The recently announced proposed rate increases for many insurers offering health insurance through the Affordable Care Act (ACA) exchanges have brought renewed attention to instability in health insurance markets and the long-term sustainability of the exchanges – apart from disruptions that would ensue if the Supreme Court rules in King v. Burwell that the ACA does not allow premium subsidies in states with federal exchanges.

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The Foundation for Government Accountability commissioned a poll of 715 ObamaCare exchange enrollees. All enrollees surveyed live in one of the 34 states that are using the HealthCare.gov ObamaCare exchange. Based on their reported income, the vast majority of these enrollees are eligible for subsidies and, as a result, many of these enrollees could be personally impacted by the Supreme Court’s forthcoming King v. Burwell decision.

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Republican leaders are coalescing around a plan to extend the health law’s tax credits for as long as two years, while repealing other parts of the law, if the Supreme Court invalidates the credits.

The high court is expected to rule by the end of June on whether to restrict the 2010 law’s tax credits—used by low- and moderate-income consumers to help pay their insurance premiums—to the handful of states that opted to set up their own insurance exchanges.

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The Obama administration cannot account for nearly $3 billion in subsidies paid to insurance companies in 2014, according to a government watchdog.

Those dollars are untraceable because the Department of Health and Human Services (HHS) did not have “effective” methods to do so, according to a report from the department’s inspector general.

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Congressional Republicans will move to temporarily continue health care subsidies for millions of people if the Supreme Court overturns the aid, according to plans discussed Wednesday in the House and Senate.

In addition, the GOP proposals would dissolve many of the basic requirements of President Barack Obama’s health care law, including mandates that most people buy coverage and most companies provide it to their workers, Republicans said. Eventually, they hope, the entire law would be repealed.

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In a recent interview with the Des Moines Register, Hillary Clinton outlined several elements of Obamacare that she said she would seek to change as president. Her proposals illustrate how the fiscal impact of the law could increase significantly from what was expected when the legislation passed in March 2010.

Among the things Mrs. Clinton cited was “how to fix the family glitch.” In short, if an individual qualifies for “affordable” health insurance through an employer, that person’s family will not qualify for federal insurance subsidies–even if the employer does not offer family coverage or if family coverage is unaffordable for the household.

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Millions of people are waiting anxiously for the Supreme Court to decide the fate of President Obama’s health care law with a ruling this month on health insurance subsidies. But David M. King, a plaintiff in the case, is not among them.

Mr. King, 64, said recently that he was reasonably confident he would prevail in his challenge to the subsidies, a central element of the Affordable Care Act.

“We have a good chance of winning,” he said in an interview at his home here.

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Despite White House veto threats, the House is ready to vote to repeal taxes on medical devices and kill a Medicare advisory board that foes say would ration health care as the chamber aims its latest whack at President Barack Obama’s health care law.

Thursday’s votes were slated a day after top House and Senate Republicans briefed rank-and-file GOP lawmakers about their plans should the Supreme Court annul federal health care subsidies for millions. Under the tentative House GOP proposal, states could design their own plans for funneling federal health dollars to residents and drop the health law’s consumer protections, such as guaranteeing that family policies cover children until age 26.

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Senate Republicans are coalescing around a plan to extend Obamacare subsidies for up to two years if the Supreme Court strikes them this month.
The court is due to rule within days on whether the president’s health care law allows people using HealthCare.gov to get insurance subsidies. If the court rules against the White House and strikes the subsidies, Republicans say they want to be ready to protect the more than 6 million people who could lose their subsidies.

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Big U.S. insurers are courting one another for possible multibillion-dollar deals. How they pair off could have significant implications for the managed-care industry, its individual and corporate customers, and U.S. medical providers.

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