ObamaCare’s impact on health costs.

“Two years ago Saturday, the Supreme Court changed the law that changed an industry.
The Court’s June 28, 2012, decision to uphold the Affordable Care Act—by the slender margin of a single vote—did more than allow the law’s ambitious agenda to proceed. It famously altered the law itself, by allowing states to choose whether or not to opt into Obamacare’s Medicaid expansion.”

“The Obama administration is revamping HealthCare.gov and scrapping significant parts of the federal health-insurance marketplace in an effort to avoid the problems that plagued the site’s launch last fall, according to presentations to health insurers and interviews with government officials and contractors.

But the makeover—and the tight timeline to accomplish it—are raising concerns that consumers could face another rocky rollout this fall when they return to the site to choose health plans. Some key back-end functions,…”

“For Democratic lawmakers who were hesitant to sign onto the sweeping 2010 health care law, one of the most powerful selling points was that the Affordable Care Act would actually reduce the federal budget deficit, despite the additional costs of extending health insurance coverage to the uninsured.
Four years after enactment of what is widely viewed as President Barack Obama’s key legislative achievement, however, it’s unclear whether the health care law is still on track to reduce the deficit or whether it may actually end up adding to the federal debt. In fact, the answer to that question has become something of a mystery.”

“Colorado’s exchange managers have triggered confusion among their own finance committee board members on the eve of a critical vote Monday over future spending and revenues.

Health News Colorado on Thursday reported that board members were concerned that exchange managers had spent $10 million over the past year to sign up about 8,000 people through face-to-face enrollment centers.”

“The board of Connect for Health Colorado will consider Monday whether to begin charging insurance carriers $1.25 a month for each policy on their books to generate more than $13 million for the state health exchange.”

“Colorado health exchange managers spent $10 million over the past year on a statewide assistance network that generated about 8,000 sign-ups for private health insurance.

Board critics pressed managers on the wisdom and sustainability of spending about $1,250 per customer for the face-to-face help centers.”

“Regardless of whether Obamacare is “repealed and replaced” or “fixed”, the future of consumer-driven health care will be defined by how comfortably consumers operate in a market where financial pressures lead them to seek out more affordable, high quality providers—in or out of network. They won’t tolerate being left sick and told to fend for themselves with nothing but their credit cards.”

“Five states that launched health exchanges under the Affordable Care Act expect to spend as much as $240 million to fix their sites or switch to the federal marketplace, a Wall Street Journal analysis shows.”

“Data reveal the deep challenge that Illinois, hospitals and insurance networks face to help many of the enrollees get their health under control and, in turn, hold down costs.”

“Switching to a federally supported state health exchange won’t be immediate and will bring added confusion for Nevada consumers during the transition into next year’s open enrollment period, an interim legislative committee was told Monday.”