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Health Care Edge

States Show Fed Who’s Boss--Health Care Edge: Brought to You by American Medical Association

November 14, 2013

States Show Fed Who's Boss is a disaster, so it's no surprise that the state-run exchanges performed better. But this much better? State-run exchanges mopped the floor with the federal marketplaces when the administration released its first-month enrollment data Wednesday. Unofficial leaks had set the stage for about a 50-50 breakdown between state and federal exchanges, but the real numbers were much more stark: State exchanges accounted for 75 percent of all enrollment; the 36 states relying on trickled in with just one-fourth of the total.

That's a good illustration of just how bad is, but also a good reminder why health care experts and the administration always wanted states to take the lead setting up their own exchanges. GOP governors' refusal to do so was, in part, an attempt to overburden the federal implementation process and break the system--even if it meant higher premiums and more federal control in their states.


If Wednesday's enrollment numbers are any guide, it's working.

Sam Baker

Top News

By Sophie Novack and Clara Ritger

IT'S OFFICIAL: OBAMACARE ENROLLMENT NUMBERS ARE LOW. 106,185 people have selected an insurance plan through the exchanges. Here are some key facts to know.

CALIFORNIA OBAMACARE ENROLLMENT SOARS. The state's numbers far outpace federal sign-ups, especially in November.

DEMOCRATIC UNITY AT A BREAKING POINT? A Democratic divide is growing over Obamacare, as political pressures escalate over implementation problems.

IF YOU LIKE YOUR PLAN ... Democratic support is growing for a Senate bill that would let individuals keep their plans under Obamacare. A similar bill is set to be voted on in the House Friday. Both could seriously damage the success of the law.

BIPARTISAN AGREEMENT THAT OBAMACARE WARRANTS IT REFORM. Republicans and Democrats agreed on something at the House Oversight Committee hearing Wednesday.

IT OFFICIALS WON'T MAKE PROMISES ABOUT WEBSITE FIXES BY NOV. 30. Pressure is mounting to fix before a coverage gap occurs.

ISSA SLAMS WHITE HOUSE ON OBAMACARE SITE'S TRAFFIC. "You gave a number. That number was erroneous."

MYSTERY OBAMACARE WEBSITE WOMAN IS IDENTIFIED. Everyone can relax, the former face of has come forward to talk.

WANT TO REVERSE HEALTH PLAN CANCELLATIONS? Then you're going to have to hike Obamacare premiums.

CONNOLLY BLASTS GOP LAWMAKERS OVER OBAMACARE. He accused them of selectively leaking documents to shape media coverage of the health law rollout.

OBAMACARE APPLICATIONS TRIPPED UP BY LACK OF SPANISH RESOURCES. hasn't been launched yet, but even the Spanish training materials are lagging.

Happening Today

MORE OBAMACARE HEARINGS. The House Energy and Commerce Committee is reviewing the law's rollout at 10 a.m. The House Education and Workforce Committee is reviewing its impact on schools at 10 a.m. The House Small Business Committee is reviewing self-insurance and health benefits at 10 a.m.

KEEP YOUR HEALTH PLAN ACT. The House Rules Committee is holding a meeting about the bill at 3 p.m.


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