Online marketplaces at the heart of the health law opened for business Tuesday, often haltingly, as Web-based insurance portals were swamped with consumers who were frequently unable to sign up.
Days before the new online health insurance markets were set to open, the Obama administration released a look at average premiums, saying rates in most states are lower than earlier projected.
A handful of states, including Oregon, Maryland, Minnesota and California, are opting to start rating health plans based on quality well before they're required to in 2016 under federal health reform.
Federal law generally bars illegal immigrants from being covered by Medicaid, but a little-known part of the state-federal health insurance program for the poor pays about $2 billion a year for emergency treatment for a group of patients comprised mostly of illegal immigrants.
Federal officials are urging Maryland and its powerful health industry to build on the state's unique hospital rate-setting system to develop sweeping cost controls that could be used as a model for other states.
GOVERNING in the states and localities provides intelligence and analysis on management, policy and politics to help guide and inspire innovative leaders across state and local government.