“Spurred by the Affordable Care Act, hundreds of pilot programs called Accountable Care Organizations have been launched over the past year, affecting tens of millions on Medicare and many who have commercial health insurance… We believe that many of them will not succeed. The ACO concept is based on assumptions about personal and economic behavior—by doctors, patients and others—that aren’t realistic.”Details
“Facing increasing losses in federal courts over Obamacare’s contraceptive mandate, the Department of Health & Human Services last week promulgated a rule to expand exemptions for religious nonprofits. That sounds good, but what the government is actually doing is a sort of accounting shell game: employers will no longer have to pay for the products/services to which they objects, but the government requires them to contract with an insurance company that the government then requires to provide these products/services to employees who want them ‘for free.'”Details
“For instance, the Obama team unilaterally decided to phase-in the guaranteed issue requirements of child-only policies, even though the law required this provision to be fully implemented by the fall of 2010. The administration delayed and then limited the W-2 reporting provisions for employers. These are just two examples.”Details
“Gov. Scott Walker announced Wednesday that he won’t propose expanding Medicaid services in Wisconsin, joining other Republican governors who have decided to reject federal money for covering more low-income residents under the health care overhaul law. Instead, Walker outlined a hybrid approach that would allow more adults into the state health program, which he said would help cut the state’s uninsured rate of 14 percent in half.”Details
“‘Already, the Affordable Care Act is helping to slow the growth of health-care costs,’ President Obama boasted during his State of the Union address. Apart from the fact that the statement is untrue, the line will be a real howler next year, especially for the young people who so enthusiastically supported him.”Details
“Democrats who supported President Obama’s healthcare law grilled a top Health and Human Services official Thursday over what they see as holes in the implementation effort and the White House’s political bargaining.
Gary Cohen, the director of the HHS office overseeing the bulk of the healthcare law’s implementation, fielded tough questions from several Democrats.”
“Two hospice care centers are struggling to make ends meet, and Obamacare’s cuts to Medicare are to blame.
Hospices—health care facilities for the terminally ill—along with other Medicare providers are facing Medicare pay cuts. Of the $716 billion in payment reductions, hospice care was hit by a $17 billion payment cut from 2013 to 2022. Now, contrary to all of the misleading claims, this effect is already beginning.”
“North Carolina Gov. Pat McCrory (R) made clear Tuesday that he doesn’t want any part of the coverage expansion under President Obama’s signature healthcare law. McCrory rejected the law’s Medicaid expansion and said he doesn’t want to work with the federal government to retain some control over his state’s insurance exchange. He’ll cede that power entirely to the Obama administration.”Details
“As the state moves to expand healthcare coverage to millions of Californians under President Obama’s healthcare law, it faces a major obstacle: There aren’t enough doctors to treat a crush of newly insured patients. Some lawmakers want to fill the gap by redefining who can provide healthcare.”Details
“The latest report from the Congressional Budget Office highlights a number of reasons why the CBO is concerned about the implementation of Obamacare. It boils down to this: Obamacare is going to be more expensive than the Obama administration thought, disrupt the marketplace more than they thought, and be tougher to implement than they thought.”Details