Health Care

WPC's Center for Health Care develops patient-centered solutions to reduce costs and improve the availability and quality of health care for businesses and individuals, providing the only detailed, independent critique of health care issues available in the Northwest.

What's New

Adverse Risk Selection Continues in the Washington State Health Insurance Exchange

January 26, 2014 in Blog

The Washington Health Benefit Exchange just released the latest enrollment numbers. (Here) These were  the enrollment figures from December 23rd, which was the deadline for coverage that began on January 1, 2014. Although somewhat improved over the November data, the numbers still reflect a serious adverse selection problem.

The Impact of the Affordable Care Act in Washington State

January 21, 2014 in Publications

“We have to pass the bill so you can find out what’s in it...”
-Speaker Nancy Pelosi, March 9, 2010

Key Findings

Obamacare's Popularity Continues to Decrease

January 19, 2014 in Blog

January 1st marked the beginning of the real implementation of Obamacare. Both the Medicaid expansion and the new health insurance received through the state/federal exchanges all began on the 1st. How has the American public responded?

Potential Death Spiral for Obamacare

January 14, 2014 in Blog

The latest numbers for enrollees in the Obamacare health insurance exchanges were recently released. We are now over half way through the enrollment period, but only 2.2 million of the 7 million people the federal government predicted have signed up.

Help for 290,000 Washington Residents with Cancelled Health Insurance

January 13, 2014 in Blog

The 2014 Washington state legislative session began today and Republicans have introduced a bill to help the 290,000 Washingtonians who had their health insurance policies cancelled because of Obamacare.

Medicaid Increases the Number of Emergency Room Visits

January 5, 2014 in Blog

Researchers conducting the Oregon Medicaid study released more results last week. It turns out that having Medicaid health insurance actually increases emergency room visits by 40 percent.

More Obamacare Exemptions and Delays

December 20, 2013 in Blog

The Obama Administration continues to lurch from one fix to another as the Obamacare trainwreck barrels down the tracks. The latest came yesterday when officials declared that people with cancelled health insurance could purchase simple catastrophic plans for one year on a "hardship" exemption.

No "New" Health Insurance Break for Small Employers

December 18, 2013 in Blog

The Obama Administration and leading Washington state Democrats are now promoting a "new" plan that allows employers to purchase employee health insurance with federal tax credits. This is being advertized as a one-year stop-gap measure to give employers financial releif until the the SHOP program is up and running state-wide in 2015.

Estate Taxes - An Unintended Consequence of Obamacare

December 16, 2013 in Blog

Medicaid began in 1965 as a health insurance entitlement for poor children and their families. Over the past 48 years, the program expanded to include disabled adults and long-term care. Today in the legacy Medicaid, 25% of enrollees are disabled and long-term care adults, but these people account for 75% of the cost of the overall program.

Obamacare Rollout in Washington State

December 4, 2013 in Blog

Washington state has been very pro-active about implementing the Affordable Care Act (ACA), or Obamacare. Washington is one of only 15 states to establish a state health insurance exchange. The other 35 states plan to use the federal exchange, which has been plagued by glitches and major problems. Medicaid expansion is a huge part of Obamacare and will be administered through the state exchange. The legislature never took a formal vote on the Medicaid expansion.