Tag Archives: ACA repeal and replace

Loathing And Loving As A Pathway To Meaningful Health Care Reform

Democrats and Republicans each need to decide what they want so much that they would be willing to accept something they really loathe in exchange in order to reach consensus on a plan to replace the Affordable Care Act.

April 21, 2017

House GOP Moves To Add ‘Invisible Risk Sharing Program’ To AHCA; Other ACA Developments

A federal “invisible risk sharing program” within AHCA’s Patient and State Stability Fund, included in a new amendment submitted to the House Rules Committee, could help to high-cost individuals. However, the program’s benefits could be undermined by inadequate funding and other AHCA provisions.

April 6, 2017

ACA Round-Up: Negotiations To Revive AHCA, Alexander-Corker Bill, and Risk Adjustment

This post discusses efforts to tweak AHCA to get 216 votes in the House; the potential effect of legislation to allow premium tax credits for off-exchange plans, both overall and in the home state of its sponsors; and an interim ACA risk adjustment report.

April 4, 2017

CBO Provides A Roadmap For Improving AHCA

CBO is basically correct that AHCA would trigger a short-run rise in premiums and both short- and longer-term increases in the number of uninsured people. Instead of trying to discredit these findings, AHCA’s authors would be better off using CBO’s estimate as a guide for fixing the bill.

April 4, 2017

Five Lessons From The AHCA’s Demise

Legislative efforts have a lifespan but our health care system does not. So whether we are still rejoicing or recriminating, let’s take a look at some timeless principles we can apply to the ongoing effort to improve health care in the United States.

March 27, 2017

The AHCA Gets It Wrong: Health Care Is Different

In many ways, the AHCA's reliance on consumers to fend for themselves in buying health care services represents a fundamental rejection of the prevailing policy viewpoint: Kenneth Arrow's argument that the economic problems in health care are related to uncertainty in both disease and in treatment.

March 22, 2017

The House Manager’s Medicaid Amendments: The State Block Grant Option

Titled “Flexible Block Grant Option for States,” the amendment adds a coda of sorts to the bill’s new Medicaid per capita cap payment system. It would virtually eliminate any coverage obligations.

March 21, 2017

What’s In The Manager’s Amendment To AHCA?

On March 20, 2017, the Republican House leadership released a manager’s amendment to the American Health Care Act. This amendment is intended to respond to critics of the original AHCA from the right and middle. It is less clear that it responds to concerns raised by the CBO report on AHCA.

March 21, 2017

Conservatives Are Using The American Health Care Act To Restrict Private Insurance From Covering Abortion

While House Republicans find themselves divided on a wide range of important issues in the American Health Care Act , in one area they are united. The new legislation's language barring federal money from being used to support any private insurance plan that covers abortion.

March 21, 2017

In This Next Phase Of Health Reform, We Cannot Overlook Long Term Care

With the focus of Congress once again turning to health reform, we have an opportunity to fix the problems with the ACA, and find solutions to health care challenges that the ACA failed to address. One such challenge is the looming crisis of aging and long-term care.

March 16, 2017