Medicaid expansion means a richer QHP buyer pool on exchanges

Andrew Sprung

In my close look at silver plan selection in 2015 among HealthCare.gov customers who were eligible for Cost Sharing Reduction (available only with silver plans). I expressed some disappointment that CSR takeup had apparently dipped a bit on the federal exchange from 2014 to 2015. Disappointment on that particular point may have been misplaced.

The ACA reminded us how little we know about long-run Medicare spending

Louise Sheiner

Official projections of long-term Medicare spending were lowered sharply in response to the ACA. It seemed like the ACA had made a major dent in addressing our long-term fiscal challenges. But had it?

Feature Video

The Obama Administration recruited Seattle Seahawks quarterback Russell Wilson and cornerback Richard Sherman to the game of selling the Affordable Care Act.

President Obama acknowledges the technical issues with HealthCare.gov, pledging his Administration will resolve them soon and asserting that the distressed web portal is not the only way to shop for affordable health insurance available through the ACA.


Three years after launching a 750-patient Medicare Advantage collaborative care pilot, Portland, Maine-based independent physician practice NovaHealth and insurer Aetna have shown concrete results in improving care quality and reducing costs. Technology and provider-payer cooperation played a large part in the program's success.

Cigna is looking for business in younger, yet-to-retire baby boomers in California, anticipating the benefits of streamlining the path from group health plan to Medicare Advantage.

Amid a possible bipartisan break in the clouds of Congress, insurance advocates see a window for changing or even repealing the much-loathed health insurance tax in the Affordable Care Act.

Staring down the sometimes troubled and opaque past of medical devices, and upward trend in spending, one national insurer is trying to build momentum for a universal way to compare and track outcomes.

This tax season, for the first time since the health law passed five years ago, consumers are facing its financial consequences. The worst may be yet to come.

Silicon Valley is coming for the employer sponsored health insurance business, trying to raise the bar on group health benefits and "democratize" self-funding.

The state that put itself on the vanguard of health reform only to struggle under the weight of its own ambition is now has an ultimatum for fixing its public insurance exchange.

Amid a ballooning deficit, policymakers in Delaware are scrapping a proposal to introduce more cost sharing for state employees, a decision that may come back to bite when the Cadillac Tax arrives.

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