Clinton says she wants to save the best of Obamacare while reducing costs. Trump says it is an expensive “disaster” that is on track to implode in 2017. He wants to replace it with something cheaper.
Trump has proposed getting rid of the exchanges and setting up tax-free health savings accounts for people with high-deductible insurance plans. He has also said he would set up state-based high-risk pools for people with medical conditions that make it hard to get coverage on their own. He also wants to allow companies to sell insurance across state lines to boost competition and drive down prices.
Whoever wins the presidency on Nov. 8 will likely face pressure to move quickly to reshape a healthcare initiative that affects millions of Americans.
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Aetna Inc, the nation’s third largest health insurer, said on Tuesday that it no longer plans to expand its Obamacare business next year. The insurer, which is losing money on the plans it sells in 15 states to individuals on exchanges created under the Affordable Care Act, said it also was looking at whether it should continue to offer the contracts. Aetna said its exchange-based plans for individuals had a pretax operating loss of $200 million in the second quarter, and it projected the loss from that business would exceed $300 million by year-end. It had initially expected to break even on the plans.
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Health insurer Anthem Inc on Wednesday vowed to fight U.S. government efforts to block its planned acquisition of Cigna Corp and said it expects to lose money this year on its business selling individual health coverage under President Barack Obama’s healthcare law.
Anthem has argued that its planned $45-billion purchase of Cigna will give it greater leverage to negotiate better prices from healthcare providers and pass on those savings to consumers, including those signing up for “Obamacare” plans on public insurance exchanges.
“To be clear, our board and executive leadership team at Anthem is fully committed to challenging the (U.S. Department of Justice’s) decision in court,” Chief Executive Joseph Swedish told analysts on a conference call.
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Former House Speaker Newt Gingrich remembers the day 23 years ago when Hillary Clinton, notebook in hand, came to see him and other senior Republicans to talk about “Hillarycare.”
It was early 1993. Clinton, on behalf of her husband, then-President Bill Clinton, was leading a healthcare reform drive that vaulted her onto the national stage.
Hillarycare would famously collapse after a fierce debate. In interviews with Reuters, some participants looked back on it as a crucible for the Democratic presidential front-runner that helped shape her approach to politics and governing.
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California Governor Jerry Brown signed a bill into law allowing unauthorized immigrants to buy health insurance on a state exchange created under the U.S. Affordable Care Act, making the state the first in the country to offer that kind of coverage.
The law lets the state request a waiver from the federal government that will be needed to allow unauthorized immigrants to purchase unsubsidized insurance through Covered California, the state’s healthcare exchange.
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U.S. health insurer Humana Inc, which plans to be bought by larger Aetna Inc, is considering ending the sale of ObamaCare individual plans in some states in 2017 to stem losses there.
Humana’s individual business, which sells plans under President Barack Obama’s Affordable Care Act, has been a drag on results, and the company still expects to lose money this year. Humana sells plans in 15 states.
The company said on Wednesday that first-quarter earnings fell 46 percent due to higher costs in individual plans, including ObamaCare, and its direct-to-customer Medicare Advantage plans.
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The federal government should do more to prevent people from fraudulently obtaining health insurance subsidies under the Affordable Care Act, the U.S. Government Accountability Office said in testimony to the Senate Finance Committee.
The testimony, delivered on Thursday in person and in writing by GAO spokesman Seto Bagdoyan, caps an extensive investigation by the GAO which found that, as of last April, about 431,000 people were still allowed to receive subsidies for insurance purchased through the federal exchange in 2014 despite possible inconsistencies in their applications.
President Obama’s Final Budget Proposal includes:
MEDICAID EXPANSION
The budget will include three years of federal funding to 19 state governments that passed up an earlier offer to expand Medicaid coverage for more than 4 million low-income people.
TWEAK TO “CADILLAC TAX”
Obama will ask for tweaks to a tax on certain health insurance plans that is unpopular with labor unions.
Americans want to know what the next U.S. president will do to lower their rising health care costs, a priority shared by Republican and Democratic voters and second only to keeping the country safe. In all, 62% of people surveyed said they would want to know about a presidential candidate’s plan for reducing health care costs.
Some health insurance plans sold on the Affordable Care Act’s federal marketplace may not provide reasonable access to medical specialists, new research suggests. Under the act, also known as Obamacare, the federal marketplace offers subsidized private health insurance to consumers in states that didn’t establish their own health insurance exchanges.

