In year six, even with lower than anticipated enrollment in the health insurance exchanges and the refusal of 21 states to participate in the law’s Medicaid expansion, the health care cost curve is still on an upwardly mobile trajectory.

It is fueled by sharp increases in both public and private health care spending.

Centers for Medicare and Medicaid Services data show that total per capita health insurance spending will rise from $7,786 in 2016 to $11,681 in 2024. Looking at the future of employer-based health insurance costs, the Congressional Budget Office projects that job-based premiums are poised to increase by almost 60 percent between now and 2025.

Based on the data included in this report, it is clear that health insurance premium costs have continued to grow despite the passage of the Affordable Care Act in 2010. Furthermore, health care premium costs are rising at a rate comparable to the years directly preceding the election of President Obama and passage of the Affordable Care Act. As costs continue to rise, millions of families will face tough financial choices and make even more sacrifices. For those who have experienced little to no increase in wages, health insurance may simply become unaffordable and the prospect of paying a tax penalty may become another unwanted reality.

For those who have enrolled in new health insurance plans on the exchanges, recent premium increases have been even worse. And in 2016, deductibles have gone up for those very same individuals. Worst of all, the outlook for 2017 is no brighter. As University of Minnesota scholar Stephen Parente’s research estimates, each type of health care plan on the exchanges can expect to see a premium increase, with the average increase being 7.3 percent for families and 11 percent for individuals.

The so-called “Cadillac Tax” is a 40 percent excise tax on the value of employer-sponsored health coverage that exceeds certain benefit thresholds, estimated to be approximately $10,800 for employee-only plans and $29,100 for family plans when the tax takes effect in 2020.

While the name may imply the tax applies to a few individuals with luxury health coverage, the truth is it extends much further. 175 million Americans – including retirees, low- and moderate-income families, public sector employees, small business owners and the selfemployed – currently depend on employer-sponsored health coverage and they are all at risk.

On behalf of the American Benefits Council, Public Opinion Strategies conducted a nationwide online survey of 1,200 registered voters from January 29 to February 3, 2016. These findings indicate that voter support for the “Cadillac Tax” is dwarfed by support for repeal.

Voters are more likely to re-elect their representative if they voted to repeal the “Cadillac” tax, though a majority of voters say it makes no real difference in their vote, a report out today from the American Benefits Council says.

Overall, 37 percent of voters said their congressman voting to repeal the tax would make them more likely to re-elect their representative, while 16 percent said it would make them less likely to do so. Still, 47 percent said the vote made no difference. The report was released by the Alliance to Fight the 40, a coalition of groups advocating to repeal the tax on high-cost health plans.

The March Kaiser Health Tracking Poll finds that health care is one of many issues that will be important to voters in the Presidential election, trailing concerns about the economy and jobs and leading concerns about another hot issue, immigration. Health care ranks higher for Democratic voters than for Republican and independent voters and is a higher priority for women than for men.

When I first answered God’s call to join the Little Sisters of the Poor and vow myself to Him and to the care of the elderly, I never dreamed of the happiness I would experience in serving, living with and caring for the aging poor until God calls them to Himself. I also never thought one day, I would be walking up the white marble steps of the Supreme Court to attend a legal proceeding in which the high court will decide whether the government can force my order to help offer health care services that violate my Catholic faith and that are already available through existing government exchanges.

A controversial federal health program that helps insurers withstand the ebbs and flows of the new insurance exchanges will be put under the microscope this week with the hope of making it fairer in the long term.

The CMS will host a public meeting Friday in which health insurers, state officials and others will offer their input on how to change the Affordable Care Act’s risk-adjustment methodology for 2018 and beyond. Under the permanent risk-adjustment program, which is a zero-sum game, the federal government redistributes money from plans that have lower-cost, healthier members to companies that have higher-cost, sicker members.

Both the percentage of employers who offer insurance and the percentage of people covered will be important to watch as the changes brought about by the Affordable Care Act (ACA) continue to unfold. New coverage provisions and financial assistance provided in the ACA affect employers’ decision to offer coverage and employees’ decisions to take up any coverage they are offered at work. The employer shared responsibility provision, for example, requires employers with 50 or more full-time equivalent employees to offer coverage to full-time employees and their dependent children or face a financial penalty.

On Wednesday the Supreme Court will hear oral arguments in Little Sisters of the Poor v. Burwell, a landmark case challenging the Department of Health and Human Services contraceptive mandate under the Affordable Care Act.

It is common knowledge that the Catholic Church has taught the immorality of abortion and contraceptive use for millennia. Yet the regulations in question force our institutions to pay for insurance that covers abortifacients like Ella and Plan B, plus prescription contraceptives and surgical sterilizations.

The United States was founded on the concept of religious freedom. The First Amendment says clearly that “Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof.”

The Obama administration is trying once again to address a criticism that has dogged the president ever since his health care bill passed six years ago: they need to sell it better.

On Tuesday, the US Department of Health and Human Services is rolling out a new promotional video, which was provided to STAT first, to explain the changes the administration is making to the health care delivery system through the law.

It’s a three-minute, rapid-fire, visually driven attempt to make terms like “care coordination” and “electronic health records” something that an average person who is getting his or her knee operated on can actually understand.