Employers prep for Obamacare
The pace of rule-making and decision-making was feverish in the year leading up to the Jan. 1, 2014, implementation of Obamacare.
Health care regulation
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Feds extend Obamacare deadline as customers rush site
The deadline to enroll in plans that begin Jan. 1 now is midnight Tuesday for most of the U.S. On Monday, healthcare.gov fielded nearly 50,000 simultaneous visitors, triggering a queuing system.
Analyst: WellPoint will lose money on Obamacare in 2014
Small business dumping, the uncertainty of Obamacare's exchanges, and the certainty of Obamacare's taxes will take a bite out of WellPoint's earnings next year. But company executives remain bullish on Obamacare's long-term impact.
For the holidays: A hopeful, health care reading list
In the Christmas spirit of hope, I’m offering a reading list of several optimistic reports about health care reform—even though many of my recent posts, and the mood of the country in general, have been decidedly downbeat.
Sorry, docs, but Obamacare will suffer from a shortage
There is good evidence that new technology deployed via new methods of medicine across the entire health care system can reduce the need for physicians. But there are too many barriers for such changes to occur in time to cut off the surge in demand brought on by Obamacare.
Obama team willing to ‘Republicanize’ Medicaid, but maybe not enough for Indiana
A new Medicaid expansion deal with the Republican governor of Iowa OK’d a cost-sharing requirement similar to what Indiana Gov. Mike Pence wants. But the Obama administration says it won’t extend that deal as low as Pence would like to go.
What if exchange enrollment never catches up?
Based on some very rough assumptions, I calculate that Hoosiers could see premiums 14 percent to 28 percent higher in 2015, due in part to low enrollment in the Obamacare exchanges in 2014.
Hospitals figure out their own way to game Obamacare’s tax subsidies
In response to insurers’ “zero-premium” strategy, hospitals figure out their own way to game the tax subsidies available in the new Obamacare exchanges: pay premiums for their patients.
Survey: One-third of Hoosier workers in high-deductible plans
An annual survey by the benefits consulting firm Mercer found that, among 75 Hoosier employers, 34 percent of workers are already enrolled in consumer-directed health plans. And that number is only going to go up due to new Obamacare rules.
Why insurers want to limit your choice of doctor
In spite of President Obama’s promises that if you like your doctor, you can keep your doctor, the president’s health reform law is spurring health insurers to make him a liar on that point too.
Health care has priced itself out of its own market
It’s no secret the growth of the U.S. economy slowed in the 2000s after the go-go decade preceding it. But the U.S. health care system—hospitals, doctors, drug companies, device makers and health insurers—apparently didn’t get that memo.
With Obamacare, insurers will still find ways to avoid risk
Obamacare put an end to health insurers’ worst methods for avoiding risk. But that doesn’t mean insurers have ended their risk-shifting ways. Not at all.
The bill for Hoosiers’ excess health care spending: About $5 billion per year
Hoosiers’ poor health, combined with an aggressive health care system and an uncompetitive health insurance sector, means Hoosiers, in spite of the fact that they earn just 86 cents for every dollar earned by the average American, are spending nearly $1.13 on health care for every dollar spent by Americans.
The frightening future that’s haunting hospitals
Why are Indiana’s hospitals cutting jobs. Because they’re spooked about cuts to Medicare payments. They should be.
Think your coverage is unaffordable? Watch out for this Obamacare pitfall
Obamacare’s exchanges are requiring working Americans to grasp minute details of their employers’ health plans in order to avoid a nasty surprise from the IRS.
Is lack of competition hiking Indiana exchange premiums?
Only four health insurers are offering policies in the Obamacare exchange in Indiana, whereas 17 have withdrawn from the market since 2010.
Republicans making same old mistake on health reform
Rather than railing incessantly against Obamacare, Republicans would do themselves and the country a favor if they finally agreed on a common alternative for fixing the health care system.
Finding where the money is in health care
More than half of the $2.5 trillion consumers spend annually on health care in the United States flows to hospitals and doctors, with drug companies and health insurers trailing well behind.
Shift from information scarcity to abundance will transform health care
With payment reform and new technology, it’s plausible that health care will shift from being a bricks and mortar business to an information business–bringing us higher quality and lower costs. That’s exciting.
Overbuilt, overstaffed, top heavy, hospitals ripe for cuts
Before this year’s cuts, Indiana hospitals had added 12,000 jobs over the past six years, even as private employers across Indiana, collectively, added no net new workers.