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CBO Projects That 22 Million Would Lose Coverage Under Senate Bill

The CBO projects that the Senate GOP health reform bill would reduce spending over the period of 2017-2026 by $321 billion. It would also, however, reduce coverage by about 22 million people by 2026, and would increase the cost and decrease the value of coverage for lower-income and older people.

Amended Senate Bill Includes Waiting Period for Those Who Let Coverage Lapse

The new Senate amendment would allow an insurer in the individual market to impose a waiting period of six months on an enrollee who had had a gap in coverage of 63 days or more during the preceding 12 months.

The Downstream Consequences Of Per Capita Spending Caps In Medicaid

From the lens of economics, we draw an analogy to per capita payments in health insurance markets and explain how the currently proposed reforms threaten the core programmatic purpose of Medicaid by incentivizing states to limit care and coverage to the states’ most vulnerable residents.

What’s CHIP Got To Do With It?

CHIP was traditionally seen as a bipartisan program. However, the uncertain political footing for the program will play a role this summer with the future of children’s coverage up for debate again.

Sounding The Alarms On Children’s Health Coverage

Buried beneath a very intense discussion on the future of adult coverage in this country has been a far more serious issue in children’s coverage many years in the making.

ACA Round-Up: QHP Application Deadline Passes, House v. Price, Special Enrollment Periods

On June 23, 2017, HealthCare.gov began requiring pre-enrollment verification for eligibility for loss of minimum essential coverage and permanent move special enrollment periods.

Medicaid Round Two: The Senate’s Draft “Better Care Reconciliation Act Of 2017”

Although it differs in important details, the draft Medicaid provisions of the Better Care Reconciliation Act share the vision of its House-passed counterpart, the American Health Care Act: to, as much as possible, shield the federal government from the cost of Medicaid.

The Senate Health Care Bill

Yesterday, Senate Republican leaders released their version of health-care legislation. The bill is best understood as a GOP amendment to the Affordable Care Act. In 2009, if the Republicans had attempted to modify rather than defeat the ACA, this is the kind of amendment they might have offered.

The Payment Reform Landscape: Is The Debate Over Retrospective Versus Prospective Bundled Payments A Distraction?

Setting a prospective target budget, instituting reasonable downside financial risk, and tying final payment amounts to performance on a set of outcome measures all provide powerful incentives to manage patients well while adhering to a budget.

June 23, 2017 | Costs and Spending, Payment Policy

Unpacking The Senate's Take On ACA Repeal And Replace

On June 22, 2017, Senate Majority Leader Mitch McConnell (R-KY) released the Senate GOP’s version of Affordable Care Act repeal, the Better Care Reconciliation Act of 2017. The Senate bill is in many respects quite different from the House’s American Health Care Act.