“The chief executive of Hawaii’s largest health insurance company is calling on Hawaii to shut down its beleaguered health insurance exchange, which was set up as part of President Barack Obama’s signature health care law.

Michael Gold, president and CEO of Hawaii Medical Services Association, says the state shouldn’t keep spending money on the Hawaii Health Connector, a system that he says is financially unsustainable and does not work.”

“Nearly half a billion dollars in federal money has been spent developing four state Obamacare exchanges that are now in shambles — and the final price tag for salvaging them may go sharply higher.
Each of the states — Massachusetts, Oregon, Nevada and Maryland — embraced Obamacare, and each underperformed. All have come under scathing criticism and now face months of uncertainty as they rush to rebuild their systems or transition to the federal exchange.”

“A left-leaning think tank whose research is often taken seriously by backers of the health-care overhaul has published a paper suggesting the administration should scrap the health law’s requirement that employers offer coverage or pay a penalty.”

“Sometimes there really are economies of scale. And the nation’s health insurance exchanges may be a case in point.

As rocky as the rollout of HealthCare.gov was, the federal exchange was relatively efficient in signing up enrollees. Each one cost an average of $647 in federal tax dollars, an analysis finds. It cost an average of $1,503 – well over twice as much – to sign up each person in the 15 exchanges run by individual states and Washington, D.C.”

“Our analyses as well as that of others find that eliminating the employer mandate will not reduce insurance coverage significantly,
contrary to its supporters’ expectations. Eliminating it will remove labor market distortions that have troubled employer groups
and which would harm some workers. However, new revenue sources will be required to replace that anticipated to be raised
by the employer mandate.”

“Obamacare’s twice-delayed employer mandate will hit low-wage workers the hardest, according to a study released Friday.

The Robert Wood Johnson Foundation and the Urban Institute released a report examining the effects of repealing the employer mandate or moving ahead. The employer mandate peg of the health care law will barely affect the uninsured rate, researchers found.”

“Scrapping the ObamaCare mandate for employers to provide insurance would have little impact on the number of people with coverage, according to a new study.

The nonpartisan Robert Wood Johnson Foundation, which conducts health policy research, found eliminating the controversial requirement would result in about 200,000 fewer people having health insurance in 2016.”

“California’s insurance marketplace for small businesses has attracted just a fraction of eligible companies, with most being deterred by technology glitches, paperwork delays and customer service problems.”

“By combining the HHS data on enrollment through the Exchanges through March 31,
2014 with the HHS data on Exchange funding through March 31, 2014, the attached chart
calculates a cost-per-enrollee for each state’s Exchange.”

“A new study gives ammunition to what health economists and health insurers have argued for years: When hospitals buy physician practices, the result is usually higher hospital prices and increased spending by privately insured patients.”