Will Many Of The Smallest Employers Circumvent The Affordable Care Act By Using Self-Insurance?

Not surprisingly, only about 10% of firms with fewer than 200 workers take advantage of self-insurance––and almost no very small groups (few...

Read More

More Predictions Of Rate Shock Because Of The New Health Law

Last week, I reported on my informal survey of health insurance companies and their estimate for how much rates will rise on account of the ...

Read More

Obamacare Small Ball––The Republicans Are Winning The Battle Over The Big Idea

Last week the President waded directly into the national debate over "ObamaCare" by calling a big media event in the East Room of ...

Read More

The Affordable Health Care Act's Launch On October 1St––So How Did It Go?

Unavoidably, that will be the big question come Tuesday. But there will be much more to it than that. A 180-Day Open Enrollment––Not a O...

Read More

What Health Insurance Company Information Technology Executives Were Saying About The Obamacare Exchanges Last February

Were there signs the Obama administration was headed for trouble getting the insurance exchanges ready for October 1, 2014? Last March, I ...

Read More

Obamacare Is A Bit Like The Astronaut On Top Of The Rocket

Washington Post columnist Ezra Klein and I spoke about the Obamacare rollout yesterday afternoon. Here is his column from today's Was...

Read More

Week Two Of The Obamacare Federal Health Insurance Exchange Rollout––No Improvement

There was no progress for the new federal health insurance exchange's information technology and enrollment challenges in its second wee...

Read More

For Those Of You Who Yesterday Didn't Believe My Federal Exchange Enrollment Estimates And Reports Of Backroom Problems...

You need to see today's Wall Street Journal front-page story , "Health Website Woes Widen as Insurers Get Wrong Data." Here...

Read More

Should The Administration Shut The Obamacare Computer System Down? That Depends Upon What's Going On Behind The Curtain

My sense is that the biggest reason Obamacare is now in trouble is because of the top-secret way in which the administration has handled t...

Read More

The Obamacare Federal Health Insurance Exchanges––Week Three Status Report

I will be happy to have the Obama Administration do these status reports anytime they would like to takeover from me. If I were in the Whi...

Read More

Healthcare.Gov Is In De Facto Shutdown

Read my conversation with Ezra Klein today on the Washington Post WONKBLOG

Read More

Just What Is An 834 Transaction? Why Is It Holding Up Obamacare? How Long Will This Take To Fix?

You have probably already heard that Obamacare has as many backroom problems as problems with the front end consumer web enrollment portal. ...

Read More

The Commitment To Fix Obamacare's Computer Systems By December 1––Because It Can Be Done By Then Or Because It Has To Be Done By Then?

The good news is that it appears the adults are finally in charge of healthcare.gov. This week, the administration put a seasoned and trus...

Read More

Mr. President: I Like My Health Insurance And I Would Really Like To Keep It––Can You Help Me Out Here?

How many times have I talked on this Blog about rate shock, the millions of people who would be getting cancellation letters from their curr...

Read More

Substandard Plans Offered By Bad Apple Insurers––Does The Obama Administration Understand How The Health Insurance Market Works?

Yesterday, the President said in Boston that the millions of people who are getting cancellation letters ending their coverage in the indivi...

Read More

The Obamacare Rollout––Week Five

Enrollments continue to trickle in. Health plans, with the kind of market share that would have to sign-up 100,000 to 200,000 people for the...

Read More

The Obamacare Rollout: The Administration Needs A Plan B––Now!

It is now becoming clear that the Obama administration will not have Health.care.gov fixed by December 1 so hundreds of thousands, or perhap...

Read More

Small Group Health Insurance Cancellations––The Next Shoe To Drop But A More Complicated One

Obamacare is impacting the small group insurance market in many of the same ways as the individual health insurance market. While employers ...

Read More

If You Like Your Doctor You Will Be Able To Keep Your Doctor. Period

I think you can guess who said that. Actually, here is what the President front-page story in the Washington Post this morning, "Hea...

Read More

Is The Drug Industry An Existential Threat To The Private Health Insurance Business?

At a time when many Democrats are calling for a single-payer health insurance system, are the drug companies inadvertently driving the sy...

Read More