“President Barack Obama and his fellow Democrats sold many Americans on the Affordable Care Act largely by emphasizing two arguments: The law would help to reduce overall health-care costs, and it would provide health insurance to those who, for financial or health reasons, cannot get it now. Unfortunately, both of these arguments are flawed.”

“Health and Human Services (HHS) Secretary Kathleen Sebelius said Monday that she did not anticipate how complicated implementing the president’s signature healthcare law would be.”

“What if there were a way for even small employers to escape some Affordable Care Act rules blamed for driving up costs? Some see self-insurance for medical care, which is exempt from the law’s taxes, benefit rules and price restrictions taking effect next year, as just such an opportunity… In some circumstances, self-insurance by small businesses with younger employees could cause premiums in the small-group insurance market to rise by 25 percent, according to previous research from the Commonwealth Fund and the Urban Institute.”

“Want to apply for Obamacare this fall? Start the paperwork now. The Obama Administration quietly released a draft copy of its ‘single streamlined application’ for Obamacare. This is the form that the government will use to certify eligibility for the program’s subsidies. The on-line version of that form requires 60 printed pages to spell out all the queries. (A condensed paper version of the same application fills 21 pages).”

“If you buy your own health insurance now, you’ll be in for a big change when you sign up for coverage in 2014.
Just over half of the individual plans currently on the market do not meet the standards to be sold next year, when many key provisions of President Obama’s Affordable Care Act kick in, according to a University of Chicago study.”

“A new fight is brewing over health insurance companies letting millions of Americans renew their current coverage for another year — and thereby avoid changes under the federal healthcare law.”

“I don’t get the sense that at the time of passage, people had spent a lot of time thinking about the sheer mechanics of how this would all work: how the IT would be built, the rules written, the necessary information assembled. They spent a lot of time staring at the blueprints, not so much thinking about the building materials and the labor.”

“Unable to meet tight deadlines in the new health care law, the Obama administration is delaying parts of a program intended to provide affordable health insurance to small businesses and their employees — a major selling point for the health care legislation.”

“Almost all of those surveyed are concerned that the exchanges have not involved them as users in gaining input from the industry––traditionally a very bad sign in system development. And, the executives are very concerned about being able to reconcile billing and eligibility information from the exchanges.”

“State officials say they need 20,000 people for the job of signing up millions of Californians for health insurance in the coming months, but a battle is brewing over whether these workers should undergo background checks and fingerprinting. At issue is the level of screening these ‘assisters’ should receive before they handle confidential information about the people they are enrolling this year in the state’s new health insurance exchange, called Covered California.”