I’ve written before about the unrealized dreams of Obamacare, unrealized because they were poorly designed. One example is the mostly disappointing results of Accountable Care Organizations, which were created in Obamacare. Another is how hospital-physician group mergers drive up the costs in areas where these mega-systems dominate the local market (Harvard Pilgrim...
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Our national useless dialogue on the future of healthcare in the U.S. continues. Trumpocare has a long way to go before it potentially becomes law, so no one knows  what it will finally look like. Obamacare is in a death spiral anyway. I’ve written about it before, and still believe this...
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I have written before about predictions of the actual costs of Obamacare and the probable death spiral of increasing costs and decreasing participants. Several recent reports have brought more clarity to the cost realities. Recently regulators across the country approved rate hike requests by Obamacare insurance companies even greater than they...
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A key part of Obamacare is not going so well. But before I continue, I assume that some of my readers won’t know some of the acronyms, so I’ll define them. An ACO is an Accountable Care Organization, which was created in the PPACA (Obamacare). The spirit of an ACO was...
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Several commentators have talked about a death spiral for the Obamacare health insurance exchanges. What do they mean? One of the keys for any insurance plan to work is that a lot of healthy people have to sign up to cover the costs of the sick. For car or homeowner’s insurance, losses...
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The Congressional Budget Office just released a report estimating that the total workforce will lose 2 million jobs over the next 10 years as result of the new coverage expansions under Obamacare, with its mandates and changes in tax rates. This reduction could be from several factors. Some people might choose...
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I’ve written many times about how the march of healthcare hyperinflation continues apace, meaning that the inflation rate for healthcare and health insurance continues to be greater than the general inflation rate (most recent post on the topic by me). Another report sheds more light on how this is affecting all Americans...
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Let’s start with some supposed good news. The headline recently read Jobless rate is lowest in more than 7 years. It’s officially at 5.1%, compared to 10% in 2009. But dig deeper. If people who can only get part time work and other people on the fringes of the job market are...
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In a post I wrote about 7 months ago, I stated that it was too soon to tell what the real effect of Obamacare on the overall cost of healthcare/health insurance was going to be. Unstable membership populations, loss-leader offerings by insurance companies, and other factors means that it will probably take...
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A recent report in USA Today disclosed the range of deductibles in the silver health insurance plans under the federal exchange of Obamacare. The authors concluded that in regions with less competition, the costs were higher. Families that make more than 250% of the federal poverty level — about $60,000 for...
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