up for insurance to begin on Jan. 1.

But for both supporters and opponents of the law, there's one number that sticks out above all others. Six. That's how many people actually managed to enroll through the federal HealthCare.gov website the first day it opened, Oct. 1.

Only hours before the deadline to sign up for health insurance that will begin Jan. 1, the Obama administration has offered people whose plans have been canceled a new option. They can sign up for catastrophic coverage instead.

These little-noticed plans cover only three primary care visits, specified preventive services and medical costs that exceed a catastrophic amounts. In 2014, that's $6,300 for an individual.

The two-year budget deal approved by the Senate on Wednesday is aimed at preventing another government shutdown.

It also includes a familiar annual rider — language to avert a steep pay cut to doctors who treat Medicare patients. But this time might be different, with a fix that lasts. After more than a decade of temporary solutions, it appears Congress might be on the verge of permanently solving its persistent problem in the way it makes Medicare payments to doctors.

There are seven shopping days left until Christmas. But there are just five days until another important deadline — the last day to sign up for health insurance under the Affordable Care Act if you want coverage to start January 1.

After a slow start, activity on the federal website HealthCare.gov has been heavy all month. And with the deadline approaching, some people are getting worried that they won't get signed up in time.

And this being the health care law, it's complicated. There is more than one deadline.

One thing that's clear about the relaunch of the troubled HealthCare.gov website is that it can accommodate more people.

Federal officials said more than 1 million users logged in on Monday, and nearly that many on Tuesday.

In the first lawsuit of its kind, several nonprofit groups that received federal grants to help people sign up for insurance under the Affordable Care Act are suing the state of Missouri.

The Missouri law requires health insurance helpers called navigators to be licensed by the state, which involves passing an exam and paying a fee.

The American Civil Liberties Union has decided to go directly to the source of its unhappiness with the way women are treated in Catholic hospitals. It's suing the nation's Catholic bishops.

The Obama administration is delaying yet again online signup for small businesses through the Affordable Care Act. The program was intended to make it easier for small employers to provide health insurance to their workers on a more equal footing with big business.

The Food and Drug Administration says it is reviewing whether the maker of the most widely used emergency contraceptive pill needs to change its label in light of new evidence that it doesn't work to prevent pregnancy in overweight or obese women.

The race is on to get the federal insurance website HealthCare.gov working smoothly by the end of November.

And it's not just because that's what federal officials have promised. December could see a surge in demand for health insurance.

"There is an avalanche coming," says Bryce Williams, managing director for exchange solutions at the benefits consulting firm Towers Watson.

Buried in the paltry enrollment numbers for the Affordable Care Act that were released last week was something that came as a surprise to many — the success states are having signing people up for the Medicaid program, which provides health care to low-income people.

President Obama's proposal to try to let more people keep their canceled health insurance policies sounded so simple when he announced it Thursday.

"Insurers can extend current plans that would otherwise be canceled into 2014. And Americans whose plans have been canceled can choose to re-enroll in the same kind of plan," he said in unveiling the proposal at the White House.

Remember when President Obama said, "If you like your health plan you can keep it?" Now it's more like, "If you like your health plan you can keep it — for another year, and only if your insurance company says it's OK."

It's not clear whether the administration's proposal to let insurers extend the policies they've been canceling for the past couple of months will solve the president's political problem. But it's sure not going over very well with the insurance industry.

The Obama administration says just about 100,000 people managed to choose health plans through the federal and state health exchanges during their first month of the program. Critics say that shows the law is failing. But most analysts say the first month's numbers wouldn't have meant very much, even if the federal website had been working properly.

In Washington this week, calls to fix the problem of people getting insurance cancellation notices are getting louder and coming from all sides. But turning back the clock on health insurance cancellations turns out to be a lot harder than it sounds.

The Obama administration later this week will issue much anticipated enrollment numbers for the first month of the Affordable Care Act.

The health care exchanges may be open, but there's no question they're still kind of a mess.

"The rollout has been excruciatingly awful for way too many people," Health and Human Services Secretary Kathleen Sebelius conceded to the Senate Finance Committee last week.

But mess or not, the law is going forward, people are trying to use it, and they have questions. Here are some of yours, and our answers.

The Obama administration delivered on a long-delayed health care promise when it issued rules to ensure equal health insurance treatment for people who have problems with mental health or need treatment for substance abuse.

The rules, issued Friday, require that most health insurance plans offer the same amount of coverage for mental health and substance abuse claims as they do for medical and surgical coverage.

The Treasury Department is scrapping the rule that requires people to use or lose the money they set aside each year in accounts to cover health care expenses that are otherwise unreimbursed.

Instead, the department plans to allow people to carry over up to $500 of unused money to the following year, at their employer's discretion. That could start as early as the end of this year.

As if the rollout of the federal health law didn't have enough problems, abortion is back in the spotlight.

How the various health plans in the exchanges would or would not pay for abortion was one of the very last issues settled before the bill was passed in 2010. Now abortion's invisibility on the federal HealthCare.gov website has some people pretty upset.

Health and Human Services Secretary Kathleen Sebelius headed to Capitol Hill Wednesday for a date with lawmakers frustrated by the rocky rollout of the HealthCare.gov website.

What she got at the House Energy and Commerce Committee was four hours of venting from Democrats and Republicands alike.

Like Medicare and Medicaid chief Marilyn Tavenner a day earlier, Sebelius opened her testimony with an apology.

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