Kathleen Sebelius Resigning

By: Friday April 11, 2014 5:26 am

Kathleen Sebelius, the Secretary of the Department of Health and Human Services who became the face of the Affordable Care Act aka “Obamamcare”, is resigning. President Obama accepted her resignation this week and plans to tap Sylvia Mathews Burwell to replace her. Sebelius has a rough tenure as head of HHS especially after the chaotic [...]

President Obama Says He Kept Even More Important Promise On Obamacare

By: Tuesday November 5, 2013 6:05 am

President Obama has been widely criticized for breaking a clear promise regarding Obamacare – namely when he promised “if you like your healthcare plan you can keep it.” As it turns out, many of the pre-Obamacare plans can not be kept under the new system. This is not altogether a bad thing as, in theory, [...]

Contractor Warned Obama Admin Month Before Launch That Healthcare.gov Not Ready

By: Wednesday October 30, 2013 8:51 am

The Obamacare website, Healthcare.gov, has become a major headache for both users and the Obama Administration. Millions of Americans have logged in with varying degrees of success. And according to a reportedly confidential report by a contractor for the website, the Obama Administration knew they were going to have a problematic launch. Though you would [...]

President Obama Addresses Obamacare Website Problems

By: Tuesday October 22, 2013 5:59 am

Yesterday President Obama addressed the problems with the new healthcare exchanges under the Affordable Care Act/Obamacare. Specifically, the widely noted problems with the Obamacare website which has proved extremely difficult to use. As the shutdown has ended more attention has been focused on the roll out of the provisions of Obamacare which has left a [...]

Nevada Decides to Implement Medicaid Expansion

By: Wednesday December 12, 2012 11:26 am

Nevada has become the first state helmed by a Republican governor to announce an opt-in to the Medicaid expansion up to 138% of the poverty level (it’s really 133%, but there’s a 5% “disregard” that brings it up to 138% in practical terms). Based on numbers from the Kaiser Family Foundation and the Urban Institute, [...]

White House to States: All or Nothing on the Medicaid Expansion

By: Tuesday December 11, 2012 6:20 am

Health and Human Services Secretary Kathleen Sebelius announced that states will not be eligible for funding for the Medicaid expansion unless they expand it all the way to 133% of poverty as envisioned by the law.

Taming the Rube Goldberg Beast That Is Obamacare

By: Monday November 12, 2012 1:09 pm

A couple posts by Sarah Kliff over at the Wonkblog franchise underline the monumental task of putting together a clumsy, interlocking, state/federal, public/private, amorphous glob of a tweak to the nation’s health care system. In fact, we’re in the midst of the Obamacare cliff, a drop-dead point where states must decide whether they want to [...]

Health Care Law Faces Sprint After Election

By: Wednesday November 7, 2012 2:39 pm

One signature consequence, perhaps the leading consequence, of last night’s electoral victory for Democrats is that the implementation of Obamacare will now proceed unfettered. At least at the federal level. But as we’ve noted for many months, the law’s facility will rise or fall on the willingness of the states to carry it out. After [...]

Medicaid Cut Costs in 2012 by Making Its Insurance Less Effective

By: Friday October 26, 2012 3:15 pm

Medicaid spending slowed down in 2012 and similar slowing is expected for 2013. However, it’s being accomplished through precisely the same program that Mitt Romney and Paul Ryan endorse for the program – by effectively taking beneficiaries off the rolls. The data comes from the respected Kaiser Family Foundation, and their annual survey of all [...]

The Neglected Issue of the Invisible Poor

By: Wednesday October 17, 2012 8:25 am

Poor people don’t vote. At least, they don’t vote in proportion with their share of the population. And they certainly don’t “vote” in the sense that politicians would notice, by attending thousand-dollar-a-plate dinners and contributing to their campaigns.

The Dividing Line Between the Presidential Candidates on Social Insurance Really Falls on Medicaid

By: Monday October 15, 2012 1:43 pm

Throughout the election campaign, when the two competitors talk about social insurance programs, they usually confine it to Social Security and Medicare, and really just Medicare. And it’s true that the Romney-Ryan plan for a voucher program instead of traditional Medicare would lead to higher premiums for most seniors. But the planned growth rates for [...]

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