Articles on the implementation of ObamaCare.

“A lot of attention has been paid to what a shift in control of the Senate in the midterms might mean for the Affordable Care Act and other big policy issues. As ACA implementation has shifted to the states, governor’s races may be just as important, particularly when it comes to whether states expand Medicaid.
Six of the 23 states that have not expanded Medicaid have toss-up governor’s races: Alaska, where Republican incumbent Sean Parnell is running against independent Bill Walker; Florida, the most closely watched race, where former governor Charlie Christ, now running as a Democrat, is trying to unseat Republican Gov. Rick Scott; Georgia, where incumbent Republican Nathan Deal is trying to hold off Democratic state legislator Jason Carter; Kansas, where state legislator Paul Davis is challenging Gov. Sam Brownback; and Wisconsin, where Gov. Scott Walker is being challenged by Mary Burke; and Maine, where Democratic state legislator Mike Michaud and independent Eliot Cutler are running against Gov. Paul LePage.”

“Call it drugs for the departed: A quirky bureaucratic rule led Medicare’s prescription drug program to pay for costly medications even after the patients were dead.
That head-scratching policy is now getting a second look.
A report released Friday by the Health and Human Services Department’s inspector general said the Medicare rule allows payment for prescriptions filled up to 32 days after a patient’s death — at odds with the program’s basic principles, not to mention common sense.”

“Health insurers increasingly are building and staffing bricks-and-mortar retail centers to potentially expand their membership base and, most importantly for now, enhance their brand image with the public.
The retail approach represents a major pivot in insurer tactics to grow their books of business brought on by changes in how consumers get insurance thanks to the Patient Protection and Affordable Care Act.”

“Republicans have been eerily quiet about the president’s health care law on the campaign trail lately. But that’s likely to change if the GOP is victorious and wins control of the Senate next week.Sen. Minority Leader Mitch McConnell (R-KY), told Fox News this week that taking aim at Obamacare is at the top of his list of priorities that he wants the Senate to address next year. If the senator wins his fiercely competitive re-election campaign and the GOP clenches a Senate majority, he will likely take over as the majority leader—having the luxury of calling as many repeal Obamacare votes as he wants.”

“Blue Cross and Blue Shield, the state’s largest health insurer, said Thursday that about 42,000 customers around the state received insurance renewal letters with incorrect rates, some showing cost increases of more than 100 percent.
The Chapel Hill company has been flooded with calls since Wednesday from irate customers who began receiving their renewal notices this week. Blue Cross officials soon realized the insurance rates were incorrectly transferred from the company’s database to the computer-generated renewal notices.”

“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.”

“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.”

“A federal judge in Florida on Tuesday jumped into the latest round in the legal wrangling over a Patient Protection and Affordable Care Act provision involving birth-control coverage and how it applies to religious institutions.
U.S. District Judge James Moody Jr. temporarily blocked the federal government from enforcing on a Roman Catholic college a new workaround HHS had developed on the thorny issue.”

“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.”