The Affordable Care Act is in the midst of the death spiral critics have long predicted.

As open enrollment starts Tuesday on the Affordable Care Act exchanges, consumers in some parts of the country are bracing for huge rate hikes, while many others are preparing to change insurers and likely doctors.

Until this week, when big increases in insurance premiums were unveiled for next year, the federal health law has not been a major issue in the presidential election. In fact, fixing what ails the Affordable Care Act isn’t even among voters’ top priorities for health issues for next year, according to a new poll.

Americans in the health insurance markets created by President Barack Obama's law will have less choice next year than any time since the program started, a new county-level analysis for The Associated Press has found.

The Affordable Care Act risk-adjustment program is working so poorly that it's pushing individuals and small groups that have alternatives out of the ACA-compliant coverage market, according to Mark Bertolini.

The pharmaceutical industry has contributed $109 million to defeat Proposition 61, the most money raised for or against any of the 17 statewide ballot initiatives this year.