Articles on the implementation of ObamaCare.

A full 32.3 million non-elderly people do not have health insurance despite the costly health reform act and the individual mandate tax penalty, new analysis shows.

Nearly half of the 32.3 million uninsured, or 15.7 million, are still not getting health insurance through the Affordable Care Act or Medicaid, new state-by-state analysis by the Kaiser Family Foundation reveals. More than a quarter of the uninsured are either eligible adults or children.

ObamaCare is heading toward a death spiral.
The Obama administration is having trouble selling insurance plans to healthy people. That’s a big problem: When the young and healthy don’t enroll, premiums have to be hiked to cover the costs of older, sicker people, discouraging even more young people from signing up.

As startup insurers born of Obamacare collapse nationwide, the one in Illinois is drastically limiting enrollment to last for the long haul.

Land of Lincoln Health, one of 23 so-called health insurance co-ops backed by federal loans, is capping enrollment for the signup period that begins Nov. 1. The health plan has about 55,000 members, including individuals and businesses. It wants to end 2016 with only about 15,000 more.

On October 15, the Obama administration significantly downgraded its estimate of how many people will enroll in exchange plans next year. The administration now expects only 10 million exchange enrollees at the end of 2016. Charles Gaba, a statistical expert who closely tracks Affordable Care Act (ACA) enrollment and who made fairly accurate projections for 2014 and 2015, is somewhat more optimistic. He projects enrollment at 12.2 million people by the end of next year.

With the Affordable Care Act’s third open enrollment period to begin in less than two weeks, federal officials are racing to fix new features of HealthCare.gov that are supposed to make it easy for consumers to find insurance plans that cover their doctors and prescription drugs.

Among many other changes to the health care system, the ACA created an expansion of Medicaid – made optional by the Supreme Court in 2012 – funded largely by federal dollars. Thus far, 30 states and the District of Columbia have accepted the Medicaid expansion. And as should be expected, states that expanded the program have seen spending grow much faster than those that didn’t. In a recent report, the Kaiser Family Foundation found that total Medicaid spending grew nearly 18 percent in expansion states, though the state share of growth was relatively low (less than 4 percent). And while health care has remained relatively quiet as a campaign issue, Governors Kasich and Christie – both Republican presidential hopefuls – expanded Medicaid (and both have defended this expansion) in their respective states.

Health cooperatives are collapsing at such a rapid clip that some co-ops and small insurers are forming a coalition to consider legal action to try to change health-law provisions they blame for their financial distress.

Colorado’s co-op and one in Oregon announced Friday that they were folding, joining six others that have already collapsed or said they will unwind operations. The eight co-ops have received nearly $900 million in federal funds that may not be paid back.

Oregon will become the eighth state to shut down a taxpayer-funded health insurance startup, the latest Obamacare co-op insurer to fold from financial troubles.

Health Republic Insurance, one of the state’s two co-ops, said Friday it will not offer plans in 2016. Also on Friday, Colorado’s co-op said that it would stop offering plans next year.

Colorado’s nonprofit co-op insurer announced Friday that it will not offer plans in 2016, the third co-op to do so in a week. The decision means that Colorado will be the seventh of 23 taxpayer-funded co-ops to shut down. About $2 billion in government funding has been doled out to the co-ops that opened to offer more competition in the Obamacare marketplaces.

A government watchdog overseeing the Department of Health and Human Services delivered the grim financial state of nearly all of the co-ops—that collectively received $2.4 billion—created under Obamacare several months ago.

Now, following the collapse of six of the 23 that launched in 2013, the co-ops, or consumer oriented and operated plans, face an uphill battle to solidify themselves as competitors in the health insurance market.