Tag Archives: CBO

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

Implementing Health Reform: CMS Contractor Oversight; Costs Of ACA Changes

OIG recently issued a highly critical report on CMS oversight of contractor performance for the federally facilitated marketplace. Also, CBO released cost estimates for changing the ACA definition of "small employers" and eliminating the individual mandate.

September 16, 2015

Implementing Health Reform: The Congressional Budget Office On Repealing The ACA

In 2012 the Congressional Budget Office estimated that repealing the Affordable Care Act would add $109 billion to the deficit over 10 years. In 2015, it estimated that the net addition to the deficit would be $137 billion over 10 years. How the CBO got to that number, however, was quite different.

June 22, 2015