The Next Chapter In Transparency: Maryland’s Wear The Cost

With the nation struggling to find a path toward high-quality, affordable, and accessible care, the benefits of illuminating both quality information and underlying costs is a rare area of bipartisan agreement.

October 19, 2017

State Attorneys General Ask Court For Injunction Reversing CSR Payment Halt

Quoting from President Trump’s tweets, the states argue that his termination of CSR payments was “arbitrary and capricious” and thus violated the Administrative Procedures Act. They also say the president violated his constitutional duty to "take care that the laws be faithfully executed."

October 18, 2017

The Alexander-Murray Market Stabilization Package: What’s In It And Where’s It Going?

We don’t yet have final bill text or a CBO score, but in today’s announcement from Senators Alexander and Murray we have some details on policies that should help stabilize consumer access and premiums in the individual market in the next few years.

October 17, 2017

A Framework For Understanding ‘Savings’ From Accountable Care Organizations

The complexity of the ACO payment structure means there are a few ways one could measure savings. The semantic questions here are challenging and variation in how terms are used can lead to confusion. We attempt to clarify the meanings of “savings” and draw out the implications for the program.

October 17, 2017

A New Plan To Rescue The ACA: Medicare-At-55

With the Trump Administration's recent executive order on health care, the need for proposals to help stabilize the insurance market has grown. One proposal is Medicare-at-55, which would extend Medicare to the 55-64 age group, and could be a potential fix to insure the near-elderly and provide...

October 16, 2017

The 340B Program: Mandatory Reporting, Alternative Eligibility Criteria Should Be Top Priorities For Congress

Previous assessments of the 340B program have largely focused on cherry-picked participants. But DSH hospitals that participate in 340B are quite diverse. A priority for policymakers should be more systematic and timely data on participating DSH hospitals’ 340B revenue and safety-net services.

October 10, 2017

The CHRONIC Care Act Passes Senate, Obstacles Remain

This post outlines the key components of the CHRONIC Care Act passed by the Senate, assesses its outlook in the House, and considers what its progress may tell us about the prospect for more bipartisan action on health care in the future.

October 5, 2017

ACA Round-Up: Bipartisan Proposal To Revamp Employer Reporting Requirements And More

A bill by Senators Portman and Warner addresses ACA employer reporting requirements that are quite burdensome for employers and not very helpful for verifying advance premium tax credit eligibility.

October 4, 2017

California Takes On Drug Pricing: Real Progress Or Illusion?

California SB-17 has already succeeded in serving as an outlet for frustration with high and rising prescription drug prices. It has sent a message to the drug industry that it cannot stop all the legislation it opposes.

October 2, 2017

CBO Projects Graham-Cassidy Would Reduce Spending And Coverage

Coverage losses under Graham Cassidy would stem from decreases in Medicaid funding and enrollment; decreases in individual market subsidies and enrollment; and lower enrollment overall because of the individual mandate’s repeal. Deficit reduction would come from the smaller size of the block grants.

September 25, 2017