“With round two of Obamacare enrollment here, New York’s policymakers should take stock of where the Empire State is and where it’s heading.
Take the state’s Medicaid program. Post-Obamacare, Medicaid enrollment has grown by over 7 percent to 6.1 million people: nearly 1 in 3 New Yorkers now receive coverage through the joint federal-state insurance program for the poor. New York’s Medicaid spending, among the highest in the country, makes up about 30 percent of the state budget.”
“Robert Pear of the New York Times recently described the “symbiotic” relationship between the Obama Administration and health insurers. It was not always so:
“But since the Affordable Care Act was enacted in 2010, the relationship between the Obama administration and insurers has evolved into a powerful, mutually beneficial partnership that has been a boon to the nation’s largest private health plans and led to a profitable surge in their Medicaid enrollment.
“Insurers and the government have developed a symbiotic relationship, nurtured by tens of billions of dollars that flow from the federal Treasury to insurers each year,” said Michael F. Cannon, director of health policy studies at the libertarian Cato CATO -1.93% Institute.”
“The pending U.S. Supreme Court ruling on ObamaCare coupled with a small provision buried in the law could give Republicans in the new Congress the opportunity to power-boost free-market health reform.
The high court will hear arguments, likely in March, on whether the Obama administration had legal authority to allow tax subsidies to flow through the health insurance exchange established by the federal government.”
“Any plan Gov. Pat McCrory’s administration presents for expanding Medicaid would have a tough time getting through the state legislature.
A key House member said Tuesday it would probably be premature to consider expanding Medicaid next year with the future of the federal health care law uncertain.”
“The U.S. Supreme Court has agreed to hear King v. Burwell, an important case about Obamacare’s subsidies (tax credits) to health insurers. Plaintiffs argue that in the 36 states with federal Obamacare exchanges, subsidies cannot be paid legally. If no subsidies can be paid, neither the individual mandate to buy health insurance nor the employer mandate to offer insurance can be enforced.
Few people would voluntarily buy health insurance from an Obamacare exchange if health insurers on the exchanges did not receive subsidies to enroll people. The premiums would be too high otherwise. Experts expect that the Supreme Court might decide on King v. Burwell in July, in which case Obamacare will end with a bang.”
“Democrats took a serious one-two punch last week. First, they suffered their second consecutive mid-term “wave” election on Tuesday, losing the Senate in the process. Then on Friday, the Supreme Court announced it would review yet another Obamacare case that Obamacare champion Ron Pollack of Families USA said represented “the most serious existential threat” of the moment to the president’s signature piece of domestic policy legislation.
Consequently, conservative health reformers now have a platinum opportunity  to drastically overhaul or perhaps even replace the most misguided law enacted in recent memory. But taking advantage of this historic opportunity will require an exquisite balancing of speed and shrewdness.”
“By now you’re aware of the red hot ‘federal subsidies’ controversy, yes? The star of the show at the moment is one Jonathan Gruber — a famed economist and top Obamacare architect — who’s been caught repeatedly lying about the law he helped design, while smirking about the “stupidity” of the American people. Gruber’s performance has become so harmful to The Cause that Nancy Pelosi is now pretending she doesn’t know who he is:”
“The Supreme Court has granted cert. in King v. Burwell, one of four cases challenging the IRS’s ongoing expansion of the Patient Protection and Affordable Care Act’s main taxing and spending provisions beyond the clear and unambiguous limits imposed by Congress. Here I will attempt to dispel common myths surrounding these “Obamacare” cases.”
“The Obama administration announced Monday that it expects to enroll 9.1 million people in the health insurance exchanges over the next 3 months. That is only 2 million more enrollees than the administration says enrolled this year, and a sharp drop from the 13 million who the Congressional Budget Office predicted would enroll in 2015. For once, the White House has decided not to over-promise what it can’t deliver in Obamacare.
There are good reasons for the administration to hedge its bets:”
“When the Supreme Court takes up yet another challenge to the president’s health care law in March, the outcome could have a devastating impact on millions of Americans receiving subsidized health coverage through its exchanges. Almost immediately after the court announced it would hear King v. Burwell, the now-famous case that centers on whether people enrolled on the federal exchange can receive federal subsidies, legal experts began predicting grave news for Obamacare.”