More than four and a half years after passage of the Affordable Care Act (ACA), the primary political remedies offered to improve the health of disadvantaged Americans remain focused narrowly on financing more health insurance coverage.

Last Saturday, August 16, marked the 60th anniversary of the enactment of the Internal Revenue Code of 1954, which permanently established in federal law generous tax advantages for employer-paid health-insurance premiums.

The latest somersaults and contortions over Obamacare last month spread from courtrooms to the blogosphere, with another round of regulatory “adjustments” not far away.

Resident Fellow Thomas Miller talks with Fox News about the individual mandate and the large amount of exemptions that seem to make Obamacare a "voluntary system". 

Thomas Miller briefs a group of state health policy officials, experts, and thinkers on a special State Leaders conference call.

Resident Fellow Thomas Miller talks to Fox News about what it would mean for Obamacare if the Halbig case is affirmed. 

Please join us for a broader exploration of targeted interventions that provide real promise for reducing health disparities, limiting or delaying the onset of chronic health conditions, and improving the performance of the US health care system.

The last round of oral argument in the most serious legal challenge to Obamacare’s insurance coverage subsidies ended over three months ago.  Now the courthouse watch for a final ruling in the U.S. Circuit Court of Appeals for the D.C. Circuit has neared a fever pitch.

Exactly how many of the actual provisions of the ACA will be implemented and enforced still remains subject to change. But what comes through clearly is that employers remain engaged in finding better options through and around the evolving regulatory maze of Obamacare.

Is it possible for more Republican-led state governments to expand their Medicaid programs without politically endorsing the extension of ObamaCare under the Affordable Care Act? Indiana Gov. Mike Pence (R) says he can, but he hasn't convinced a number of conservative Republican critics.