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Bloomberg BNA, Mary Ann Pezenowski, speaking of medicine and health care, does a lot of work in

exceptionally narrow close articles on what's really going on with health care.

She is here to give us an update on the huge controversy that was the

Affordable Care Act.

Where does the Act stand now, Marianne? Is this an act now

embedded in our day-to-day law and life? Oh I think it is. I think providers are

having to meet new payment models because of it. I think insurers are having to pay out claims that they hadn't in the past.

They have now under the ACA they're required to issue

policies to people that they weren't required to do so before and the

Republicans have tried and failed several times to repeal it so I think we're here to say.

Lost in efforts to repeal is the truth that every major program launched by the government is the same thing and probably

private sector and needs to be tweaked and there are efforts underway to do

that you're writing about one that is looking at the Act's risk adjustment program.

And I wanted you to first tell me what that is, and then you can explain why Evergreen Health Co-op needs changes.

Okay well Congress recognized that when they were banning insurers from refusing to enroll people who have

who are in what are called high-risk categories that is people who will need a lot of

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