The Heartland Institute

Problem: The Patient Protection and Affordable Care Act (PPACA), sometimes referred to as "Obamacare," requires states to establish and operate health insurance exchanges by 2014. States that create their own exchange must comply with federal requirements, and the exchange must be approved by the secretary of the Department of ...

The skyrocketing costs caused by Medicaid’s fee-for-service approach have states struggling to meet their government budgets, and access to quality health care is becoming scarcer. In hopes of improving access and reducing costs, many states are considering turning to managed care. Under a managed care system, health care providers ...