Amended Senate Bill Includes Waiting Period for Those Who Let Coverage Lapse

The new Senate amendment would allow an insurer in the individual market to impose a waiting period of six months on an enrollee who had had a gap in coverage of 63 days or more during the preceding 12 months.

June 26, 2017

The Downstream Consequences Of Per Capita Spending Caps In Medicaid

From the lens of economics, we draw an analogy to per capita payments in health insurance markets and explain how the currently proposed reforms threaten the core programmatic purpose of Medicaid by incentivizing states to limit care and coverage to the states’ most vulnerable residents.

June 26, 2017

What’s CHIP Got To Do With It?

CHIP was traditionally seen as a bipartisan program. However, the uncertain political footing for the program will play a role this summer with the future of children’s coverage up for debate again.

June 26, 2017

ACA Round-Up: QHP Application Deadline Passes, House v. Price, Special Enrollment Periods

On June 23, 2017, HealthCare.gov began requiring pre-enrollment verification for eligibility for loss of minimum essential coverage and permanent move special enrollment periods.

June 24, 2017

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

Building Sustainable Partnerships To Improve Access To Breast Cancer Treatment For Uninsured Women

The nonprofit Breast Treatment Task Force, a partnership-based payment and delivery system model, facilitates screenings, diagnostic follow-ups, and treatments for a variety of people in New York City who lack insurance coverage. Donations from health care providers, foundations, and others are...

June 20, 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

Medicare’s Programs Should Compete

Fielding three Medicare programs might make sense if they were designed to compete against one another.

June 15, 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