Obamacare Does NOT Have A Mandate

Some conservatives have charged that Marco Rubio has proposed an individual mandate for health insurance. [Credit: ABC News]

Some con­ser­v­a­tives have charged that Mar­co Rubio has pro­posed an indi­vid­ual man­date for health insur­ance. [Cred­it: ABC News]

Some con­ser­v­a­tives have accused Mar­co Rubio of propos­ing an Oba­macare-like man­date on all Amer­i­cans to buy health insur­ance. They’re wrong about Rubio.  And about Oba­macare.  Read more on Nation­al Review Online.

Will HHS Get Away With A $3.5 Billion Heist?

CMS administrator Andy Slavitt has a $3.5 billion problem. Will Congress and presidential candidates talk about it? [Credit:nextgov]

CMS admin­is­tra­tor Andy Slavitt is plan­ning to short the U.S. Trea­sury $3.5 bil­lion. Will Con­gress and pres­i­den­tial can­di­dates talk about it? [Credit:nextgov]

The Depart­ment of Health and Human Ser­vices (HHS) announced Fri­day night that it was in the process of short­ing the U.S. Trea­sury $3.5 billion.

Well, they didn’t exact­ly announce it.  You had to read between the lines. Con­tin­ue read­ing →

What We Know And Don’t Know About Obamacare, Part II

More than five years after its enactment there still are many questions about whether Obamacare is working. Here are four of them.

More than five years after its enact­ment there still are many ques­tions about whether Oba­macare is work­ing. Here are four of them.

My pre­vi­ous post dis­cussed what we know about Oba­macare as its third open enroll­ment sea­son begins.  Here are four major ques­tions about the future of Oba­macare that remain unanswered.

Can insur­ance com­pa­nies make mon­ey in the exchanges with­out cor­po­rate wel­fare? Oba­macare con­tains some very expen­sive sweet­en­ers to entice insur­ance com­pa­nies to sell through the exchanges. These include risk cor­ri­dor pay­ments and $20 bil­lion over three years in inapt­ly named “rein­sur­ance” pay­ments, mon­ey gov­ern­ment takes from par­tic­i­pants in group health plans and gives to insur­ers that par­tic­i­pate in the exchanges. Both are sched­uled to end in 2017.

Con­tin­ue read­ing →

What We Know And Don’t Know About Obamacare, Part I

Obamacare's third open enrollment season launched yesterday. Here are six things we know about the program. (Tomorrow: four things we still don't know.) Credit:americanlegislator.org

Oba­macare’s third open enroll­ment sea­son launched yes­ter­day. Here are six things we know about the pro­gram. (Tomor­row: four things we still don’t know.) Credit:americanlegislator.org

Obamacare’s third open enroll­ment sea­son has kicked off, begin­ning the next chap­ter in its tur­bu­lent his­to­ry.  Today’s post dis­cuss­es what we know about Oba­macare.  Tomorrow’s will dis­cuss what we still don’t know.

What We Know

Few­er peo­ple are unin­sured. How many few­er is a mat­ter of dis­pute, but the improve­ment is sub­stan­tial by any mea­sure.  HHS Sec­re­tary Sylvia Bur­well cred­its Oba­macare with reduc­ing the num­ber of unin­sured peo­ple by 17.6 mil­lion since 2010.   And though you’ll like­ly hear this num­ber repeat­ed (and often round­ed up to 18 mil­lion), it’s almost cer­tain­ly exag­ger­at­ed.   Con­tin­ue read­ing →

Obamacare’s Next Chapter

Chief Justice John Roberts ' opinion in King v. Burwell betrayed widely-held misconceptions about health insurance markets.  [Credit: Human Events]

Chief Jus­tice John Roberts ’ opin­ion in King v. Bur­well repeat­ed wide­ly-held mis­con­cep­tions about health insur­ance mar­kets.  Con­ser­v­a­tives should take note. [Cred­it: Human Events]

“The Patient Pro­tec­tion and Afford­able Care Act grew out of a long his­to­ry of failed health insur­ance reform.” Chief Jus­tice John Roberts, in uphold­ing Oba­macare subsidies.

