“More than 120,000 Arizona residents signed up for private health insurance during the first year of the Affordable Care Act’s marketplace.

But it’s the second year that analysts will scrutinize, to see whether health insurers increase rates or discontinue selling plans over the federal exchange.”

“Missouri is seeing a bigger decline in its Medicaid rolls than nearly any other state, a ranking that the administration of Gov. Jay Nixon attributes to an improving economy and critics blame on application snafus.”

“The states that tried and failed to run their own Obamacare health insurance marketplaces aren’t quite ready to call it quits.
With the health-care law’s next open enrollment period just more than six months away, Nevada on Tuesday joined the ranks of Maryland, Oregon and Massachusetts as states that have ditched their faulty enrollment Web sites. Of the 14 states — plus the District — that chose to run their own Obamacare exchanges in 2014, these four have either decided to join HealthCare.gov or do enrollment through another system in 2015.”

“The board that oversees Maryland’s troubled health insurance marketplace repeatedly violated a state law that requires such groups to fully explain their reasons for meeting behind closed doors, the Maryland Open Meetings Compliance Board concluded this week.”

“Unworkable technology pushed Oregon’s health care exchange to the brink, making it the first state to abandon its self-administered system in favor of the federal exchange. But now prosecutors are following the money.”

“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.”