Rstark

Vermont Governor Gives Up On Single-Payer Health Care System

December 18, 2014 in Blog

Yesterday, Governor Peter Shumlin announced he would not seak a single-payer health care system for Vermont. This is a huge shift in policy for the governor who has campaigned for a single-payer system for years. He barely won re-election last month, defeating a relatively unknown Republican candidate.

More Federal Taxpayer Money to Force State Control of Our Health Care System

December 17, 2014 in Blog

The Affordable Care Act, or Obamacare, provides $2.8 billion for states to develop "innovative" healthcare delivery plans (here). Washington state officials spent most of 2013 designing a very comprehensive plan called the Washington State Health Care Innovation Plan (SHCIP). The work was supported by a $1 million grant from the federal government.

More Ideas for Healthcare Reform

December 17, 2014 in Blog

Obamacare remains unpopular with the American public. The Gallup Poll from last month found that only 37 % of Americans approved of Obamacare and a startling 56% disapprove of the law. Many ideas are now circulating for meaningful health care reform.

Even Obamacare Supporters Now Believe It Was Wrong

December 1, 2014 in Blog

Senator Chuck Schumer (D-NY) has had a position of leadership in the Democratic caucus for years. He has been one of the most outspoken supporters of Obamacare since the Congressional debate in 2009.

However, in an address to the National Press Club last week (audio available here), he admitted that: "Unfortunately, Democrats blew the opportunity the American people gave them (in the 2008 election). We took their mandate and put all of our focus on the wrong problem: health care reform."

Obamacare Remains At Risk

November 11, 2014 in Blog

The U.S. Supreme Court decided last week to hear King v. Sebelius this term. This is one of at least four lawsuits that deal with the legality of the IRS giving out taxpayer subsidies in the federal health insurance exchange.

Repeal or Reform Obamacare?

November 6, 2014 in Blog

Republicans will control the U.S. Senate next session. The Affordable Care Act, or Obamacare, remains unpopular with Americans and the issue for the G.O.P. will be to repeal or reform the law. With President Obama in the White House until 2016, the chance for repeal is virtually zero. The Republicans don't have enough votes to override a presidential veto.

Medicaid Can Not Survive as an Open-ended Entitlement

October 15, 2014 in Blog

No surprise, as the economy improves states are expanding their Medicaid programs.

Obamacare Remains in Jeopardy

October 1, 2014 in Blog

The Affordable Care Act (ACA), or Obamacare, was signed into law in 2010. It was one year ago today that the state and federal health insurance exchanges began enrollment. Washington state is one of 15 states that established its own exchange. The other 35 states elected to use the federal exchange.

Are Hospitals Really Doing Better Under Obamacare?

September 25, 2014 in Blog

Yesterday, the Obama Administration released data that shows hospitals are projected to save $5.7 billion in uncompensated care costs because of the Affordable Care Act (ACA) or Obamacare. The majority of the savings comes from the Medicaid expansion and is anticipated to occur in those state that chose to expand the program for low-income individuals.

Reduction in Charity Care for Washington State Hospitals; But At What Cost?

September 15, 2014 in Blog

The Washington State Hospital Association released financials for the first half of 2014 as reported in The Seattle Times today. The big news was a decrease of $154 million in charity care for hospitals in the state. Hospitals believe this 30% decrease in charity care is a result of more people being insured through Obamacare. Specifically, the Affordable Care Act expands Medicaid for more people in the low-income demographic.

Solutions to the Doctor Shortage

September 2, 2014 in Blog

The Seattle Times published an excellent article today outlining the crisis in rural health care delivery. All areas of the nation, but especially the smaller communities, face a real shortage in primary care providers.

Centralia School District Defrauds Medicaid

July 25, 2014 in Blog

It was recently reported that the Centralia School District submitted false financial claims to the Medicaid program at least 200 times.[1] What does a school district have to do with Medicaid, a health insurance entitlement for children of poor families?

Obamacare Architect on Record for Agreeing with D.C. Appeals Court Decision

July 25, 2014 in Blog

On July 22nd, the U.S. Appeals Court for the D.C. Circuit ruled in a 2 to 1 decision that the residents of any state that used the federal health insurance exchange could not legally receive taxpayer subsidies to help them purchase health insurance. (Here) The language in the Affordable Care Act (ACA), or Obamacare, is very specific.

Huge Blow to Obamacare Today

July 22, 2014 in Blog

In a potentially huge blow to the Affordable Care Act (ACA), or Obamacare, the U.S. Appeals Court for the D. C. Circuit today ruled in a 2-1 decision that the I.R.S. lacked the authority to allow subsidies to be provided in health insurance exchanges not run by individual states (Halbig vs Burwell). (Here)