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Exchanges: What Went Wrong? - Health Care Edge Exchanges: What Went Wrong? - Health Care Edge

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Exchanges: What Went Wrong? - Health Care Edge

Exchanges: What Went Wrong?

By Sam Baker, Sophie Novack and Clara Ritger


LESSONS LEARNED: State officials who oversaw some of the rockiest Obamacare exchanges will be on Capitol Hill today for a hearing about their failures. Officials from Hawaii, Maryland, Massachusetts, Minnesota and Oregon will field questions from the House Oversight and Government Reform Committee. The problems in those states ranged from unsteady rollouts to end-to-end failure (Oregon still doesn't have a functioning exchange). California's exchange director will also be there, for a taste of what did work in building an exchange.

Top Health Care News

15-20 PERCENT AREN'T PAYING PREMIUMS, INSURER SAYS: If Blue Cross Blue Shield's data reflects the overall market, enrollment will fall to about 6 million. (Sam Baker, National Journal)

MENTAL HEALTH GROUPS SPLIT ON MURPHY'S OVERHAUL BILL: "It's the most comprehensive mental health bill we've seen in a long, long time, and that in itself is an accomplishment," said Keris Myrick, president of the board of the National Alliance on Mental Illness, which supports some parts of the bill. "I think almost everyone sees things in the bill that are long overdue, but also things they're very concerned about." (Benedict Carey, New York Times)


PHYSICIAN DATA ON HEALTH SERVICES, PAYMENTS TO BE RELEASED BY OBAMA ADMINISTRATION: As early as next week, the administration plans to release information about the number and type of health-care services delivered by more than 880,000 physicians in 2012, as well as how much Medicare paid them for the services. Together, those physicians collected $77 billion in payments through Medicare. (Sandhya Somashekhar, Washington Post)

Health Care Politics

BOBBY JINDAL DISMISSES OBAMACARE NUMBERS, UNVEILS OWN REFORM PLAN: The Louisiana Republican is eyeing a 2016 presidential run. His plan would start by repealing Obamacare. (Kyle Cheney, Politico)

HOUSE ADVANCES BILL TO CHANGE ACA'S DEFINITION OF FULL-TIME WORK: The president has already said he would veto the bill, which would change language defining full time from 30 hours per week, to 40. (Pete Kasperowicz, The Hill)


HOUSE GOP COALESCES BEHIND RYAN BUDGET, DESPITE ANGER OVER DOC FIX VOTE: "Tensions flared initially at Wednesday morning's Republican Conference meeting over what conservatives called a "sneaky" decision by GOP leadership last Thursday to patch the sustainable growth rate requirement in the Medicare program with a simple voice vote...Soon after, rumors started to circulate that some conservative members might vote against Ryan's budget proposal—which hits the House floor next week—as payback for the 'doc fix' maneuver." (Tim Alberta, National Journal)

IS OBAMACARE DOOMED? A TRIP DOWN MEMORY LANE: Hyperbolic predictions from politicians and the media about the health law didn't come true. And it could teach a lesson for how we discuss policy in the future. (Jonathan Cohn, The New Republic)

Obamacare Numbers

WHY SOME DON'T PAY THEIR OBAMACARE PREMIUM: IT'S NOT WHAT YOU THINK: UC Berkeley researchers found that some 20 percent of people who had signed up for Covered California are expected to leave the program because they now have employer sponsored health insurance. (Lisa Aliferis, KQED)


Health Care Edge is one of my top resources."

Meghan, Associate Specialist

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A NECESSARY RANT ON OBAMACARE METRICS: They all matter. Using only one metric takes the success or failure of the health law out of context. (Sam Baker, National Journal)


WHY OBAMACARE'S NOT PLAYING IN GOVERNORS' RACES: Republicans' attacks don't translate well into gubernatorial contests, forcing a mixed approach to the GOP's anit-ACA strategy. (Karyn Bruggeman, National Journal)

PENNSYLVANIA'S MEDICAID EXPANSION ISN'T LOOKING SO HOT: Republican Governor Tom Corbett applied for a waiver from the feds to do Medicaid his own way and now he's "reaching his breaking point." (Amy Worden, Philadelphia Inquirer)

GROUPS FILE ANOTHER TEXAS ABORTION LAWSUIT: Advocates haven't given up their fight against the restrictive state law that is set to close all but six clinics by September. (Sophie Novack, National Journal)


QUITTING SMOKING COSTS MORE IF YOU'RE POOR: A new CDC report finds that coverage for tobacco cessation treatment is lacking in state Medicaid programs. (Clara Ritger, National Journal)

YOUNG AND FIT? YOU'LL BE OLD AND SHARP, STUDY FINDS: "The longer you could go on this treadmill test... the better you did in thinking skills," the researchers said. (Maggie Fox, NBC News)

Happening Today

CHINA'S HEALTH CARE SECTOR, DRUG SAFETY, AND U.S.-CHINA TRADE IN MEDICAL PRODUCTS: The U.S.-China Economic and Security Review Commission is holding a hearing from 8:30 a.m. to 3:30 p.m. in Russell with representatives from various organizations and agencies including the Food and Drug Administration, the Pew Charitable Trusts, PhRMA and the Council on Foreign Relations.

EXAMINING OBAMACARE'S PROBLEM-FILLED STATE EXCHANGES: California, Hawaii, Maryland, Massachusetts, Minnesota and Oregon are on the chopping block at a joint subcommittee hearing held by the House Oversight and Government Reform Committee at 10:00 a.m.

HOUSE ENERGY AND COMMERCE SUBCOMMITTEE ON HEALTH HEARING: A review of Pennsylvania Republican Tim Murphy's Helping Families in Mental Health Crisis Act at 10:30 a.m. in Rayburn.

MEDPAC APRIL MEETING: The Medicare Payment Advisory Commission will meet Thursday and Friday, April 3-4, to discuss items that will lead to its June report to Congress. Thursday's schedule begins at 9:30 a.m. with sessions on primary care and quality of care.



Health Care Edge is one of my top resources."

Meghan, Associate Specialist

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