Tag Archives: CBO

New CBO AHCA Estimate: Decreases In Savings And Uninsured, Potential Market Instability For States With Major Waivers

On May 24, 2017, the CBO and Joint Committee on Taxation released their third cost estimate on H.R. 1628, the House American Health Care Act of 2017. The estimate focuses primarily on changes that occurred after the CBO scored the original bill on March 13, and the manager’s amendment on March 24.

May 25, 2017

Looking Backward And Forward: Assessing The CBO/JCT Analysis Of The AHCA

As the administration and House Republicans mull ways to revive the AHCA, it is worthwhile to consider what the CBO report says about the bill, as well as what the reaction to the CBO’s AHCA estimates says about the way the agency’s role in congressional lawmaking has changed.

April 19, 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

The Urban Institute Model Of Financing Long-Term Services And Supports: A Critical Review

In this post, I make the case that there are serious flaws in a recent Urban Institute attempt at modeling, employed in Health Affairs, for new public insurance programs for financing LTSS.

February 15, 2017

CBO Scoring: The Issue Is Not How It’s Done, But How It’s Used

All too often, criticisms of CBO’s methods are motivated by a misunderstanding of what CBO can and cannot be expected to do. As we engage in a new round of health policy debate, it is vital to examine CBO's role in the legislative process.

January 19, 2017

The Problems With ‘Repeal And Delay’

The most likely end result of “repeal and delay” would be less secure insurance for many Americans, procrastination by political leaders, and ultimately no discernible movement toward a real marketplace for either insurance or medical services.

January 3, 2017

In Annual Baseline Budget Projections, CBO Decreases Marketplace Enrollment Estimates (Update)

In its March 2016 baseline budget projections, the Congressional Budget Office reduced its enrollment projections for the ACA marketplaces. The CBO’s projected costs of the ACA’s coverage provisions was up a bit but still substantially below original projections.

March 25, 2016

The ACA And Its Employment Effects

Given the structure of the ACA, it would be hard to conclude the law would not eventually reduce hours worked or total compensation, although the magnitude of the resulting changes may be as yet hard to detect in the U.S.’s large and complex labor markets.

February 3, 2016

CBO Updates The Estimated Costs Of The Budget Reconciliation Act (Updated)

CMS publishes a bulletin on appeal decisions regarding advance premium tax credit and cost sharing reduction payment eligibility determinations. The CBO recently released an updated estimate of the cost of the Budget Reconciliation Act as passed by the Senate.

January 5, 2016

ACA Update: Effects On Ability To Pay Medical Bills And Labor Supply; Enrollment Snapshot; And More

Two recently released federal studies provide further insight into the effects, or potential effects, of the Affordable Care Act. CMS has also provided the latest enrollment numbers for the federally facilitated marketplace.

December 9, 2015