The Senate Health Care Bill

Yesterday, Senate Republican leaders released their version of health-care legislation. The bill is best understood as a GOP amendment to the Affordable Care Act. In 2009, if the Republicans had attempted to modify rather than defeat the ACA, this is the kind of amendment they might have offered.

June 23, 2017

Unpacking The Senate’s Take On ACA Repeal And Replace

On June 22, 2017, Senate Majority Leader Mitch McConnell (R-KY) released the Senate GOP’s version of Affordable Care Act repeal, the Better Care Reconciliation Act of 2017. The Senate bill is in many respects quite different from the House’s American Health Care Act.

June 22, 2017

ACA Round-Up: Mental Health And Substance Use Parity, Premium Tax Credits, And A New Marketplace Reinsurance Proposal

Continuing to implement mental health/substance use parity, three departments proposed a form for information on non-quantitative treatment limitations. The House passed three bills about premium tax credits. And Democratic senators proposed a reinsurance program to stabilize the individual market.

June 16, 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

On AHCA, CMS Actuary Finds Smaller Coverage Losses, Smaller Spending Reductions Than CBO

The June 13 CMS Actuary’s Report on the AHCA addresses different questions than the CBO reports on the legislation. Where it measures more or less the same thing it offers different numbers. This post examines that report and notes other developments related to the health reform discussion.

June 14, 2017

CMS Releases Data On Effectuated Enrollments, Plan Cancellations

On June 12, the Centers for Medicare and Medicaid Services released effectuated enrollment data for the 2017 open enrollment period. CMS also released a Health Insurance Exchanges Trends Report, summarizing information it has collected from a voluntary exit report in force since August of 2016.

June 13, 2017

Iowa Submits 1332 Waiver Request, Claiming It Is Necessary To Avoid An Individual Insurance Market Collapse

On June 12, Iowa submitted a 1332 waiver request that would dramatically change the nature of its marketplace, claiming that this was needed to save a collapsing individual insurance market. To grant the request, CMS would have to waive many of 1332’s normal statutory and regulatory requirements.

June 12, 2017

HHS Requests Feedback On ACA Regulations; Evidence On Effect Of CSR Payment Uncertainty Continues To Mount (Updated)

On June 8, CMS posted an RFI titled “Reducing Regulatory Burdens Imposed by [the ACA] & Improving Healthcare Choices to Empower Patients.” Meanwhile, stakeholders cite uncertainty over cost-sharing reduction factors as the biggest factor destabilizing the individual insurance market.

June 9, 2017

How States Are Addressing Uncertainty With 1332 Waivers

Even with new encouragement from the Trump administration, states that want to develop a reinsurance plan for the 2018 plan year will need to act fast.

June 9, 2017