Whether it is the Centers for Medicare and Medicaid Services (CMS) determining which treatments and technologies are worth covering and how much they are willing to reimburse for them; the Agency for Healthcare Research and Quality (AHRQ) mandating quality and safety standards; or the new Affordable Care Act exchanges setting the standard for benefit packages…

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Land of Lincoln Health, an insurance co-op created under ObamaCare, is no longer taking new small-business customers. The health insurer announced in October that it would severely cap enrollment on the exchange, HealthCare.gov, and limited new small-business clients in particular to help the co-op survive long term. More than half of the co-ops nationwide have…

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The CEO of UnitedHealth, the nation’s largest health insurer, said on Tuesday he regretted the decision to enter the ObamaCare marketplace last year, which the company says has resulted in millions of dollars in losses. “It was for us a bad decision,” CEO Stephen Hemsley said at an investor’s meeting in New York, according to…

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Polling highlights:

  • 31% have delayed medical care because of cost, unchanged from 2014
  • Figure has not fallen since ACA reforms
  • Americans more likely to put off care for serious condition

Why is enrollment so low among families making significantly more than the poverty line? Part of the answer might be because ObamaCare itself imposes a significant series of new taxes on that same middle class, denying them the disposable income needed to purchase ObamaCare plans. A few of these tax increases include the Flex Spending Account Tax,…

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The backlash over ObamaCare deductibles will only intensify as customers shopping for 2017 plans a year from now face bronze-plan deductibles as high as $7,150. The Department of Health and Human Services on Friday detailed many key ObamaCare parameters for 2017, including a $300, or 4.4%, rise in the maximum out-of-pocket expense for covered medical…

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A Kaiser Health News analysis of costs in the three-dozen states selling policies through the federal healthcare.gov website found a sharp difference in premium prices between plans that offer out-of-network care and those that do not. The analysis compared the monthly premiums for the least expensive silver-level plans — the category that are the most…

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Despite the individual mandate and massive new government subsidies delivered directly to insurers, many participating insurers, whose continued participation is essential to the the Affordable Care Act’s future, are losing substantial money. In order to assist those insurers, the administration is now seeking a taxpayer-financed bailout for them. Congress can block taxpayer funds from being…

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It is now well-established that many people buying health coverage through the ACA exchanges have to pay tens of thousands of dollars – counting both premiums and deductibles – before receiving a single dollar of coverage for treatment of any illness. The well-known prohibition on charging different rates for people with higher health risks obviously…

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One in five of us needs mental-health treatment at any given time, and for those who get good care, the recovery rate is between 60 percent and 80 percent — higher than in many other medical fields. But only about 40 percent of the people who need treatment get any help, and those who do…

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