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Medicare & Medicaid

Medicare & Medicaid

Featured

Featured
ACA open enrollment: what’s new for 2025
Open enrollment for 2025 ACA (Affordable Care Act)-compliant health insurance is just around the corner. Let’s take a look at the various changes that consumers should be aware of this fall.

Featured

Featured
Fact check: Is the $6,400 subsidy real or a scam?
Ads on social media – promising a $6,400 subsidy – have been flagged as misleading. Here's what you need to know about the $6,400 subsidy scam.

Expert analysis of health reform issues

Anatomy of a true health insurance death spiral photo

Anatomy of a true health insurance death spiral

March 4, 2015 – AHIP warned that eliminating the subsidies ... would quickly lead to the collapse of the individual health insurance market in those states…

Succeed or fail, challenge may push rates higher photo

Succeed or fail, challenge may push rates higher

March 3, 2015 – Because of all this uncertainty, insurers reportedly are thinking of pricing their policies higher for 2016 than they would if they knew…

Americans know how to shop (even for insurance) photo

Americans know how to shop (even for insurance)

February 27, 2015 – Evidence from the 2014-2015 open enrollment period provides evidence that most buyers are making rational decisions and finding coverage…

If SCOTUS nukes Obamacare, what happens next? photo

If SCOTUS nukes Obamacare, what happens next?

February 23, 2015 – A negotiation will, of course, take place if the Supreme Court drops the King bomb on the ACA. And Michael Leavitt, who sat in Sylvia…

GOP’s plan for the future would take us backward photo

GOP’s plan for the future would take us backward

February 9, 2015 – What are these so-called "new" ideas? They are actually old ideas ... ones we have been hearing about for over a decade. They didn't work…

How subsidy-eligible enrollees got ‘false negatives’ photo

How subsidy-eligible enrollees got ‘false negatives’

February 2, 2015 – By now it's clear that many who are eligible either for subsidized private coverage or Medicaid under the ACA don't know that they're…

Study: The doctor is more likely to see you now photo

Study: The doctor is more likely to see you now

January 21, 2015 – For reasons that baffle me, ACA made Medicaid's enhanced reimbursement temporary. It expired December 31. Fifteen states plan to use their…

For many ACA beneficiaries: ‘Ivy League’ benefits? photo

For many ACA beneficiaries: ‘Ivy League’ benefits?

January 6, 2015 – Contributor Andrew Sprung isn't buying a New York Times article by Robert Pear that describes faculty health coverage at Harvard as 'far…

Santa, please fix the ‘family glitch’ photo

Santa, please fix the ‘family glitch’

December 23, 2014 – There are somewhere between 2 and 4 million people who are impacted by the "family glitch" who are basically missing out on access to…

Hanukkah Harry, enrollment transparency, please photo

Hanukkah Harry, enrollment transparency, please

December 22, 2014 – So what I'd like from Hanukkah Harry this year ... or going forward ... would be I know that recently HealthCare.gov has finally started…

Santa, we need CSR subsidies for Bronze plans photo

Santa, we need CSR subsidies for Bronze plans

December 21, 2014 – For low-income people Bronze plans are very rarely appropriate because the out-of-pocket costs are likely to be so high. Cost-sharing…

Santa, please deliver single-payer healthcare photo

Santa, please deliver single-payer healthcare

December 21, 2014 – "I think that our first step – especially at this holiday season – is to ask for a change of heart … that ultimately, you have to…