Oba­macare is the newest chap­ter in that long his­to­ry of failed health insur­ance reform.  Con­ser­v­a­tives who hope one day to replace it would do well to learn from its errors and con­ceits. Con­tin­ue read­ing →

Obamacare And The Daughters of (40% Less) Charity

The President last week professed his love -- appropriately chaste, of course -- for Sister Carol Keehan, president of the Catholic Health Association and tireless Obamacare advocate.  [Credit: Wikipedia]

The Pres­i­dent last week pro­fessed his love — appro­pri­ate and chaste, of course — for Sis­ter Car­ol Kee­han, pres­i­dent of the Catholic Health Asso­ci­a­tion and tire­less Oba­macare advo­cate. [Cred­it: Wikipedia]

I just love nuns gen­er­al­ly.  I’m just say­ing.  – Pres­i­dent Oba­ma, June 9

And nuns just love him too.  At least nuns who run hos­pi­tals seem to.  And with good rea­son: the Pres­i­dent advo­cates poli­cies that enable hos­pi­tals like those oper­at­ed by the Daugh­ters of Char­i­ty to pro­vide less char­i­ty.  Con­tin­ue read­ing →

Obamacare Has Reduced Uninsured By Nearly 8 Million

A fresh government study has found that Obamacare has so far reduced the number of uninsured by eight million. [Credit: publicbroadcasting.net]

A fresh gov­ern­ment study has found that Oba­macare has so far reduced the num­ber of unin­sured by eight mil­lion. [Cred­it: publicbroadcasting.net]

The num­ber of unin­sured peo­ple declined by near­ly eight mil­lion dur­ing the first nine months of 2014, reduc­ing their ranks to 37.2 mil­lion, accord­ing to an analy­sis of data released late last week by the Nation­al Cen­ter for Health Sta­tis­tics (NCHS).

The survey’s find­ings con­flict with a report issued last month by the RAND Cor­po­ra­tion, which esti­mat­ed that the num­ber of unin­sured fell by 16.9 mil­lion since Obamacare’s imple­men­ta­tion [sub­scrip­tion required].  The RAND study put the num­ber of unin­sured at 25.8 mil­lion, near­ly 12 mil­lion few­er than the NCHS esti­mate. Con­tin­ue read­ing →

Is Obamacare What We Deserve?

Many who signed up for Obamacare coverage

Some who signed up for Oba­macare cov­er­age had been unin­sured for years.  That cov­er­age could unrav­el if the Supreme Court rules next month that the Admin­is­tra­tion unlaw­ful­ly sub­si­dized their cov­er­age. [Cred­it: Mia­mi Herald]

For 20 years, I was afraid.  Afraid of get­ting sick and not hav­ing health insur­ance.  But when I got can­cer, I final­ly had a health plan that I could afford.  With­out it, I wouldn’t be here…I’ll always remem­ber how afford­able health care saved my life.  I believe every­one deserves the same chance I had.  Don’t you?  Julie, the pro­tag­o­nist of a recent ad pro­mot­ing Obamacare

The Supreme Court next month will issue a rul­ing that could result in Julie los­ing the health insur­ance cov­er­age she feels she deserves. Con­tin­ue read­ing →

Let States Exchange Obamacare For Something Better

Colorado Governor John Hickenlooper established an Obamacare state exchange that is now "teetering," according to a state official. [Credit: mnginteractive.com]

Col­orado Gov­er­nor John Hick­en­loop­er estab­lished an Oba­macare state exchange that is now “tee­ter­ing,” accord­ing to a state offi­cial. [Cred­it: mnginteractive.com]

In the 34 states that did not estab­lish Oba­macare exchanges, Gov­er­nors ner­vous­ly await a Supreme Court rul­ing that could throw their health insur­ance mar­kets into chaos. Mean­while, many of the Gov­er­nors who did estab­lish exchanges are regret­ting their decision.

More than five years after its enact­ment, Oba­macare has proven a bit­ter brew for many states.  Nowhere is this more evi­dent than in health care exchanges.  Con­tin­ue read­ing →