“Although the politics of Obamacare have cooled down this year — and even with declining interest in this year’s midterms — the upcoming election will have a bigger influence on the direction of health care than you may think.
That’s the major takeaway from a new Harvard University analysis of 27 public opinion polls from 14 organizations on President Obama’s signature law. The analysis, published in the New England Journal of Medicine, offers a pretty comprehensive view of how the Affordable Care Act — less than a year into its major coverage expansion — will shape the agenda for the next Congress and potentially the 2016 presidential race.”

“A federal judge in Florida on Tuesday jumped into the latest round in the legal wrangling over a Patient Protection and Affordable Care Act provision involving birth-control coverage and how it applies to religious institutions.
U.S. District Judge James Moody Jr. temporarily blocked the federal government from enforcing on a Roman Catholic college a new workaround HHS had developed on the thorny issue.”

“The fate of President Barack Obama’s health-care law is again in the hands of the U.S. Supreme Court.
Two years after upholding the law by a single vote, the justices are weighing whether to hear a Republican-backed appeal that would block people in 36 states from getting tax subsidies to buy insurance. The justices are scheduled to discuss the matter tomorrow, with an announcement coming as soon as Nov. 3.
The tax credits have implications well beyond the 4.6 million people who receive them in those states. A high court decision against the administration would have ripple effects, undercutting other parts of the Affordable Care Act and potentially destabilizing insurance markets across the nation.”

“Do you suppose any of the 2014 candidates will find time in the closing week to talk about Obamacare again, in the midst of all the other slow rolling disasters? (Aside from the occasional Root and Branch repeal call, that is.) If they do, they might want to mention a new study from the Medical Group Management Association which has some rather depressing figures in terms of medical services availability next year for participants. Barbara Boland has the story.
Over 214,000 doctors won’t participate in the new plans under the Affordable Care Act (ACA,) analysis of a new survey by Medical Group Management Association shows. That number of 214,524, estimated by American Action Forum, is through May 2014, but appears to be growing due to plans that force doctors to take on burdensome costs. It’s also about a quarter of the total number of 893,851 active professional physicians reported by the Kaiser Family Foundation.
In January, an estimated 70% of California’s physicians were not participating in Covered California plans.”

“Plans to find a way to expand Medicaid eligibility for Tennessee residents aren’t moving as quickly as expected, Gov. Bill Haslam said Tuesday morning.
The governor said he continues to work with federal health officials to find a solution that will work, but it’s taking longer than he had hoped.
“I would have hoped we would have made more progress by now, after the meeting we had up there five or six weeks ago,” Haslam said Tuesday morning after speaking at an education conference in Nashville.”

“Conservatives in Congress are drawing up their wish list for a Republican Senate, including “pure” bills, like a full repeal of Obamacare, border security and approval of the Keystone XL pipeline — unlikely to win over many Democrats and sure to torment GOP leaders looking to prove they can govern.
Interviews with more than a dozen conservative lawmakers and senior aides found a consensus among the right wing of the Republican Party: If Republicans take the Senate, they want to push an agenda they believe was hamstrung by the Democratic-controlled chamber, even if their bills end up getting vetoed by President Barack Obama.”

“Remember Obama’s now “infamous” line, “If you like your healthcare, you can keep it?” If it only had been true, because many Americans—especially our nation’s young people are suffering as a result of the President’s signature legislation.
President Obama told us that the average American would see their health insurance premiums lowered; yet the opposite is true. A recent study shows that health insurance premiums have drastically skyrocketed among 23-year-olds, especially males who have seen a 78 percent price increase. Women have seen close to a 45 percent increase.”

“Spoiler alert! When it comes to covering the uninsured, Obamacare has proven itself to be one giant expansion of Medicaid. A new report released Wednesday reveals the total coverage increase for the first half of 2014. While total coverage increased by 8,538,327 individuals, enrollment in Medicaid accounted for 71 percent of that growth. Check out the infographic below for the full breakdown of the numbers.”

“NEW YORK — The federal government has sued New York City, saying it ripped off Medicaid for millions of dollars by submitting tens of thousands of false claims.
A civil lawsuit seeking unspecified damages was filed Monday in Manhattan federal court.
The lawsuit says the city and a computer company used computer programs to dodge a requirement that Medicaid be billed only after private insurance coverage is exhausted. The lawsuit says false diagnosis codes were submitted to Medicaid.”

“New language in contracts between the CMS and insurers operating on HealthCare.gov is grabbing attention, with some calling it an admission by the government that it might lose upcoming court battles dealing with insurance subsidies on the health portal and others saying the new wording is just a practical precaution.
The new language appears to allow insurers to stop offering their plans should federal premium subsidies disappear. A number of cases regarding the legality of the subsidies in states without their own exchanges are now working their way through the courts.
The language says, “CMS acknowledges that (the insurer) has developed its products for the (federal exchange) based on the assumption that (advance payments of the premium tax credit) and (cost-sharing reductions) will be available to qualifying enrollees. In the event that this assumption ceases to be valid during the term of this agreement, CMS acknowledges that issuer could have cause to terminate this agreement subject to applicable state and federal law.””