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Obamacare improved key health-care measurements for millions of Americans, reversing a troubling trend, a new study strongly suggests. The study found marked gains in the number of people with insurance—as other research has repeatedly confirmed—as well as improved access to doctors and medications, affordable health care and good health status after implementation of the Affordable Care Act. But the research published Tuesday in the Journal of the American Medical Association also noted that the the gains in health coverage and access to care for low-income adults were particularly striking in states that expanded their Medicaid programs under the ACA to include more poor...

The Obama administration has worked for years to lure states into accepting Obamacare’s Medicaid expansion under the false promise of “flexibility.” Despite its best efforts, 21 states have rejected the expansion. And at least two states that previously expanded Medicaid under Obamacare are looking to turn back the clock and draw down their Medicaid expansions in 2016. The Obama administration is desperate for a national leader like Florida to expand Obamacare, hoping it will set off a chain reaction to convince leaders in other states to fall in line. So, frustrated with its lack of success in convincing conservatives to...

The fight over ObamaCare’s Medicaid expansion escalated Monday, as Texas’s Republican governor backed a lawsuit from Florida against the Obama administration. "When the federal government exceeds its constitutional authority, the States must take action,” Texas Gov. Greg Abbott said in a statement. “[I] commend Governor Rick Scott’s decision to take legal action to protect these important constitutional principles.” Last week, Scott announced he would sue the Obama administration over what he called an effort to illegally force Florida into expanding Medicaid under the Affordable Care Act. “It is appalling that President Obama would cut off federal healthcare dollars to Florida...

As more and more Americans come to personally understand Obamacare’s many deficiencies, they’re rightfully outraged that state lawmakers would work to exacerbate its consequences even further. But instead of heeding that warning, a handful of Governors and lawmakers have gone to greater lengths than ever before to make sure Medicaid is expanded under Obamacare in their states. In Virginia, Governor McAuliffe attempted to hold up the entire budget for the state of Virginia over the expansion, against the clear wishes of the people of the Commonwealth. Despite endless legislative jockeying that put the state at risk of a government...

Medicaid, the entitlement program for low-income Americans jointly funded by the state and federal government, represents about 25 percent of state budgets. Federal funding represents more than half (57 percent) of that amount, and that funding is now being threatened by Obamacare. In what seems like déjà-vu all over again, Maine’s Department of Health and Human Services (DHHS) is pursuing a lawsuit to prevent this sort of federal coercion. Here’s the scoop: In 2009, the American Recovery & Reinvestment Act (ARRA) offered states stimulus funds if they agreed to a maintenance-of-effort (“MOE”) provision that required them to maintain Medicaid-eligibility standards...

The Party of Science has struck again. Conservatives who are either programmatically or philosophically allergic to the notion that expanding access to Medicaid is tantamount to providing the poor access to health care will be surprised to learn that they are heartless ghouls who may also be complicit in an untold number of negligent homicides. During MondayÂ’s White House press briefing, Press Sec. Josh Earnest reportedly equated the decision made by some governors to decline to expand access to Medicaid in their state under the Affordable Care Act with a lack of concern for the health of their constituents:...

Indiana Republican Gov. Mike Pence is moving ahead to extend Medicaid coverage to hundreds of thousands of Hoosiers under the federal health law after securing a key concession from the Obama administration. The deal, to be announced Tuesday, could pave the way for half a dozen more states to seek similar deals, boosting Medicaid expansion proposals in Republican-led states including Florida, North Carolina and Wyoming. Indiana and Washington officials had been locked for months in negotiations over an issue that could shape the future of Medicaid, the 50-year-old federal-state health program that covers more than 60 million low-income Americans. Mr....

Marilyn Tavenner, head of the U.S. Centers for Medicare and Medicaid Services, plans to step down at the end of February, she told her staff in an e-mail.As Bloomberg reports, Tavenner didn’t say why she was leaving.In November, she acknowledged that her agency had made a mistake in its calculation of the number of people enrolled under Obamacare. As a reminder... from November The Obama administration said it erroneously calculated the number of people with health coverage under the Affordable Care Act, incorrectly adding 380,000 dental subscribers to raise the total above 7 million. The accurate number with full health-care plans...

The leader of the agency charged with the ObamaCare rollout is stepping down after five years on the job. Marilyn Tavenner, administrator of the Center for Medicaid and Medicare Services (CMS), announced her departure Friday, which will take effect next month. "It is with sadness and mixed emotions that I write to tell you that February will be my last month serving as the administrator for CMS," Tavenner wrote in an email to staff. Tavenner is leaving after five turbulent years overseeing the agency. Her tenure included the disastrous rollout of the government’s HealthCare.gov website as well as, most recently,...

Hey, are you one of the 9.7 million Americans who have been put onto the Medicaid rolls since 2013 mostly as a result of theAffordable Care Act? Congratulations! But that and $2.75 will get you one ride on the New York City subway. That's because finding a doctor who accepts Medicaid payments – never all that easy to do even before 2013 – is getting harder than ever thanks to a steep drop in reimbursement rates for doctors who treat patients on Medicaid. When I say "steep," I mean it. We're talking an average of 43 percent nationwide and almost...

