President Barack Obama had to veto a bill passed by congressional Republicans to repeal most of the Affordable Care Act, whose new insurance markets also faced questions about sustainability.
As of Dec. 17, 12 of 23 not-for-profit co-op health plans established through ACA loans to provide more insurance competition have been shut down for financial reasons.
Michael Cannon of the Cato Institute and Jonathan Adler of Case Western Reserve University were rebuffed by the U.S. Supreme Court when the justices rejected the lawsuit they spearheaded to cripple the ACA’s premium subsidy program.
Dr. Prem Reddy, CEO of Prime Healthcare Services, withdrew Prime from a deal to acquire the six-hospital Daughters of Charity Health System, its biggest deal to date, after the California attorney general set tough conditions for approval.
Martin Shkreli, CEO of Turing Pharmaceuticals, was vilified even by drug industry leaders for “profiteering” after his company bought the rights to the drug Daraprim and immediately raised the price by more than 5,000%.
UnitedHealth Group CEO Stephen Hemsley announced his company lost $425 million on its ACA exchange plans in 2015 and blamed himself for a bad decision in moving his company into the exchanges.
Healthcare providers and low-income residents in Florida, Tennessee, Utah and Virginia saw major political efforts fall short to expand Medicaid under the ACA.
Tennessee Republican Gov. Bill Haslam failed to get his GOP-controlled Legislature to approve his conservative version of Medicaid expansion.
Many health plan members received care at an in-network facility and later got a surprise out-of-network bill from an out-of-network provider from whom they unknowingly received care.
Healthcare providers’ right to sue state Medicaid agencies over low payment rates was sharply limited by the U.S. Supreme Court’s Armstrong decision, which could reduce low-income Americans’ access to care.
Florida Republican Gov. Rick Scott had to settle for about half the federal funding his state had been receiving to subsidize hospital care for low-income patients after Scott angered the Obama administration by refusing to expand Medicaid under the ACA.