“The federal health-care law was intended to create a uniform standard of health coverage across the U.S. But the law also is creating opportunities for states to pursue their own solutions.”

“Colorado’s exchange managers have triggered confusion among their own finance committee board members on the eve of a critical vote Monday over future spending and revenues.

Health News Colorado on Thursday reported that board members were concerned that exchange managers had spent $10 million over the past year to sign up about 8,000 people through face-to-face enrollment centers.”

“The board of Connect for Health Colorado will consider Monday whether to begin charging insurance carriers $1.25 a month for each policy on their books to generate more than $13 million for the state health exchange.”

“Colorado health exchange managers spent $10 million over the past year on a statewide assistance network that generated about 8,000 sign-ups for private health insurance.

Board critics pressed managers on the wisdom and sustainability of spending about $1,250 per customer for the face-to-face help centers.”

“House Republicans are pushing the Obama administration to release the names of federal officials involved in awarding grants to troubled health insurance exchanges around the country.

The letter from Energy and Commerce Committee Chairman Fred Upton (R-Mich.) furthers the GOP’s effort to investigate and criticize failed exchanges at the state level, including Cover Oregon and Maryland Health Connection.

Upton and several colleagues accused the Department of Health and Human Services (HHS) of spending $1.3 billion on seven marketplaces where serious problems persist.”

“At least 2.9 million Americans who signed up for Medicaid coverage as part of the health care overhaul have not had their applications processed, with some paperwork sitting in queues since last fall, according to a 50-state survey by CQ Roll Call.”

“Five states that launched health exchanges under the Affordable Care Act expect to spend as much as $240 million to fix their sites or switch to the federal marketplace, a Wall Street Journal analysis shows.”

“The cost to replace the Medicaid section of Nevada’s flawed online health insurance exchange will be $25 million, a state official told a legislative committee today.”

“Switching to a federally supported state health exchange won’t be immediate and will bring added confusion for Nevada consumers during the transition into next year’s open enrollment period, an interim legislative committee was told Monday.”

“Two insurers selling health plans through Connecticut’s exchange want to raise rates by more than 10 percent next year, while a third wants to lower its premiums, according to proposals filed with the Connecticut Insurance Department.”