Health insurance exchanges

After more than 50 votes in Congress and two attempts before the U.S. Supreme Court to mothball the ACA and public exchange marketplace, some Republicans now see the budget reconciliation process as yet another avenue for achieving this long-time goal.

As they struggle to become financially stable, state-based health insurance marketplaces are lagging behind the federally-facilitated marketplace and are likely to continue to do so in the near future.

With 24 Republican senators up for reelection in November 2016, not to mention the presidential election, there is so much set to change for both public and private exchanges.

Marilyn Tavenner, who steered the U.S. Medicare and Medicaid agency through the rollout of Obamacare’s federal insurance markets, was named to lead the health-insurance industry’s lobbying group.

About 6.6 million U.S. taxpayers paid a penalty imposed for the first time this year for not having health insurance, about 10% more than the Obama administration had estimated – though a portion didn’t need to.

The Centers for Medicare and Medicaid Services estimates that more than 77,000 brokers and agents assisted with enrollments on the federally-facilitated marketplace in year two open enrollment, up 46% from the year prior.

Companies are shifting their attention to health coverage for their pre-65 retiree population and exploring the opportunities public exchanges provide this population, now that the Supreme Court has upheld subsides on the federally-facilitated health insurance marketplace.

The $34.1 billion blockbuster deal between Aetna Inc. and Humana Inc. is seen as complementary to both health insurers in terms of helping grow their involvement in private and public health insurance exchanges.

More than half of the nation approves of the Supreme Court ruling in King v. Burwell that subsides on the federal health care exchange can be legally issued to consumers.

Narrow-network restrictions help health insurance carriers participating in public exchanges limit their exposure to adverse selection and better manage the cost of patient care, but they’re also an annoyance for health care exchange enrollees who want unencumbered access to doctors and hospitals.