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The uncertainty over King v. Burwell is prompting a handful of states to allow health insurers to submit two sets of proposed 2016 premium rates — one for each Supreme Court scenario. If the Supreme Court in late June rules against the Obama administration and halts subsidies in 34 states, the cost of insurance is expected to increase significantly because mostly the sickest people would keep their coverage. The potential for such a sudden change makes it complicated for insurers to plan their rates for 2016 — a process that is beginning now. (Pradhan, 4/9)

Tens of thousands of people in Missouri and Kansas could see their health insurance premiums double or even triple if the Supreme Court declares that the tax credits they receive through Obamacare are illegal. Such a ruling could send both states’ insurance markets into a “death spiral,” a nightmarish scenario that means skyrocketing premiums and a financial crisis for hospitals, health policy experts say. (Wise, 4/9)

Hundreds of consumers trying to buy health insurance through the Massachusetts Health Connector continue to encounter snags, even as new leadership works to fix a balky system. (Freyer, 4/10)

Despite its rocky launch, the federal health insurance exchange did better than the exchanges run by individual states at both enrolling new people in Obamacare and hanging onto previous enrollees during the 2015 open enrollment period that ended in February, according to a recent analysis. (Andrews, 4/10)