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Health Care After the Court: If the Individual Mandate Falls, What Next?

If the Supreme Court strikes down the individual health insurance mandate, but leaves most or all of the rest of the Affordable Care Act intact, Congress will have some work to do. Without some way to push uninsured healthy Americans into the marketplace, insurance prices could creep upward until they become unaffordable for everyone.

Despite Insurers’ Best Efforts, Regulators Stand Their Ground

Anyone who thought the fight was over with the signing of the Affordable Care Act was sorely mistaken. And no, I’m not talking about Republicans efforts to repeal the law or challenge its constitutionality. I’m talking about the writing of regulations that will implement the law. Some 10-20 pages – or more – of regulations [...]

Health Reform Waviers and Why Things Are Easier Said Than Done

Recently, the Wall Street Journal published an explosive story about how McDonald’s might have to eliminate health insurance for their workers because of the Affordable Care Act. As WSJ reporter Janet Adamy wrote: The move is one of the clearest indications that new rules may disrupt workers’ health plans as the law ripples through the [...]

Don Berwick Speaks!

Just not to me – or any other media types for that matter. The new head of the Centers for Medicare & Medicaid has, until today, been kept under virtual lock and key by the Obama Administration. He was installed via recess appointment, circumventing the Senate confirmation process, which would have included a public hearing. [...]

HHS Explicitly Threatens the Insurance Lobby

After claims from insurance companies that they plan to dramatically increase premiums this year because of the Affordable Care Act, the White House fired off a threat to the industry’s main lobbying group today. Writing to the head of America’s Health Insurance Plans, Health and Human Services Secretary Kathleen Sebelius said insurers that hike rates [...]

Marco Rubio Doesn’t – or Didn’t – Get It

There are a few very simple truths about how health insurance works, which some commentators and politicians can’t seem to grasp. The result is a constant drumbeat of disingenuous statements that misrepresent how health reform will work and why the Affordable Care Act was written as it is. The latest failure to grasp comes from [...]

Maybe Nancy Pelosi Was Right: Insurance Company Targeted Breast Cancer Patients

Reuters has a stunner today. The insurance company WellPoint had a policy of targeting  its customers with fraud investigations if they were diagnosed with breast cancer, according to federal investigators. The goal: Find a reason to drop their coverage of sick women before big bills started to arrive. The women all paid their premiums on [...]

After Passage, Health Insurers Pivot, Prepare To Back Health Care Reform

From my new story on Time.com: The health-insurance industry, which spent months campaigning against Democratic health reform, has shifted focus in the wake of its passage, pivoting from opposition to making sure the new law succeeds beyond most expectations. America’s Health Insurance plans will participate in a new group, provisionally called “Enroll America,” to encourage [...]

Could Price Tags Save American Health Care?

There are a lot of things driving up the cost of medical care in the U.S. Poorly managed chronic diseases and increasingly expensive medical equipment and drugs are partly to blame. But a lack of consumer awareness of how much health care actually costs is just as important. What was the full cost of the [...]

Obama Asks for “Up or Down Vote”

Today’s speech by President Obama was not the first in which he’s urged passage of comprehensive health care reform, but he’s hoping it will be his last. We’ll see. Flanked by health care workers and wearing a bipartisan purple tie – a rarity for him – President Obama delivered remarks that carried a theme of [...]