Tag Archives: ACA repeal and replace

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.

June 24, 2017

The Basis For Compromise On Medicaid Reform And Expansion

A compromise plan would combine a middle-ground expansion of the program with financing reforms that lower costs over the longer term without imposing undue risks to beneficiaries or the states.

June 15, 2017

The American Health Care Act Could Chip Away At The Medicare Savings Programs

Eleven million Americans are enrolled in both Medicare and Medicaid. Of these dually eligible beneficiaries, roughly 80 percent qualify for help paying for their Medicare coverage through the Medicare Savings Programs.

June 15, 2017

Confronting The Trade-Offs In Health Reform: What We Learned From The ACA

Like most large pieces of legislation, the ACA got some things right and some things wrong. In evaluating how to move forward, we can benefit from seven years of research on its implementation.

June 7, 2017

The Senate Should Build Automatic Enrollment Into Health Reform. Here’s How.

Building an automatic enrollment system will be complex and will require the cooperation of state governments, providers of medical services, and insurers, if it is to be successful.

June 5, 2017

California’s Coverage Expansion: Fiscal And Political Risks

Even if the US Senate substantially changes the American Health Care Act, California’s notoriously cyclical economy may ultimately render the state’s heroic health care coverage expansion untenable.

May 30, 2017

Can States Survive The Per Capita Medicaid Caps In The AHCA?

From a state perspective, Medicaid is a very lean program, and the challenge of responding to the proposed reductions in the federal Medicaid funds may be daunting.

May 17, 2017

Medicaid: What Happens Now?

Medicaid reform demands a deliberative process, one that operates in regular order and carefully considers a wide range of options for controlling costs in the nation’s single largest source of health insurance.

May 17, 2017

The Bipartisan ‘Single Payer’ Solution: Medicare Advantage Premium Support For All

By combining two shots of conservative orthodoxy with one overflowing progressive one, and stirring slowly, it is not at all far-fetched to envision an endgame cocktail for our health care system that covers everyone, decreases costs, and can pass Congress.

May 11, 2017

The ‘Medicaidization’ Of The Health Insurance Marketplaces: A Necessary Trend

Many insurers have ably managed their sicker- and poorer-than-expected Marketplace membership by borrowing from the playbook of the most similar market, Medicaid. Health plans must employ this playbook to well-serve a population that both parties believe needs coverage.

May 8, 2017