Audits and investigations into the effects of ObamaCare from congressional committees, government auditors, advocacy groups, and others.

“To bring European healthcare to America, these price differences always had to be sanded away. The only way ObamaCare is going to bring our health benefits and spending to European levels is to also adapt European payment rates. As a result, US doctors will adjust their business models in ways that won’t be good for patients. Some with busy practices in big cities will opt out of the government insurance systems entirely, and go cash-only. Others will retire early.
But most doctors won’t have these opportunities available to them.”

“Two tiny health insurance companies are exiting Florida’s individual market because of Democrats’ health law, the state’s insurance department announced Thursday in an effort to bolster its request for a waiver. Florida has asked for a waiver from the medical loss ratio requirement that requires insurers to spend at least 80 percent of premiums on medical care or give customers rebates. Several consumer advocacy groups argued Thursday that the state doesn’t need such a waiver.”

“Des Moines-based American Enterprise Group announced Thursday that it will exit the individual major medical insurance market, making it the 13th company to pull out of some portion of Iowa’s health insurance business since June 2010. The move means 110 employees will lose their jobs over the next three years — 40 in Des Moines and 70 in Omaha. It also underscores the widespread anxiety among insurance companies over the raft of regulation resulting from the health care overhaul bill.”

“‘Who is in charge: the government or the patient?’ U.S. Rep. Paul Ryan asked during a memorable speech about health care last month at the Hoover Institution, Stanford University. For most of us, the answer is clear. The patient, in consultation with his or her doctor, should be in charge. But the new health care law’s attempt to contain out-of-control costs would give the government that role.”

“According to a new survey, the majority of doctors do not believe that the AMA represents their views and interests. Much of that dissatisfaction stems from the organization’s support for President Obama’s contentious health care reform package. That shouldn’t be surprising. The AMA declares that its core mission is to ‘help doctors help patients.’ But ObamaCare undermines that pursuit by making life harder for physicians and driving down the quality of care available to patients.”

“The report Doyle ordered before leaving office certainly reveals something about how the law will affect hundreds of thousands of individuals in the state he used to govern, it’s not all flattering. Indeed, it’s telling that despite bring ordered and authored by true-blue ObamaCare backers, a big part of what this report suggests is that the law will ultimately raise the health insurance costs for large numbers of the state’s residents.”

“‘Accountable care organizations’ is the health wonk phrase du jour. Obamacare’s advocates point to its support for ACOs as one of the important cost-control initiatives in the law. Except that, like nearly everything about Obamacare, the truth isn’t so simple. It turns out that the government’s idea of an accountable care organization is completely unworkable, to the point where nearly all leading health providers have declared it dead on arrival.”

“In any event, there is no problem that cannot be made worse when legislators convene. And when Congress passed the Affordable Care Act (ObamaCare) it definitely made things worse than they otherwise would have been… Here’s one immediate problem: no one knows how to define ‘administration.’ Just as there is no line item in the federal budget called ‘waste fraud and abuse,’ there is also no line item in any organization’s budget called ‘administrative costs.'”

“Investors believe that the government guarantee of millions of customers to health plans will lead to profits. Unfortunately, this optimism is likely unfounded.
ObamaCare distributes federal grants to states that encourage their insurance departments to increase power of prior approval of premium increases.
And the coming wave of political interference will threaten health plans’ very solvency. We already know that such laws do not keep a lid on health costs.”

“President Obama says that his health plan’s popularity will grow once its provisions start being implemented. But peculiar rules tucked into the legislation are likely to make the entire scheme even more disliked as its implementation approaches… The problem is that the actual insurance that health plans offer may be fairly lousy — perhaps just a little better than the typical managed care plan offered under Medicaid. That’s because of the way these insurance products are going to be regulated, and the way they will be priced under the federal scheme.”