ACI in Real Clear Policy — ACA Mired in Cost, Enrollment Flat

The Affordable Care Act (ACA) enrollee counts have plateaued at about 11 million. While the Congressional Budget Office (CBO) foresaw this, non-payment swings are proving more severe than expected. The result? The ACA is unable to deliver on its promise of full coverage at affordable prices. To read more, visit Real Clear Policy.

ACA Insurers Depart Due to Losses, But Renovation Looms

The backbone of the Affordable Care Act (ACA) is faltering as insurers begin withdrawal from health care exchanges.  Insurers are the main workhorses in the ACA – they accept premium payments from subscribers and subscriber-subsidies from government.  As well, insurers handle the administrative detail of confirming eligibility, premium payment and they pay for service from […]

ACA Is a Crisis We Must not Waste

Under the Affordable Care Act (ACA), premium subsidies of health care insurance are available to low income and some moderate income families.  ACA’s plain wording says the subsidies are available to states that operate their own exchange.  ACA was intentionally structured in that way to induce states to operate a health insurance exchange. Subsidies are […]

Affordable Care by the Numbers?

Although The Affordable Care Act became law in March 2010, its major impacts on the public are still being rescheduled.  While the individual mandate to obtain “adequate” healthcare coverage applies to adults and their family members starting in March 2014, employers’ obligation to offer that coverage has become a moveable feast.  Unfortunately “adequate” means whatever […]

Obamacare: Making the Dog Food

Promotion of the Affordable Care Act is like sausage making described in Upton Sinclair’s “The Jungle.”   In both cases a questionable product is pieced together from noxious ingredients, as is dog food.  ACA enrollment is far below expectations.  The ACA audience faces uncertainty about services cost and quality, a botched rollout, and America’s youth know […]

If It Were Not So Serious, We’d Be Laughing

Your Assignment: Hire and train enough $15/hour subject matter experts to enroll 30 million Americans in Obamacare by the 6 month deadline starting one week ago. This assignment probably cannot save Obamacare from slipping even further behind. But, to encourage pursuit of this unicorn, 100 nonprofits have been contracted to train Obamacare “navigators” who will […]

ACI in the Tallahassee Democrat–Explaining Obamacare’s Impact on Floridians

Obamacare in Florida – It ‘Coulda Been a Contender http://nolesports.tallahassee.com/article/20130812/OPINION05/308120006/Alan-Daley-Obamacare-coulda-been-contender Many Floridians are confused by the Obamacare health care system.  State officials have worked for three years to refine Obamacare for Florida’s needs, yet availability, price and the transition from today’s system remain unsettled. The question — “Can I keep my existing health plan?” — […]

Selling Obamacare: The Dog Food No One Wants to Eat

Separate strategies are needed in promotion and sales to succeed with buyer-prospects at different stages along the consumer experience.  Neophytes usually haven’t acknowledged any “needs” that the product can satisfy.  Until they are convinced they need the product, price is just a deadweight obstacle.  On the other hand, experienced buyers look for product attributes relevant […]