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Norma Diaz and her husband, Joseph Garcia, have dedicated their careers to running a nonprofit health insurer that covers some of California’s neediest residents. For three decades, they have worked for a Medicaid managed-care plan, Community Health Group, serving nearly 300,000 poor and disabled patients in San Diego County under a state contract funded entirely by taxpayers. They’ve earned above-average ratings for patient care. And in the process, they’ve made millions of dollars. Together, Diaz and Garcia made $1.1 million in 2016 and received more than $5 million since 2012. Diaz’s compensation as CEO exceeded the pay of several peers...

Consolidation throughout the healthcare industry is increasing costs and driving more care through hospitals, the Physicians Advocacy Institute warned in a letter to Congress. Healthcare organizations have been joining forces to try to get ahead of the industry's shifting landscape. The number of physicians employed by hospitals and health systems grew by nearly 50% from 2012 to 2015, with a corresponding decline in the number of independently practicing physicians, according to the letter—supported with research from consultancy Avalere Health—sent to the House Energy & Commerce Committee's oversight and investigations subcommittee. The decline of the independent medical practice and lack of...

Congressional Republicans failed to repeal or replace Obamacare. But one state has come up with a way to get around it. Idaho is dealing with Obamacare by just blowing it off. If it works, other states seem likely to follow. Idaho’s Republican governor, Butch Otter, signed an executive order last year paving the way for non-Obamacare-compliant health insurance plans to be sold in his state, and Lt. Gov. Brad Little has since cobbled together what is sure to be the nation’s most controversial healthcare initiative. Obamacare’s spiraling premium increases have especially hurt middle-income consumers, In Idaho, at least, they will...

House Speaker Paul Ryan, saying entitlement reform is essential to limiting budget deficits, criticized Sen. John McCain on Tuesday for voting last year against the repeal of Obamacare. “The house has passed these bills, but John McCain said no instead of yes,” Ryan said during an exclusive interview with FOX Business’ Maria Baritromo on “Mornings with Maria.”

And predictably put the blame somewhere else. "Also, the premium increases for health insurance they want from us will cost us about $600,000 every year," Martin Kich of Wright State University writes on the academe blog maintained by the American Association of University Professors (AAUP) in a broadside against his university's administration. "Right now, we pay about $1.8 million." "$600,000 more would be a 33% increase! On top of higher premiums, they want to cut health benefits via increased co-pays, increased out-of-pocket maximums, and increased coinsurance. Needless to say, cuts such as these harm people who are already sick, defeating...

McConnell Bows to Schumer: Budget Contains No Reconciliation Instructions for Obamacare Repeal

The IRS overpaid nearly $3.5 billion in Obamacare tax credits last year that it cannot recoup because of constraints built into the program, frustrating Republicans who have failed to repeal the health care law but say that money could have been spent on programs for veterans or infrastructure. A Treasury watchdog said the government paid out roughly $24 billion in Obamacare subsidies in the heart of the 2017 tax-filing season, with $5.8 billion in overages. Of that, just $2.3 billion was clawed back, leaving $3.5 billion in outstanding excess payments. “The overpayments were that much?” said Rep. Phil Roe, Tennessee...

A fraud-infested Obamacare “outreach” program will get an astounding $1.2 billion from American taxpayers if legislation introduced by a veteran congresswoman becomes law. The preposterous measure, introduced by California Democrat Maxine Waters a few week ago, aims to recruit customers for the health insurance exchanges set up under Obama’s disastrous healthcare overhaul. The 14-term congresswoman, investigated by the House Ethics Committee for steering federal funds to her husband’s failing Massachusetts bank, crafted the law because the Trump administration slashed Obamacare outreach funding by more than 90%. “Our health care system is under attack by a president, administration, and Republican-controlled Congress...

Today, breast cancer kills 39 percent fewer women than 25 years ago. Prostate cancer kills 52 percent fewer men, the American Cancer Society announced last week. You can thank new technologies that detect cancer early and defeat it for many of the lives saved. Americans diagnosed with most types of cancer have better odds of surviving it in the U.S. than anywhere else on the planet. But watch out. These staggering achievements are at risk. A chorus of Democratic politicians is kicking off 2018 with renewed calls for universal, government-run health care. Leading the pack for single-payer are presidential contenders...

Maryland lawmakers want to create an individual health care mandate at the state level — in response to Washington gutting it at the federal level — and turn it into a down payment for people to pay for health insurance. Supporters outlined the proposal Tuesday, a day before the Maryland legislative session begins, adding it could also work in other states to help keep insurance premiums from skyrocketing. The Maryland General Assembly is controlled by Democrats. The federal tax overhaul approved last month removed the federal penalty that was charged to people without health insurance. Under Maryland legislation, the state...

