Could Humana Grovel Any More To Get the Aetna-Humana Merger Approved By the Obama Administration?
See my post at Forbes (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - July 6, 2015 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Why The Affordable Care Act Isn't'Here to Stay'­­­­--In One Picture
Why is Obamacare still so unpopular? Why aren ’t the working class and middle-class signing up for it? Why is the Obamacare population sicker and causing so many big rate increases a year earlier than expected? Is Obamacare financially sustainable in its present form? Is it politically sustainable as it is? Here is one picture that tells you just about everything you need to know to (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - June 28, 2015 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Why The Affordable Care Act Isn't 'Here to Stay'­­­­--In One Picture
Why is Obamacare still so unpopular? Why aren’t the working class and middle-class signing up for it? Why is the Obamacare population sicker and causing so many big rate increases a year earlier than expected? Is Obamacare financially sustainable in its present form? Is it politically sustainable as it is? Here is one picture that tells you just about everything you need to know to (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - June 28, 2015 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

The King V. Burwell Decision
First, as any of us who know the market can appreciate, the Court just saved the Republicans from themselves. They were in no way ready to avoid the crisis that would have engulfed the individual market––half of those people on the exchange who would have lost their subsidies and the other half off-exchange that would have seen 30% to 50% rate increases––on top of the big increases already (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - June 24, 2015 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

The Republican Proposals to Extend the Obamacare Subsidies If the Supreme Court Ends Them Would Create a Huge Market Mess
While both the House and Senate plans would create a means for people to continue to be covered in the wake of any Supreme Court finding that ended the subsidies in the federally run states, what we so far know about these proposals is clearly unworkable in the market and would lead to very big and unfortunate unintended consequences. See my post at Forbes (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - June 17, 2015 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Why Are the Proposed 2016 Obamacare Rate Increases So Large?
Why The Big Obamacare Rate Increases Have Begun a Year Early? One state after another is reporting big Obamacare rate increases––particularly from many high market share health insurers who have the best claim data. Where are the rates going up and by how much? Will regulators cut these rate increases back as they often did last year? What is causing this a full year before the insurance (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - June 9, 2015 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

The Eye Popping 2016 Obamacare Rate Increases Are Out
The Big Rate Increases Are Coming a Year Early The Obama administration has posted the 2016 rate increases in excess of 10% that the Obamacare health plans are requesting. There are a lot of them. All of the federally run states have been posted and some for the state exchanges as well. Both California and New York do not have their rates on this site yet. Some will quickly argue that many (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - May 31, 2015 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

The Columbia Journalism Review: " Why We Need Stronger Coverage of Covered California "
The California Press Gets a Critique It Has Long Deserved Covered California, the Obamacare state-run health insurance exchange, has long been the subject of occasional posts on this blog ––none of them flattering. The constant spin in the face of facts that comes out of Covered California and the way the press, particularly in California, has often just reprinted that spin hasn ' t been (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - May 30, 2015 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

The Columbia Journalism Review: "Why We Need Stronger Coverage of Covered California"
The California Press Gets a Critique It Has Long Deserved Covered California, the Obamacare state-run health insurance exchange, has long been the subject of occasional posts on this blog––none of them flattering. The constant spin in the face of facts that comes out of Covered California and the way the press, particularly in California, has often just reprinted that spin hasn't been (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - May 30, 2015 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Republicans Would Extend Obamacare Subsidies If the Supreme Court Strikes Down State Exchange Payments––But With Lots of Conditions
The Republicans should offer an unconditional subsidy extension if the Supreme Court strikes them down Wisconsin Senator Ron Johnson (R) has offered a plan to extend the Obamacare state exchange subsidies into 2017 if the Supreme Court strikes them down this summer. The Republican Senate leadership is supporting his bill. But Johnson has some pretty big conditions: Existing subsidies in the (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - April 26, 2015 Category: Health Management Authors: ROBERT LASZEWSKI Source Type: blogs

Rethink "Repeal and Replace" and Consumer Friendly Obamacare Fixes - Two Op-Eds in USA Today
I have no doubt Republicans will insist on proposing their own complex plan to reform the health insurance system that will include repealing and replacing Obamacare. But I think it is going to get them into more political trouble than it's worth. Here's the first of my two of op-eds in Thursday's USA Today: Rethink "Repeal and Replace" Of course that begs a question, Just what should we do (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - January 14, 2015 Category: Medical Lawyers and Insurers Authors: ROBERT LASZEWSKI Source Type: blogs

Will Tax Season Be Obamacare's Next Big Challenge? Is There Really an Individual Mandate?
Will tax-filing season be the next reason for consumers to complain about the new health law? Come tax time, will the Obama administration really enforce the individual health insurance mandate? The IRS is out with a 21-page publication––Publication 5187––describing what taxpayers need to know about Obamacare in order to file their 2014 taxes. On page six you will find this: So, if the (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - January 6, 2015 Category: Medical Lawyers and Insurers Authors: ROBERT LASZEWSKI Source Type: blogs

The Single-Payer Health Insurance Failure in Vermont
For 25 years I've been saying that I wished a little state like Vermont would implement a single-payer Canadian-style health insurance system––"Medicare For All." My argument has always been that such a small and limited experiment would give us the opportunity to see the ideological arguments for such a system play out in the face of fiscal reality and the stakeholders fighting it out in the (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - January 5, 2015 Category: Medical Lawyers and Insurers Authors: ROBERT LASZEWSKI Source Type: blogs

The Letter You Never Want to Get on Christmas Eve
I was reading the December 18th issue of Inside Health Insurance Exchanges and came across an article entitled, "New Kids on the Block Come Out Swinging; Co-Ops Lower Rates for Many Health Plans." The gist of the article had to do with the success a number of Obamacare insurance co-ops have had in charging lower rates and getting lots of market share by "[underpricing] more established players (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - December 29, 2014 Category: Medical Lawyers and Insurers Authors: ROBERT LASZEWSKI Source Type: blogs

How Many People Have Enrolled So Far in Obamacare's Second Open Enrollment?
Undoubtedly I will hear that question many times in the coming weeks. The answer is that this enrollment process is so screwed up we will have no earthly idea how many new people have enrolled and how many 2014 enrollees remained on the program until at least April 2015. Let me try to illustrate. Let's say George is now enrolled in Obamacare. He is happy to have subsidized and guaranteed (Source: Health Care Policy and Marketplace Review)
Source: Health Care Policy and Marketplace Review - November 13, 2014 Category: Medical Lawyers and Insurers Authors: ROBERT LASZEWSKI Source Type: blogs