The Gold ‘N Silver Inn in Reno, Nev., has long offered health coverage to its employees — but many of the cooks, dishwashers and waiters who make close to minimum wage can’t afford the $100 monthly premium. Last January, when Nevada became one of more than two dozen states to expand Medicaid under the Affordable Care Act, 10 of the diner’s 55 employees qualified for the government insurance program for low-income Americans. None of them realized it, however, until the family-run restaurant hired BeneStream, a New York-based start-up funded partly by the Ford Foundation. BeneStream charges $40 to screen each...

Thirty-six states that rely on private managed care programs to provide medical services to all or some of their Medicaid recipients are facing an added ObamaCare tax. According to a report by Milliman consulting actuaries, states that contract with Medicaid managed care plans face up to $15 billion in added costs over 10 years for their share of the law’s tax on private health insurance. States will pay even if they strongly oppose ObamaCare and are refusing to establish health insurance exchanges or expand Medicaid. The health law imposes an annual tax on private health insurance plans – a tax...

While states debate expanding their Medicaid programs under Obamacare, they're wrestling with a looming 2017 deadline — when their taxpayers begin paying for the cost of the expansion. Beginning in 2014, states that agree to expand Medicaid to persons with incomes of up to 138 percent of the poverty line will have the federal government pay 100 percent of the cost. But beginning in 2017, the federal share will fall to 95 percent, and it drops to 90 percent in 2020. This has officials — many of them in Republican-dominated states across the country — worried that they will not...

WASHINGTON — Just as millions of people are gaining insurance through Medicaid, the program is poised to make deep cuts in payments to many doctors, prompting some physicians and consumer advocates to warn that the reductions could make it more difficult for Medicaid patients to obtain care.

Andy Pasternak, a family doctor in Reno, Nev., has seen more than 100 new Medicaid patients this year after the state expanded the insurance program under the Affordable Care Act. But he won’t be taking any new ones after Dec. 31. That’s when the law’s two-year pay raise for primary care doctors like him who see Medicaid patients expires, resulting in fee reductions of 43 percent on average across the country, according to the nonpartisan Urban Institute. The challenge is to convince physicians not just to continue accepting such patients but to take on more without getting paid what they’re...

Tennessee Republican Gov. Bill Haslam became the latest red-state governor to approve a twist on Obamacare’s Medicaid expansion Monday.Haslam is supporting a private-option version of Obamacare’s Medicaid expansion, which was pioneered by Arkansas in 2014. The proposal will have to be approved by the Department of Health and Human Services and the Republican-controlled legislature; if it goes through, Tennessee will be just the 28th state to move forward with the expansion of the welfare program through Obamacare.“We made the decision in Tennessee nearly two years ago not to expand traditional Medicaid,” Haslam said Monday. “This is an alternative approach that...

Gov. Bill Haslam of Tennessee on Monday morning became the latest Republican governor to announce support of Obamacare's Medicaid expansion —and the third in the nation since Republicans gained more power at the state and federal levels in the November midterm elections. Like most other Republican governors who want to take the health-care law's generous federal funding, Haslam is now offering a plan that deviates from the Medicaid expansion envisioned under the Affordable Care Act. Haslam, who made the announcement almost a month after his re-election, said the Obama administration has verbally approved the approach. The Tennessee plan, which Haslam...

In 2012, the Department of Health and Human Services estimated that 72.2 million Americans were receiving Medicaid benefits for at least a month. Medicaid is a government health insurance program aimed at helping the poor and disabled. Enrollment into the program is going up dramatically, according to the Institute for Policy Innovation (IPI). Both Medicaid and ChildrenÂ’s Health Insurance Program (CHIP) are up 15 percent, or 8.7 million people, since Obamacare began enrolling people in the fall of 2013; states that expanded Medicaid coverage are seeing 22 percent growth or more. For many states, Medicaid is the largest item of...

Gruber saves some special scorn for the Republican governors who have bravely said no to...Free Money! "What I don't get is these STUPID governors who are turning down the Medicaid expansion," he said. "This is preposterously STUPID. First of all, your low-income people get health-insurance, and you get billions and billions of dollars of stimulus in health-care spending. For example, there are one million uninsured Floridians who are below the poverty line. The federal government is saying we'll pay to insure them, and, in addition, we're sending billions of dollars to you. And Rick Scott says no. There is no...

With the midterms looming, Obamacare politics are again prominent. But some Republican candidates find themselves defending that law. ___ With midterm elections looming, the politics of Obamacare are again coming to the fore—only this time it’s not just Democrats making the case that the law’s Medicaid expansion is good but also some leading Republicans, chief among them Ohio Gov. John Kasich. This week Kasich staked out the rather untenable position that Congress should repeal Obamacare but keep the Medicaid expansion part, as if they’re two different things. “From Day One, and up until today and into tomorrow, I do not...