“Some people say that bipartisanship is dead. But if rumblings in the House are to be believed, cooperation on Obamacare may yet be possible. The “Save American Workers Act of 2014,” which passed the House 248-179 (with 18 Democrats voting in favor) amends the ACA to redefine “full-time employees” as being those who work 40 hours, rather than the 30 hour definition in the law. While this would have a relatively marginal effect when all is said and done (criticism of the bill has focused on those who are expected to lose coverage as a result – on net about 1 million people), it does begin to repeal an important budget gimmick in Obamacare – the employer mandate.”
“The law clearly states that today is the final day to sign up for Obamacare. Only it isn’t. The extension announced last week covers anyone who merely claims they intend to apply. Allowing such a frivolous and unverifiable gesture to circumvent the law neatly captures the paternalistic arrogance of the White House and its signature legislation — only the intent matters. Pay no attention to the cavalcade of undesirable consequences; if we mean well, we can do whatever we want.”
“Today is March 31, 2014: in theory, the last day you can sign up for coverage under the subsidized Obamacare insurance exchanges. If you’ve been a regular reader of this space, you know that the numbers routinely paraded by the Obama administration regarding Obamacare website sign-ups don’t tell us much about the actual number of uninsured individuals who have gained coverage. A new study from the RAND Corporation indicates that only one-third of exchange sign-ups were previously uninsured.”
“Assume all the numbers are correct, or at least close to correct. By far the largest part of Obamacare’s health coverage expansion has come from a) expanding Medicaid, and b) allowing young people to stay on their parents’ coverage. The part where Democrats essentially blew up the health care markets, imposed the individual mandate, and caused premiums to rise and deductibles to skyrocket? That hasn’t been such a success. If the Times number are correct, all of that — placing new burdens of higher costs and narrower choices on millions of Americans, in addition to setting the stage for coming changes in employer-based coverage — has resulted in two million of the previously uninsured gaining coverage.”
“Six months after the disastrous launch of the Affordable Care Act’s online insurance marketplaces, Monday is slated to be the final day to sign up for coverage under President Obama’s signature domestic program—sort of. Here’s what you need to know about the health law’s impending deadline, and the last-minute changes that will push the date back for many consumers.”
“House Republicans have called the White House’s bluff on Obamacare’s mandate that requires everyone to buy health insurance. And Democrats are mad.
On Friday, House Republicans approved a bipartisan deal to end the threat of a 24 percent pay cut for physicians treating Medicare patients. After a decade of delaying ever-increasing reductions called for by the sustainable growth rate (SGR) formula, it is clear that Congress will find some way to avoid hitting doctors this hard in an election year.”
“Obamacare is still struggling to sign up young people. In order to offset the high cost of the older, and probably less healthy people who are joining Obamacare plans, the White House must coerce a sufficient number of thirty-somethings to also join. Problem is, the health plans are too pricey to make economic sense for many young adults.”
“One by one, the myths of the Affordable Care Act have been revealed. When the curtain on open enrollment falls on March 31, the last remaining big myth of ObamaCare will be fully exposed: The individual mandate has failed.”
[T]he MLR caps will also limit innovation. Right now, expenses that are on a pre-approved, government list of “activities that improve health care quality” are not included in the cost of administration and so don’t count against the 20 percent cap on what plans get to spend on overhead. If a health plan comes up with a new business approach that it believes improves quality and outcomes, it will be forced to count the costs against its allowable profits. It can’t incorporate the cost into the total money it spends on healthcare if the new scheme isn’t on the government list.”
“House lawmakers on Wednesday voted to approve two separate bills amending portions of the Affordable Care Act, the latest moves by the GOP to try to throw up hurdles to the Obama health law. The first bill would codify the year-long delay to the obligation on companies to provide health care coverage to their workers from next year. The second would delay a similar obligation on individuals to purchase health-care insurance.”