Paul Demko, Modern Healthcare
"In a legal setback for the Obama administration, a federal judge in Oklahoma ruled Tuesday that people in states that rely on the federal insurance exchange are not eligible for Obamacare premium subsidies to help them pay for coverage.
Judge Ronald White, a George W. Bush appointee, invalidated an Internal Revenue Service rule interpreting the Patient Protection and Affordable Care Act to allow the premium tax credits in states that have not established their own exchange. “The court holds that the IRS Rule is arbitrary, capricious, an abuse of discretion or otherwise not in accordance with law,” White wrote.
In his ruling, White rejected the argument that striking down the subsidies would cripple the entire healthcare reform law. “Congress is free to amend the ACA to provide for tax credits in both state and federal exchanges, if that is the legislative will,” he wrote."
The Associated Press
"The government's own watchdogs tried to hack into HealthCare.gov earlier this year and found what they termed a critical vulnerability - but also came away with respect for some of the health insurance site's security features.
Those are among the conclusions of a report being released Tuesday by the Health and Human Services Department inspector general, who focuses on health care fraud."
Dan Way, Carolina Journal
"RALEIGH — A sizable number of North Carolina residents are learning they are no longer eligible for Obamacare, and some health policy premiums could jump 60 percent within two years, an insurance official says.
Rufus Langley, an Apex insurance agent and state leader of the North Carolina Association of Health Underwriters, said Coventry Health Care of the Carolinas CEO Tracy Baker recently told his group that substantially higher consumer costs are anticipated.
“He can see in 2016 this thing shooting up anywhere from 30 to 60 percent in costs” as delayed taxes start to kick in this year and next year, and medical care costs still rising, Langley said Monday at a Raleigh panel discussion."
Susan Tompor, Detroit Free Press
"A significant benefit of the Affordable Care Act is the opportunity to receive money-saving tax credits upfront to reduce the overall cost of health insurance.
But hundreds of thousands of consumers could owe more money for federal income taxes come April if they received advance payments of the premium tax credit for health insurance. Some married couples could owe $600 or $1,500 or $2,500 or even more."
Christopher Cadelago, Sacramento Bee
"The Affordable Care Act continues to divide Californians, who remain skeptical four years after its passage despite the state’s relatively smooth launch in which more than 1.2 million people enrolled in health insurance coverage.
A new survey released late Tuesday found some 42 percent of state residents generally view the law favorably, while 46 percent harbor unfavorable opinions. Support is down somewhat since May, before a wave of targeted TV ads began in a handful of competitive congressional districts."
Los Angeles Times
"The 2010 federal healthcare law experimented with a number of ways to limit healthcare costs, but the real impetus to hold down spending has come from those who pay for coverage — most notably large employers and governments — and from doctors, hospitals and insurers seeking more sustainable business models. A good illustration is the HMO established recently by Anthem Blue Cross and several top Southern California hospitals, which will reward healthcare providers if they cut waste while improving patients' results. It's a welcome development, although the industry will have to go even further to rid itself of the perverse incentives that drive up costs."
John R. Graham, Forbes
"Are death panels on the rebound? Obamacare envisioned Medicare paying physicians to discuss end-of-live-care with their patients. When this sparked fierce blowback from citizens who feared that “death panels” would ration care to elderly patients, the Administration backed off.
However, the American Medical Association (AMA) has been lobbying for the execution (pun intended) of this provision. The AMA is a business which profits from its monopoly over the billing codes that physicians use when they submit claims to Medicare. The more billing codes there are, the better it is for the AMA.
For patients, however, it is risky to allow the government to pay physicians to counsel us on end-of-life issues. There is another approach, but it is so emotionally challenging that it may be impossible to implement."
Melissa Quinn, Daily Signal
"In 2009, President Obama repeatedly told the American people, “If you like the plan your health care plan, you’ll be able to keep your health care plan, period.” However, implementation of the Affordable Care Act, popularly known as Obamacare, quickly led to the debunking of the president’s claim.
But why exactly did millions of Americans receive cancellation notices from their health insurance companies? Robert Graboyes, senior research fellow at George Mason University’s Mercatus Center, dug through the Affordable Care Act’s 1,000 pages and came up with a simple way to explain the specific provisions that prompt insurers to cancel plans."
Joseph Antos, AEI
"This week’s double-barreled release of government statistics on health insurance coverage leaves us with only one question: How many Americans are insured because of Obamacare? Remarkably, the two highly-regarded government surveys released this week do not even agree whether the number of uninsured increased or decreased. The survey that received a great deal of attention said there were 3.8 million fewer uninsured. The other, which was hardly noticed, found that there were 1.3 million more uninsured.
The Centers for Disease Control (CDC) reported preliminary results on the expansion of health insurance coverage. Its National Health Interview Survey (NHIS) interviewed 27,000 people in the first three months of this year. The survey estimates that the number of uninsured dropped by 3.8 million since 2013. That represents a 1.3 percentage point decline in the uninsured rate, from 14.4 percent last year to 13.1 percent early this year."
Peter Gosselin, Bloomberg
"Nearly five years after passage, the Affordable Care Act (ACA) and a companion electronic health records (EHR) program have run a startup tab of more than $73 billion, the Bloomberg Government analysis finds.
Part of that total is the cost of healthcare.gov, the flawed website and related enrollment system intended to expand U.S. health insurance coverage.
BGOV’s analysis shows that costs for both healthcare.gov and the broader reform effort are far greater than anything publicly discussed. They’re also substantially greater than what the Congressional Budget Office (CBO) initially estimated health reform would cost by this point, although not what the agency’s more recent piecemeal estimates suggest."