“When it came time to renew his company’s health plan last fall, Jerry Eledge found himself in a bind that many small-business owners know all too well.

On one hand, “it’s kind of a moral obligation” to offer insurance, said Mr. Eledge, who runs Community Quick Care, a growing chain of primary health care clinics in the Nashville area. And yet, premiums for his existing plan were going up 20 percent, while other group plans promised as much as a 50 percent increase, even as deductibles and co-pays were becoming less generous. “We found no really good alternatives for 2014 at all,” he said. “Before Gary came along, we weren’t sure what we were going to do.”

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“More than 1 million people may be in jeopardy of paying back a portion of their ObamaCare subsidies because of discrepancies between their applications and federal records.

And another roughly 966,000 have discrepancies related to citizenship or immigration status, according to federal health officials.”

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“A new analysis from Avalere Health finds that consumers in exchanges receiving federal assistance to reduce their out-of-pocket costs may experience inconsistent reductions in spending depending on the plan they choose.”

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“Regardless of whether Obamacare is “repealed and replaced” or “fixed”, the future of consumer-driven health care will be defined by how comfortably consumers operate in a market where financial pressures lead them to seek out more affordable, high quality providers—in or out of network. They won’t tolerate being left sick and told to fend for themselves with nothing but their credit cards.”

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“House Republicans are pushing the Obama administration to release the names of federal officials involved in awarding grants to troubled health insurance exchanges around the country.

The letter from Energy and Commerce Committee Chairman Fred Upton (R-Mich.) furthers the GOP’s effort to investigate and criticize failed exchanges at the state level, including Cover Oregon and Maryland Health Connection.

Upton and several colleagues accused the Department of Health and Human Services (HHS) of spending $1.3 billion on seven marketplaces where serious problems persist.”

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“At least 2.9 million Americans who signed up for Medicaid coverage as part of the health care overhaul have not had their applications processed, with some paperwork sitting in queues since last fall, according to a 50-state survey by CQ Roll Call.”

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“Five states that launched health exchanges under the Affordable Care Act expect to spend as much as $240 million to fix their sites or switch to the federal marketplace, a Wall Street Journal analysis shows.”

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“The cost to replace the Medicaid section of Nevada’s flawed online health insurance exchange will be $25 million, a state official told a legislative committee today.”

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“Data reveal the deep challenge that Illinois, hospitals and insurance networks face to help many of the enrollees get their health under control and, in turn, hold down costs.”

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“Switching to a federally supported state health exchange won’t be immediate and will bring added confusion for Nevada consumers during the transition into next year’s open enrollment period, an interim legislative committee was told Monday.”

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