WASHINGTON – Health insurance premiums in Virginia’s individual marketplace are set to rise as high as 265 percent in this new year. According to the Virginia State Corporation Commission’s Affordable Care Act filing data, the maximum allowable premium hike for Optima Health Plan customers is 265.5 percent, which represents the largest increases in the Virginia individual market next year. Some Cigna Health and Life Insurance Company health plans on the individual market are set to rise 168.6 percent in 2018.

The U.S. Department of Labor on Thursday unveiled new rules that would allow small businesses and entrepreneurs to join together to form their own health insurance pools. The rules, which will be open to a 60 day public comment period, are a direct response to President Donald Trump's executive order on health care, which would expand health associations and allow people participating in the groups to buy insurance that does not meet all of the coverage requirements under the Affordable Care Act, also known as Obamacare. "Under the proposal, small businesses and sole proprietors would have more freedom to band...

President Trump on Wednesday claimed the Republican tax plan “essentially” repeals former President Obama’s signature health-care law. “When the individual mandate is being repealed, that means ObamaCare is being repealed,” Trump said during a Cabinet meeting at the White House. “We have essentially repealed ObamaCare and we will come up with something much better.” The GOP tax overhaul gets rid of the Affordable Care Act’s individual mandate, which requires almost all Americans to purchase health insurance or pay a fine. Trump said he refrained from playing up that measure because he was worried about how the news media would report...

The Senate this week is expected to vote on a tax bill that includes a controversial provision to repeal Obamacare’s tax penalty on the uninsured. Democrats and some conservative policy analysts fret that if Congress scuttles the so-called individual mandate, insurance premiums will rise. The reverse may be closer to the truth: Premiums for Obamacare policies next year will be so high that millions will be exempt from the tax penalty whether Congress repeals it or not. Even the skimpiest coverage now costs so much that many uninsured people with six-figure incomes will be exempt. The individual mandate is repealing...

President Trump's decision to cut off Obamacare payments to insurers has driven up the number of zero-cost plans being sold to customers for 2018. The move to stop the cost-sharing reduction subsidies has led to higher tax credits for low-income customers, which in turn has led to an increase in the number of cheap Obamacare plans available for no premium but high deductibles. The eligibility for a zero-cost plan varies depending on where an enrollee lives and how much he or she makes. For instance, 2,436 counties in the U.S. offer free bronze plans — the cheapest of Obamacare’s four...

We hear about this surge in ObamaCare enrollments. The San Francisco Chronicle is even asserting that "the public embrace of the Affordable Care Act amounts to a stark rejection of administration and Republican policy". Maybe we can call it something like the revenge of the AHA. The editorial spends a lot of time bashing Trump but it does not say anything about the economic state of the people signing up. In other words, are these AHA policyholders going to pay their own premiums or will they be subsidized in some fashion? We don't know but the answer matters a lot....

ObamaCare has caused hard-to-quantify economic damage, but some of the law’s regulations may be lethal—literally. Consider a Medicare hospital payment initiative, which a new study in the Journal of the American Medical Association Cardiology suggests may have contributed to an increase in deaths. Readers are likely familiar with ObamaCare’s mandate and subsidies to impel individuals to obtain health insurance. But the law also included monetary incentives and penalties aimed at inducing changes in health-care delivery and spending reductions. The government rolled out these payment models nationally without careful study, and they are having unintended side effects. A case in point...

Earlier today I called to make an appointment (routine check-up), at one of the Family Medicine offices of Reading Hospital/Tower Health, in Reading, PA. I was a patient a few years ago, but because it's been that long, I'm considered a new patient. I was just about floored when they said that ALL of their family medicine offices/doctors in all locations are booked out until JANUARY 2018, for new patients! This happens often with specialists, where you have to wait weeks or even months for an appointment. In fact I'm in a 2-month wait to see a specialist in mid-December....

Senate Republican leaders are adding a provision to their tax bill that would repeal the Affordable Care Act’s individual mandate, a major change as they now try to accomplish two of their top domestic priorities in a single piece of legislation. “We’re optimistic that inserting the individual mandate repeal would be helpful” to the tax effort, Senate Majority Leader Mitch McConnell (R-Ky.) said Tuesday after meeting with party members during a closed-door lunch. President Trump and many GOP lawmakers have supported using the tax bill to repeal the mandate, a part of the health care law that creates penalties for...

WASHINGTON — Barack Obama may not be running for anything these days, but his signature health care law was a big winner in Tuesday’s elections, as voters rebelled against Republican lawmakers who have blocked Obamacare's Medicaid expansion. Democrats are hopeful their victories are a harbinger of further gains as they look to capitalize on the law's rising popularity in polls — and repeal legislation's deep unpopularity — with more ballot initiatives, legislative efforts and campaign messages. In Maine, voters passed a ballot initiative that would expand Medicaid to an estimated 70,000 residents by a margin of 18 points, 59-to-41, doing...