Two recently filed lawsuits illustrate continuing difficulties the administration faces in implementing the Affordable Care Act, particularly under the constraints imposed upon it recently by Congress. Specifically, the suits illustrate the legal difficulties for the administration created by Congress’ limiting of “risk corridor” payments—made to insurers with high claims costs—to amounts contributed to the risk…

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Ohio’s co-op will become the thirteenth of the 23 co-ops created under the Affordable Care Act to fold. The Ohio Department of Insurance requested to liquidate the state’s health insurance co-op, InHealth Mutual, the state announced Thursday. Nearly 22,000 Ohio residents will have 60 days to replace their InHealth policy with another company’s on the federal exchange.…

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On Jan. 13, 2014, a team of Internal Revenue Service financial managers piled into government vans and headed to the Old Executive Office Building for what would turn out to be a very unusual meeting.   The clandestine nature of the session underscores the intense conflict over Obamacare spending, which is the subject of a…

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Blue Cross Blue Shield of Texas, facing massive losses for its ObamaCare plans, has requested a 58% premium hike for 603,000 customers. The company is pricing in the claims experience of customers that’s been far higher than expected after suffering a $770 million loss on its exchange plans in 2015, equal to 26% of premiums. Overall,…

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News that a CareFirst BlueCross BlueShield subsidiary will stop selling bronze level plans on the Virginia marketplace next year prompted some speculation that it could signal a developing movement by insurers to drop that level of coverage altogether. The reality may be more complicated and interesting, some experts said, based on an analysis of plan data. Bronze…

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A few weeks ago, the administration issued new regulations in a last-ditch attempt to save the few remaining CO-OP organizations. The first change would limit the restriction on people with health insurance experience to those who have been “an officer, director, or trustee,” and it limits “pre-existing insurer” to those to who were active in…

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The House Oversight Committee released a report Wednesday detailing extreme misconduct surrounding Oregon’s failed $305 million taxpayer funded Obamacare exchange and is calling on the Department of Justice to open a criminal investigation. “The documents and testimony show Oregon State officials misused $305 million of federal funds and improperly coordinated with former Governor John Kitzhaber’s…

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According to a legal opinion letter by former White House Counsel C. Boyden Gray, the answer is YES. In this recording of a May 26, 2016 media conference call, experts describe the Obama administration’s decision to pay health insurers generous reinsurance subsidies while stiffing taxpayers, despite a statutory requirement that fixed sums must go to…

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In state capitols across the country, health care lobbyists and consultants are pushing a relatively unknown provision of the Affordable Care Act: Section 1332. According to some proponents, these waivers will “turbocharge state innovation” and will provide states with an “exit strategy” from the ACA. But is the hype true? Will Section 1332 waivers be…

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The numbers are staggering — and taxpayers, you’re footing the bill. A new investigation has turned up more evidence that the Centers for Medicare and Medicaid Service unlawfully diverted $3.5 billion from taxpayers to the Affordable Care Act exchange insurers. The notion of diverted money came up earlier this year, when the nonpartisan Congressional Research…

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