ACA

April 8, 2013

Untold Story of Small Biz Delay under ACA, Just Déjà Vu from Massachusetts

The revelation that the Obama Administration will delay the roll out of the “choice option” for small Senator Mary Landrieu (D-LA) has been credited with advocating for small business employee choice in the ACA. (Photo credit: Wikipedia) business until 2015 came as...
April 1, 2013

Will Mass Unmerge Insurance Marketplace Because of ACA?

I have written numerous times about the impact that the ACA will have on small businesses in Massachusetts, and the predicted “extreme premium increases.” According to a recent InsideHealthPolicy.com story, the state is discussing unmerging the individual and non-group markets to avoid this unintended consequence of...
March 22, 2013

As Federal Health Law Turns Three, We Should Leverage The Power of Federalism

As the Patient Protection and Affordable Care Act (ACA, aka ObamaCare) turns three this week, states and employers are feeling the weight and complexity of the early stages of implementation. Pioneer reflects on how the nation can best move forward. 5 recommendations...
March 21, 2013

Pioneer Requests Report That Predicts ACA’s "Extreme Premium Increases"

Pioneer Files Request for the Administration to Release Its Report on the Impact of The Federal Health Law on Massachusetts’ Small Businesses The report is known to indicate that the ACA will cause “extreme premium increases” for small businesses BOSTON – Today...
February 13, 2013

5 Takeaways from the Employer Healthcare Survey in Massachusetts

CHIA, the healthcare data agency for the Commonwealth, finally released a very late version of the 2011 employer survey. (The two reports can be found here and here.) Recently I blogged on the data neglect I observed at the agency as they are...
January 18, 2013

Mass Connector Up to $180 Million to Change Tires on the Exchange

The Boston Globe reported on its website yesterday that the Massachusetts Connector was awarded a Level Two establishment grant worth $81 million. I have written before on the Pioneer blog about the fire hose of federal dollars coming to New England for exchanges,  but...
December 11, 2012

ACA Impact, Part 5: New $63 Per-Head Tax

The headline from the AP this morning Surprise: New Insurance Fee in Health Overhaul Law The fee will total $12 billion in 2014, $8 billion in 2015 and $5 billion in 2016. That means the per-head assessment would be smaller each year,...
March 13, 2012

WITH FEDERAL HEALTH LAW FACING SUPREME COURT TEST, NEW BOOK OFFERS ALTERNATIVE

Pioneer's new book, The Great Experiment, proposes that the states take the lead in health-care reform, as Massachusetts did in 2006, and that Washington facilitate the transition, rather than try to dictate every move.