“For Democratic lawmakers who were hesitant to sign onto the sweeping 2010 health care law, one of the most powerful selling points was that the Affordable Care Act would actually reduce the federal budget deficit, despite the additional costs of extending health insurance coverage to the uninsured.
Four years after enactment of what is widely viewed as President Barack Obama’s key legislative achievement, however, it’s unclear whether the health care law is still on track to reduce the deficit or whether it may actually end up adding to the federal debt. In fact, the answer to that question has become something of a mystery.”

“Colorado’s exchange managers have triggered confusion among their own finance committee board members on the eve of a critical vote Monday over future spending and revenues.

Health News Colorado on Thursday reported that board members were concerned that exchange managers had spent $10 million over the past year to sign up about 8,000 people through face-to-face enrollment centers.”

“The board of Connect for Health Colorado will consider Monday whether to begin charging insurance carriers $1.25 a month for each policy on their books to generate more than $13 million for the state health exchange.”

“Colorado health exchange managers spent $10 million over the past year on a statewide assistance network that generated about 8,000 sign-ups for private health insurance.

Board critics pressed managers on the wisdom and sustainability of spending about $1,250 per customer for the face-to-face help centers.”

“House Republicans are pushing the Obama administration to release the names of federal officials involved in awarding grants to troubled health insurance exchanges around the country.

The letter from Energy and Commerce Committee Chairman Fred Upton (R-Mich.) furthers the GOP’s effort to investigate and criticize failed exchanges at the state level, including Cover Oregon and Maryland Health Connection.

Upton and several colleagues accused the Department of Health and Human Services (HHS) of spending $1.3 billion on seven marketplaces where serious problems persist.”

“Five states that launched health exchanges under the Affordable Care Act expect to spend as much as $240 million to fix their sites or switch to the federal marketplace, a Wall Street Journal analysis shows.”

“The cost to replace the Medicaid section of Nevada’s flawed online health insurance exchange will be $25 million, a state official told a legislative committee today.”

“House Republicans are demanding a halt to all premium subsidies under ObamaCare until the administration can prove it is paying the correct amount in every case.

GOP members of the Ways and Means Committee pointed Wednesday to a report that hundreds of thousands of people might be receiving incorrect subsidies on the exchanges.”

“The states that tried and failed to run their own Obamacare health insurance marketplaces aren’t quite ready to call it quits.
With the health-care law’s next open enrollment period just more than six months away, Nevada on Tuesday joined the ranks of Maryland, Oregon and Massachusetts as states that have ditched their faulty enrollment Web sites. Of the 14 states — plus the District — that chose to run their own Obamacare exchanges in 2014, these four have either decided to join HealthCare.gov or do enrollment through another system in 2015.”

“Unworkable technology pushed Oregon’s health care exchange to the brink, making it the first state to abandon its self-administered system in favor of the federal exchange. But now prosecutors are following the money.”