The federal contractor that operates ObamaCare call centers was accused of wage theft totaling more than $100 million over five years in complaints filed Monday.

The Communications Workers of America (CWA) brought the complaints with the Department of Labor, alleging that the contractor, General Dynamics Information Technology (GDIT), has been underpaying its workers.

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The U.S. spends about 18% of its gross domestic product on health care, far more than most countries. One contributing factor that often goes overlooked: the high cost, in time and money, of becoming a physician. In a recent paper for the Mercatus Center, Jeffrey Flier and Jared Rhoads argue that the amount of time it takes to become a doctor—almost always at least a decade—constrains the supply, driving up prices. Physician incomes in the U.S. well exceed those in Europe; American generalists earn twice as much as Dutch ones.

Much of this education, especially courses required for a bachelor’s degree, has little to do with medicine.

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Louisiana’s health insurance market for individuals has been plagued in recent years by insurers fleeing the market and double-digit rate increases — prompting a proposed fix that would tack a fee on policies across the state to create a safety net against insurers’ losses and hold the line on runaway premiums.

The state Department of Insurance is pushing a bill through the Legislature that it says would lower premiums in the individual market by an average of 15 percent next year. The bill would put a roughly $1.25-a-month fee on every health-insured life in the state. That money, which one critic labeled a tax on business disguised as a fee, would go into what is called a reinsurance pool designed to protect insurers against high-cost patients.

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The Trump Administration has been looking for lifeboats for Americans trapped in ObamaCare exchanges, and one project is to expand “association health plans,” or AHPs, that let employers team up to offer coverage. But the fine print in the proposed Labor Department rule is causing concern and needs to be cleaned up.

The issue is whether the Trump rule will let association health plans set prices based on risk, which is how insurance is supposed to work. The point of the rule is to let businesses enjoy the flexibility that large employers have under a law known as Erisa. Under the Affordable Care Act bigger businesses have fared much better than those stuck in the small group market, which is heavily regulated.

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After 94-year-old Enid Stevens was treated for a spinal fracture at a hospital in Northern England last month, she was wheeled out from the overcrowded ward to a hallway, where she lay on a gurney, unable to easily alert nurses, for six days.

“The health service is failing,” said Wayne Stevens, Mrs. Stevens’s 40-year-old grandson. “It’s not just my grandmother—there are thousands, if not hundreds of thousands, of grandmothers going through the same indignities.”

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As goes Iowa, so goes the nation — or at least that’s the conventional wisdom during presidential elections. Let’s hope the same rule applies to healthcare reform.

Earlier this month, Iowa Gov. Kim Reynolds signed a law that takes advantage of a major loophole in Obamacare. The legislation, based on a similar effort in Tennessee, enables any Iowan to enroll in a “health benefit plan” sponsored by the Iowa Farm Bureau. Due to a legal technicality, the plans aren’t subject to Obamacare’s premium-inflating regulations.

The reform is a laudable attempt to give consumers an affordable alternative to the plans for sale on Obamacare’s exchanges. Until Congress makes good on its promise to repeal and replace the law, other states can liberate their residents from the law’s financial burdens by following Iowa’s lead.

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Arizona has asked the CMS to allow it to end retroactive coverage for Medicaid beneficiaries.

If granted, the waiver request now under review at the CMS, would nix providers’ ability to bill for services provided in the three months before a beneficiary applies for Medicaid coverage, assuming the patient was eligible during that time.

Providers in the state had urged the state not to submit the waiver to the CMS because it could put hospitals in a difficult financial situation and limit access to care.

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A group of Democratic senators on Wednesday introduced an expanded public option for health insurance as the party debates the next steps to build on ObamaCare.

The new proposal, called the Choose Medicare Act, was introduced by Sens. Chris Murphy (D-Conn.) and Jeff Merkley (D-Ore.), both seen as potential presidential contenders, though Murphy has said he is not running in 2020.

The measure has no real chance of becoming law anytime soon, but is part of a growing debate among Democrats about what the best next steps beyond ObamaCare are, which could come to fruition when Democrats next win back the White House.

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Congressional leaders were poised last month to spend tens of billions of dollars in the omnibus bill to temporarily shore up Obamacare’s failing health insurance system.

That money, however, never would have given Americans the long-term relief they so desperately need.

After this idea was struck from the spending bill, Sen. Lamar Alexander, R-Tenn., who had worked closely with Sen. Susan Collins, R-Maine, to shape a bipartisan deal, said that “the only choice we have is to go back to repeal and replace the Affordable Care Act.”

We agree. Obamacare is broken and cannot be fixed, and there is a better way forward.

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The Trump administration hopes to move forward with a rule expanding alternatives to ObamaCare plans by this summer, Secretary of Labor Alex Acosta said Monday.

The rule allows for small businesses and self-employed individuals to band together to buy insurance as a group in what are known as association health plans.

“We hope to have that by this summer,” Acosta said Monday during a tax reform event alongside President Trump in Florida.

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