“With much of the focus on Obamacare now on how much individual premiums could increase next year, a new analysis suggests there’s one way to keep them in check — more competition. That’s the conclusion of a new report from economists Leemore Dafny, Christopher Ody and Obamacare architect Jonathan Gruber.”

“Federal prosecutors have subpoenaed state records for a grand jury investigation of the troubled Cover Oregon health insurance website, the governor’s office said Tuesday.”

“Nevada’s health-care exchange board voted Tuesday to cut ties with Xerox Corp., which helped build the state’s troubled insurance website, and instead use the federal government’s technology for the next insurance enrollment season.

A spokesman for the exchange, known as Nevada Health Link, said lawyers were examining provisions in the state’s $75 million, five-year contract with Xerox to allow it to terminate it early. The state has paid Xerox around $12 million for work that had been completed to its satisfaction, said C.J. Bawden, the spokesman.”

“The Silver State Health Insurance Exchange board voted unanimously Tuesday to end its relationship with Xerox, the vendor contracted in 2012 to build the exchange’s Nevada Health Link website.

In place of Xerox, the exchange will adopt the federal Healthcare.gov exchange’s eligibility and enrollment functions for the sign-up period that begins Nov. 15, though it will keep its status and funding as a state-controlled system. The exchange will also issue a request for proposals to evaluate replacement systems in coming years. A new platform could come from a state with a functional marketplace, or from a vendor with a similar, proven program.”

“Healthcare reform has largely ignored the poor. The healthcare safety net has far too many holes, and the Affordable Care Act builds on a flawed system of health insurance. Lower income families, especially those enrolled in Medicaid, have a difficult time finding doctors who will accept their coverage. Insurance is of little value if doctors will not work with your insurer.”

“A large number of people who’ve signed up for private health insurers through the Cover Oregon health insurance exchange have not paid their first month’s premiums, meaning they are at risk of going without coverage through November.”

“State officials disclosed a $300 million shortfall in state revenue collections Monday, putting the state’s stellar bond rating in jeopardy — and placing new pressure on lawmakers and Gov. Terry McAuliffe to break their budget deadlock.”

“Indiana Gov. Mike Pence said Monday President Barack Obama’s health care law must be repealed but urged his fellow conservatives to offer alternatives to the president’s policies. The Republican governor introduced his state proposal that he says would act as an alternative to Medicaid. In a speech to the American Enterprise Institute, Pence said his plan would help expand health coverage for low-income residents but provide more flexibility to allow people to manage their own health care needs.”

“I have been a huge fan of the popular Healthy Indiana Plan since it was conceived by former Gov. Mitch Daniels in 2008 as a way to expand sensible health coverage to uninsured Hoosiers.

Daniels’ successor, Gov. Mike Pence, is unveiling his own 2.0 version of the Healthy Indiana Plan (HIP) during a talk at the American Enterprise Institute today, but the plan already is getting a great deal of pushback from conservatives. The original HIP program relies largely on state funding, but the new version will draw primarily on federal funding by expanding Medicaid, an option granted to the states under the Supreme Court’s rewriting of the ACA.”

“From the beginning of my tenure as governor in 2013, we have been saying no to ObamaCare in Indiana. We refused to set up a state-based exchange, and we have said we will not expand traditional Medicaid. We have a better alternative in a program that offers Indiana’s working poor the chance to get insurance and control their own health care.”