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The administration of Gov. Jay Nixon, a Democrat, has walked a political tightrope as the state gets ready for a federal initiative that the Republican-led Legislature strongly opposes and state voters have weighed in against - twice.
The SHOP exchanges are intended to make it easier for small businesses to offer their employees a variety of good plans, but that option is being delayed for a year in 33 states.
The health insurance premiums of younger, healthier adults will be important to balancing the cost of covering older, sicker Americans, but the challenge is to convince them they need the coverage.
Maine, Rhode Island, Wisconsin and Vermont are tightening eligibility requirements to shift some residents receiving Medicaid benefits into the online insurance marketplaces created by the health law.
A program aimed at getting people out of nursing homes and back in their own homes is off to a slow start. Organizers say it's a challenge to find out which services each person needs, from meals delivered to a whole new apartment.
More than 100 organizations receive money to help consumers sign up for coverage in online marketplaces in 34 states.
A Minnesota hospital's care for congestive heart failure patients set the stage for it to become an Accountable Care Organization under the health law.
A novel medical discount plan negotiates lower prices at the doctor's office or hospitals for members who aren't insured.
Critics say the rejection of individual plans from five companies that applied to sell inside the insurance marketplace will limit consumer choices and hurt continuity of care.
Some categories of essential benefits under the health law, like maternity care and preventive care, are straightforward. But "habilitative services" -- including treatments like physical and speech therapy -- are much more subjective.
The recent ruling on the Defense of Marriage Act didn't address question of tax implications for health care for couples who live in a state that doesn't recognize marriages.
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