ObamaCare’s impact on health costs.

“When Tony Smith lost his job as a corporate paralegal two years ago, a state program stepped in to help him keep his health insurance — and the expensive drugs his life had depended on since his 2008 HIV diagnosis.
Now Smith, 42, of Coral Springs, has been told he must sign up for coverage on Florida’s federally run insurance exchange or the state will stop helping him pay his premiums.
“The landscape of healthcare has changed, and with the passage of the Affordable Care Act we have the opportunity to access and enroll in cost-effective health plans,” an official at the AIDS Insurance Continuation Program wrote in a letter to Smith and other AICP beneficiaries.
But it is not clear that ACA insurance plans will be cheaper — or even affordable — for those with HIV and AIDS, according to patient advocates.”

“Hillary Clinton, the front-runner for the Democratic party’s nomination for President in 2016, is giving a speech at this week’s annual meeting of the powerful Advanced Medical Technology Association, or AdvaMed, in her hometown as the lobby prepares to derail a tax key to funding the Affordable Care Act.
The former U.S. Secretary of State, who has yet to officially declare her presidential candidacy, is also in Chicago to campaign for Illinois Gov. Pat Quinn, who is in a tight race with billionaire Republican Bruce Rauner as the incumbent gains momentum here. During her visit, which has been kept under wraps until this week, Clinton has been given a prime spot during the three-day AdvaMed event, delivering a keynote at Wednesday’s midday plenary session at Chicago’s McCormick Place.”

“Most of us have long realized that the New York Times’ standards are low. Just look at who the Gray Lady endorses for president and other high political offices. But even we were a little surprised at what little it takes for the editors to call Obamacare a success.
The Times poses the question “Is the Affordable Care Act Working?” Given all the ACA’s problems, one could be forgiven for thinking it was a rhetorical question. It wasn’t. The paper asserts, “After a year fully in place, the Affordable Care Act has largely succeeded in delivering on President Obama’s main promises, an analysis by a team of reporters and data researchers shows.””

“Get ready to be inundated with a fresh round of Obamacare propaganda. President Obama’s health care law will be back in the news next month when open enrollment begins Nov. 15. The government is already gearing up to recruit more enrollees.
But based on what we know already, the Affordable Care Act isn’t panning out exactly as expected. That’s because the vast majority—an estimated 71 percent—of people who gained coverage under Obamacare between January and June did so by qualifying under Medicaid’s loosened eligibility requirements.”

“Most Americans don’t want to get rid of Obamacare. They just don’t share its fundamental goal of universal coverage anymore.
And not only did the political benefits that Democrats thought the 2010 law would eventually bring them not materialize, opposition has only grown, according to an analysis of multiple polls taken between 2010 and last month.
“There have been backlashes, but never like this,” said Robert Blendon, a professor at the Harvard School of Public Health and co-author of the analysis released Wednesday by the New England Journal of Medicine.”

“The fate of President Barack Obama’s health-care law is again in the hands of the U.S. Supreme Court.
Two years after upholding the law by a single vote, the justices are weighing whether to hear a Republican-backed appeal that would block people in 36 states from getting tax subsidies to buy insurance. The justices are scheduled to discuss the matter tomorrow, with an announcement coming as soon as Nov. 3.
The tax credits have implications well beyond the 4.6 million people who receive them in those states. A high court decision against the administration would have ripple effects, undercutting other parts of the Affordable Care Act and potentially destabilizing insurance markets across the nation.”

“U.S. small businesses are dropping health insurance for their workers, as Obamacare lets them send employees to new marketplaces where they can often get subsidies from the government to buy coverage.
WellPoint Inc. (WLP)’s small business insurance products lost 300,000 people this year, the company said today. Business owners are dropping coverage they previously bought through WellPoint and other insurers, and instead sending employees to shop for it on the government exchanges created under the Patient Protection and Affordable Care Act known as Obamacare.”

“Do you suppose any of the 2014 candidates will find time in the closing week to talk about Obamacare again, in the midst of all the other slow rolling disasters? (Aside from the occasional Root and Branch repeal call, that is.) If they do, they might want to mention a new study from the Medical Group Management Association which has some rather depressing figures in terms of medical services availability next year for participants. Barbara Boland has the story.
Over 214,000 doctors won’t participate in the new plans under the Affordable Care Act (ACA,) analysis of a new survey by Medical Group Management Association shows. That number of 214,524, estimated by American Action Forum, is through May 2014, but appears to be growing due to plans that force doctors to take on burdensome costs. It’s also about a quarter of the total number of 893,851 active professional physicians reported by the Kaiser Family Foundation.
In January, an estimated 70% of California’s physicians were not participating in Covered California plans.”

“For health policy wonks, the end of the year isn’t just the holiday season. With the falling temperatures will come a renewed “doc fix” debate, as Congress deliberates on ways to avoid a scheduled double-digit (24 percent last year) cut in Medicare’s physician payments. And avoid it they will. As health economist Austin Frakt put bluntly: “Good luck getting physicians to keep Medicare patients if the payments are suddenly cut 24 percent.””

“A caucus of seven nervous Democratic senators, led by Mark Begich of Alaska, has been pushing a plan to “reform” the Affordable Care Act by allowing insurers to offer an even skimpier insurance plan than the skimpiest permitted now. .
The idea of their “Expanded Consumer Choice Act” is to create a new “copper” tier of health plan permitted in the individual and small-business markets under the ACA. The copper tier would undercut the current tiers of health plans by covering only 50% of expected health costs. Under the current law, the stingiest “bronze” tier covers 60% of costs.”