“The Silver State Health Insurance Exchange board voted unanimously Tuesday to end its relationship with Xerox, the vendor contracted in 2012 to build the exchange’s Nevada Health Link website.

In place of Xerox, the exchange will adopt the federal Healthcare.gov exchange’s eligibility and enrollment functions for the sign-up period that begins Nov. 15, though it will keep its status and funding as a state-controlled system. The exchange will also issue a request for proposals to evaluate replacement systems in coming years. A new platform could come from a state with a functional marketplace, or from a vendor with a similar, proven program.”

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“The Obama administration has quietly adjusted key provisions of its signature healthcare law to potentially make billions of additional taxpayer dollars available to the insurance industry if companies providing coverage through the Affordable Care Act lose money.”

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“Healthcare reform has largely ignored the poor. The healthcare safety net has far too many holes, and the Affordable Care Act builds on a flawed system of health insurance. Lower income families, especially those enrolled in Medicaid, have a difficult time finding doctors who will accept their coverage. Insurance is of little value if doctors will not work with your insurer.”

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‘Last week, a panel of the Fourth Circuit Court of Appeals in Richmond, Va., heard oral arguments in King v. Sebelius. King is one of four cases challenging the implementation of ObamaCare’s Exchange subsidies, and the penalties they trigger, through federal Exchanges. The Patient Protection and Affordable Care Act provides those subsidies only “through an Exchange established by the State.” ‘

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“The New York Times is lawyering again in defense of the Affordable Care Act in an editorial tendentiously titled More Specious Attacks on Reform. Hence the tendentious title of this post. In reality, legal arguments typically have two sides and dismissing one as specious (or frivolous) is almost always unwarranted and undermines the credibility of the critic, in this case the editorial writer of the Times.”

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‘A new poll of likely voters in the states and districts with the most competitive Senate and House races brings more bad news for President Obama and his party.

“In the congressional districts and states where the 2014 elections will actually be decided, likely voters said they would prefer to vote for a Republican over a Democrat by 7 points, 41 percent to 34 percent,” reports Politico, which commissioned the survey by research firm GfK. “Among these critical voters, Obama’s job approval is a perilous 40 percent, and nearly half say they favor outright repeal of the Affordable Care Act.”‘

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“During his first run for the presidency in 2008, President Obama blasted the influence of insurance lobbyists and vowed to take on the industry if elected. Yet as president, he passed a health care law that funnels more than $1 trillion in subsidies to insurers, and fines Americans who do not purchase their products. And on Friday, the Obama administration relented to pressure by the insurance industry, vowing to use additional taxpayer dollars to help bail out insurers from losses racked up as part of his health care law.”

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“According to those in the elite salons of Washington, ObamaCare cannot be repealed. The conventional wisdom on the cocktail circuit contends that once you mandate health insurance for millions, you cannot unmandate it. This theoretical belief has become accepted in Washington as a dogmatic article of faith. And the Obamacrats and most of the press believe that repeating this mantra often enough will make it so.”

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“A large number of people who’ve signed up for private health insurers through the Cover Oregon health insurance exchange have not paid their first month’s premiums, meaning they are at risk of going without coverage through November.”

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“State officials disclosed a $300 million shortfall in state revenue collections Monday, putting the state’s stellar bond rating in jeopardy — and placing new pressure on lawmakers and Gov. Terry McAuliffe to break their budget deadlock.”

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