A project of the Galen Institute

Issue: "Exchanges"

GOP 2016 contenders: Repeal Obamacare, reform Medicaid

Jennifer Rubin
Washington Post
Thu, 2014-10-23
"Gov. John Kasich of Ohio was the first potential 2016 candidate to get snared in the Obamacare/Medicaid media snafu. As one of several GOP governors who expanded Medicaid, he naturally defends that move, which in an Associated Press interview came out as a defense of Obamacare, to which the Medicaid extension was attached. Kasich clarified his view, but the liberal media, Democrats and potential 2016 opponents may think they have their gotcha quote. Kasich, however, is correct that one can be for repealing Obamacare and still support states’ expansion of Medicaid. But other governors should be forewarned: You better be crystal clear about what you want to do."

State-by-State Estimates of Individual Mandate Payments

Conor Ryan, American Action Forum
Thu, 2014-10-23
"Using data on household income and health insurance coverage maintained by the Census Bureau and McKinsey estimates on previously uninsured households enrolled through the Health Insurance Marketplace, the American Action Forum was able to construct state-level estimates of individual mandate payments. After accounting for exemptions, AAF estimates that 5.2 million people will be subject to the individual mandate penalty for being uninsured in 2014 and will pay a total of $5.8 billion in additional taxes. The AAF estimates include the exemptions for unauthorized immigrants, households that do not file income taxes, households that earn less than 138 percent of the federal poverty level, and households that cannot purchase a Bronze plan with 8 percent of household income, but do not attempt to project how many households may apply for one of the many hardship exemptions."

'•The ACA will push more women than men into part-time work.'

Casey Mulligan
Mercatus Center
Wed, 2014-10-22
"Much of the ACA’s tax effect resembles unemployment insurance: both encourage layoffs and discourage people from returning to work. The ACA’s overall impact on employment, however, will arguably be larger than that of any single piece of legislation since World War II. •The ACA’s employment taxes create strong incentives to work less. The health subsidies’ structure will put millions in a position in which working part time (29 hours or fewer, as defined by the ACA) will yield more disposable income than working their normal full-time schedule. •The reduction in weekly employment due to these ACA disincentives is estimated to be about 3 percent, or about 4 million fewer full-time-equivalent workers.

Obamacare’s small-business exchanges to see major changes in the coming months

J.D. Harrison, Washington Post
Wed, 2014-10-22
"One year in, the new small-business insurance marketplaces born out of the new federal health-care law have fallen short of their promise in nearly every state, both in terms of functionality and enrollment. However, many are scheduled to see some important updates heading into year two — ones that health officials say should make them much more useful and appealing to small employers and their workers. In the nation’s capital, for example, officials are preparing to roll out the third major update to the District of Columbia’s health-care marketplace, which already houses one of the country’s most robust small-business exchanges, often called SHOP (Small Business Health Options Program) exchanges. District small businesses have already been able to shop for and select plans online — an option that was delayed by at least a year in most states."

Oregon gives up on Oracle technology, will use another state's Medicaid system

Nick Budnick, The Oregonian
Wed, 2014-10-22
"State officials have given up on trying to salvage a portion of the troubled Cover Oregon technology project, essentially abandoning all hope of getting any lasting benefit from the $240 million paid Oracle America on the health insurance exchange and related work. Instead, Oregon will look to use successful technology built by another state, and is trying to determine which one."

Obamacare Used to Register Voters

Sharyl Attkisson
Wed, 2014-10-22
"Last spring, John* purchased health insurance through the Washington State healthcare exchange. He was surprised when, last month, he received an email from the exchange at the address he’d provided when he signed up. The email was entitled, “Voter Registration Information.” It read, in part: “ARE YOU REGISTERED TO VOTE? If you would like to register to vote or update your information, visit the Washington Secretary of State website at https://weiapplets.sos.wa.gov/myvote?Org=confidHBE&language=en” “I did think it was an effort to [register voters] for the Democrat party,” says John, a union member for the better part of four decades. He wasn’t the only healthcare exchange customer to get the voter registration email."

HHS-Funded Study: Obamacare Will Suffer ‘Death Spiral’ If Subsidies Fail

Sarah Hurtubise, Daily Caller
Tue, 2014-10-21
"The Obama administration has funded a new study by top consulting firm RAND Health that startlingly finds that if taxpayer subsidies are eliminated, Obamacare exchanges will fall into a “death spiral.” The study comes in the wake of a number of lawsuits which are challenging the Obama administration’s implementation of Obamacare subsidies. Three lawsuits have made it to U.S. Circuit Courts, just one step from the Supreme Court, arguing that the text of the Affordable Care Act allows premium subsidies for state-run exchanges only. (RELATED: Second Court Strikes Down Obamacare Subsidies In Federal Exchanges)"

Gov. John Kasich: Repeal Obamacare, but not all of it

Sarah Wheaton
Politico
Tue, 2014-10-21
"Ohio Gov. John Kasich wants to be very clear: He wants to repeal Obamacare. Just not the part he likes. A political firestorm broke out Monday when the The Associated Press quoted Kasich as saying that Obamacare repeal was “not gonna happen.” That view is almost unheard of — at least in public — among most Republicans, let alone those who might run for the White House in 2016. Kasich said AP got it wrong, and he called POLITICO Monday night to correct the record. He said he was talking specifically about repeal of the expansion of Medicaid — which Ohio has implemented — and not of the Affordable Care Act more broadly."

Hogan slams Brown, O'Malley administration on health care lawsuit delay

Michael Dresser, Baltimore Sun
Tue, 2014-10-21
"Republican gubernatorial candidate Larry Hogan criticized the O'Malley administration Monday over its decision to delay a lawsuit against the contractor it has blamed for the failed launch of the state's health exchange web site. . Hogan, locked in a battle with Democratic Lt. Gov. Anthony G. Brown with two weeks to go before Election Day, accused the administration of putting politics ahead of the taxpayers by delaying court action against Noridian Healthcare Solutions."

Ebola: Obamacare’s Ultimate Pre-Existing Condition

Eric Pianin and Brianna Ehley, Financial Times
Tue, 2014-10-21
"With the new Obamacare enrollment period scheduled to begin on November 15, here’s an intriguing question: If you’re one of the rare Americans to have the misfortune of contracting Ebola, can you apply for a new insurance policy on one of the government-run health exchanges without being rejected? Currently, only four people are being treated for Ebola in the United States, and a few hundred who may have been exposed to it are either being monitored or have been notified – so this is an extremely unusual situation. Still, while no insurance company would relish the prospects of taking on a consumer suffering from one of the worst viruses to occur in today’s modern world, the Affordable Care Act prohibits insurance companies from turning down applicants with pre-existing conditions, such as cancer, heart disease, kidney disease, or even – yes – Ebola."

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