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ACA news roundup: Old lawsuits, new controversies

All eyes are on the Affordable Care Act as the healthcare reform law's fate continues to spark debates and lawsuits.  FierceHealthPayer   rounded up the top ACA stories from this week to discuss the legal issues, the controversies and the what-ifs.

ACA plans don't address the underinsurance problem

The Affordable Care Act was intended to reduce the number of uninsured consumers, but it hasn't required payers to address the underinsured consumers who have coverage but still must pay substantial out-of-pocket costs, according to a New York Times Upshot column.

Medicaid opt-out states would benefit most from insurance reforms

Thirty-two million Americans under the age of 65 remained underinsured in 2012, the Commonwealth Fund finds. In states choosing to not expand Medicaid, more than 15 million underinsured and uninsured earn less than $23,550 a year for a family of four, placing them below the poverty line.

ACA coverage may be inadequate for chronically ill

Most Americans insured through exchanges who reach out-of-pocket maximums will be underinsured, despite Affordable Care Act subsidies and lower out-of-pocket caps, according to an analysis by Avalere Health.

Docs barter health services for odd jobs

At True North, a nonprofit clinic in Falmouth, Maine, patients who barter for care not only receive treatments they otherwise couldn't afford, but they are truly engaged in that care, Tom Dahlborg,

Enhanced coverage plugs holes in 'underinsured' care

There are many problems with the nation's healthcare system today, but I think there's one in particular that needs to be addressed--nearly half of all U.S. adults (81 million people!) were either

Cost leads more patients to compromise on healthcare

It's not just would-be hospital patients putting off medical care because of cost concerns. According to the latest numbers from the Deloitte Center for Health Solutions, physician practices have

Providers' collection policies adapt to economic slump

With the recession still hitting many Americans hard, and near-universal healthcare years away, providers continue to seek alternative ways to get paid for their services. For some, it means skipping

Emergency doctors slam new HHS chief

Wow, this honeymoon didn't last. The ink was barely dry on HHS Secretary Kathleen Sebelius' appointment as agency chief this week when the country's largest emergency physicians' group came out to