Articles on the implementation of ObamaCare.
“Much has been written about the possibility that Republicans could win control of the Senate in the 2014 elections. In fact, some prognosticators have given Republicans a better-than-even-money shot at taking the Senate back. If Republicans keep the House and garner the net six seats necessary to win a Senate majority, what does that mean for health policy and politics in the next Congress? In particular, what does it mean for the continued implementation and expansion of the Patient Protection and Affordable Care Act, otherwise known as Obamacare?
I hear these questions a lot, having served as the Republican health policy director for one of the key Senate health policy committees in 2006, the last time Republicans held a majority in both houses of Congress. The one thing I know for sure is that Republicans simply can’t pick up where they left off in 2006, but that answer is far from satisfying.
This much, we know: if Republicans regain both houses in January 2015, health policy in the 114th Congress will be dominated by a showdown between a Republican Congress and a Democratic White House over the future of Obamacare. The challenge for Republicans will be how to balance the desire of the party faithful for repealing Obamacare with the reality that President Obama would never permit it under his watch.”
“WASHINGTON — An independent audit of insurance exchanges established under the health care law has found that federal and state officials did not properly check the eligibility of people seeking coverage and applying for subsidies, the latest indication of unresolved problems at HealthCare.gov.
In a report to Congress on Tuesday, the inspector general for the Department of Health and Human Services, Daniel R. Levinson, said that the exchanges, which enrolled eight million people, did not have adequate safeguards “to prevent the use of inaccurate or fraudulent information when determining eligibility.”
Moreover, in a companion report, the inspector general said that the government had been unable to verify much of the information reported by people applying for insurance coverage and financial assistance to help pay premiums.”
“About 5 percent of Americans who were uninsured last year got coverage in 2014, and more than half of those — about 2.8 percent of the population — obtained their plan through an Obamacare exchange, according to a Gallup poll released Monday. The poll, taken after the close of the first enrollment season, pegged the uninsured rate at more than 13 percent.”
“It’s the tax at the heart of Obamacare, but just more than 1 percent of Americans will end up paying it, according to an analysis by the Congressional Budget Office.
The CBO and the Joint Committee on Taxation (JCT) slashed their estimates for how many people will pay the individual mandate tax penalty in 2016 by a third — to 4 million from 6 million — citing exemptions granted by the Obama administration, including exemptions for people whose plans were cancelled because they did not meet the Affordable Care Act’s requirements.”
“Let’s face it, health reform in 2014 is going to be pretty boring from here on out. Why? It’s an election year. That might seem counterintuitive, since the Affordable Care Act (ACA) demonstrated the haunting dance of partisan politics and policy making at its least consensus building. So why the yawns for 2014? Because the positions of the advocates and detractors of ACA are pretty well set in stone going into the mid-term elections.”
“For months we’ve been hearing about consumers’ struggles with the state’s new health exchange program. Jesse Jones explains that they’re not alone in the fight — even some of the people paid to work the system are having a hard time.
Martha Gant is an insurance agent who’s used to helping others but now she’s the one in need.”
“When I wrote last week about the slow start for Obamacare’s small business exchanges, I mentioned that some states could slow down the marketplaces’ progress even further in 2015 because of a possible delay recently created by the Obama administration.
The small business exchanges, like the law’s individual exchanges, are a virtual marketplace where businesses with 50 or fewer employees can compare health plans. Besides offering a limited tax credit, Obamacare small business exchanges, or SHOP, are supposed to offer one particular feature that changes the healthcare landscape for small companies: choice.”
“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,…”
“Congressional budget scorekeepers estimated Thursday that only a fraction of the people without health insurance in 2016 will actually pay a penalty under ObamaCare’s individual mandate.
In a new analysis, the Congressional Budget Office (CBO) said only 4 million of the 30 million who are expected to be uninsured in 2016 will pay a fine.”
“The federal health-care law was intended to create a uniform standard of health coverage across the U.S. But the law also is creating opportunities for states to pursue their own solutions.”