Forcing employers to allow workers to retain dependents to the age of 26 on their health coverage had the effect of reducing employees' wages.
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Massachusetts has implemented reform after reform to supposedly lower health spending in the state while improving quality. While most residents of the state now have insurance, the state continues to experience rapid health spending growth, the most recent sign of which is strong increases in health insurance premiums, with most rising in the high single digits, with the largest rises found among plans for small groups and individuals.
https://www.bostonglobe.com/business/2016/01/03/health-care-costs-rising-faster/WUfquz4gBEjncURDm20b6L/story.htmlA Government Accounting Office report finds, surprise, surprise, that we are likely wasting billions of dollars in the reform law's Medicaid expansion.
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In a report indicating just how pathetic the controls in the reform law are for protecting Medicaid and the subsidy program from fraud, ten of ten fictitious people created by the Government Accounting Office were able to incorrectly obtain either Medicaid coverage or a public exchange subsidy. Your tax dollars at work.
http://www.gao.gov/products/GAO-16-159TYou may have noticed that there soon will be none of the health insurance cooperatives established (and taxpayer-funded) under the reform law, as every week brings news of closures of more of them. Strangely, no boasting from the Administration about this latest indication of the great success of their health reform.
http://www.vaildaily.com/news/18720558-113/colorado-health-co-op-calling-it-quitsAnother one of the health plan co-ops created by the reform law bites the dust, as New York regulators close down Health Republic Insurance for insolvency. How's that "these co-ops will provide inexpensive competition to the big guys" rationale working out? And how should taxpayers feel as their tax dollars circle the drain when these co-ops don't repay their loans, which by the way totaled $265 million for Health Republic.
http://www.dfs.ny.gov/about/press/pr1509251.htmA Commonwealth Fund blog post suggests that increasing the differential between younger and older adults' premiums under the reform law would end up costing the government more in higher subsidies, but gives no alternative solution for the very unfair situation of charging relatively healthy young people excessive premiums to pay for older adults health care.
http://www.commonwealthfund.org/publications/blog/2015/sept/charging-older-adults-higher-premiums-could-cost-taxpayersTwo studies in Health Affairs find that chronic disease prevalence is probably higher than assumed and that the reform law's insurance expansion may lead to more diagnosis of these diseases.
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The Health and Human Services Office of Inspector General finds woeful mismanagement by the department of the contracts and work to build the federal health insurance exchange.
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Time to check in on Massachusetts, the trend-setter for eventual federal health reform. Things aren't going so good on the spending side.
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A analysis from Mark Farrah Associates provides details on the benefits the reform law reinsurance and risk adjustment programs are providing for health plans.
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There is a lot of heat around 2016 exchange insurance premiums for individuals. A report from the Society of Actuaries gives a measured look at factors behind the rate rises.
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A Kaiser Family Foundation and Commonwealth Fund survey of primary care providers elucidates views on common initiatives to "improve" health care delivery and payment.
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Deloitte's Center for Health Solutions releases a survey regarding public health insurance exchange consumers.
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