ACA Round-Up: Bill Would Allow Use Of Tax Credits For Off-Marketplace Plans And More

Recent ACA developments include a bill to allow the use of premium tax credits for off-marketplace plans, an FAQ on consumer information gathering by agents and brokers, an order in a risk corridor payment case, and a planned OIG look at the administration’s curtailment of enrollment efforts.

March 30, 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

House Republicans Tweak AHCA Again; CBO Scores Earlier Changes

It is now reported that the full House will vote on the American Health Care Act on Friday, March 24. Late on March 23, a further manager’s amendment was offered, apparently to pick up more Republican votes. CBO updated its score for AHCA, reflecting earlier changes but not the latest tweaks.

March 24, 2017

Essential Health Benefits: What Could Their Elimination Mean?

In the effort to pass the American Health Care Act, House Republicans are looking to eliminate the requirement that health insurers cover “essential health benefits” (EHB). What are EHB and what would be the consequences of removing this requirement?

March 23, 2017

The New Line On The HHS Blog; Suit For Federal Money Owed CO-OP Dismissed

For the past nearly seven years, the HHS blog has regularly highlighted the achievements of the Affordable Care Act. With the change in administrations, the change in the HHS blog has been dramatic. Additionally, a judge dismissed a suit for federal money allegedly due an ACA CO-OP.

March 22, 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

The Unfolding Medicaid Story: Congress, Governors, And The Trump Administration

Anyone who has had the chance to witness (or be part of) any of the epic health reform dramas that continually play out in Washington D.C. will agree: in the end, it always comes down to Medicaid. We have once again arrived at one of those moments.

March 20, 2017