“But as the president fights to keep the conservative-leaning state in his column this November, education officials here are complicating his campaign message by citing ‘Obamacare’ as a reason for the rising cost of student health insurance plans on campuses from Asheville to Wilmington.”

“Despite efforts by state and health plan officials to smooth the transition, caregivers and others reported ‘the managed care system … was not prepared’ to care for the population’s specific needs, which include complex cases involving mental illness, homelessness and developmental disabilities, the report said… The report about California’s experience comes as the U.S. Centers for Medicare and Medicaid Services (CMS) is ramping up plans to move many of the nation’s 9 million ‘dual eligibles,’ who qualify for both Medicaid and Medicare, into managed care plans.”

“Beginning in 2014, Section 9010 of the Patient Protection and Affordable Care Act will impose a new tax on health insurance providers… All of that said, starting in 2014 your fully insured health insurance premium renewal could have an extra 2% (or more) added on to it, representing the pass-through of this tax to you.”

“So, benefits and HR professionals are going to be responsible for providing information on a new state-run program that won’t be part of anything they do in their everyday job? The simple answer is yes. So, on March 1, 2013 when you hand an employee the state health insurance exchange guide, get ready for the following questions from employees…”