Loathing And Loving As A Pathway To Meaningful Health Care Reform

Democrats and Republicans each need to decide what they want so much that they would be willing to accept something they really loathe in exchange in order to reach consensus on a plan to replace the Affordable Care Act.

April 21, 2017

A New Attempt Emerges To Bridge GOP Divisions On AHCA (Updated)

On April 20, a one-page summary of amendments to the AHCA proposed by Rep. Tom MacArthur (R NJ) surfaced. Reportedly a compromise between House Republican moderates and conservatives, it could be reduced to legislative language and considered when Congress returns from its spring recess next week.

April 20, 2017

The Future Of Delivery System Reform

There is bipartisan agreement on the goal of promoting more efficient and effective health care. The debate is over the best way to accomplish the goal, not the goal itself.

April 20, 2017

Looking Backward And Forward: Assessing The CBO/JCT Analysis Of The AHCA

As the administration and House Republicans mull ways to revive the AHCA, it is worthwhile to consider what the CBO report says about the bill, as well as what the reaction to the CBO’s AHCA estimates says about the way the agency’s role in congressional lawmaking has changed.

April 19, 2017

How Minnesota Is Stepping Up To Preserve Its Individual Market

After capping enrollment, the Minnesota legislature also passed a premium relief rebate bill during the first week of the legislative session, and a reinsurance bill was allowed to become law without Governor Mark Dayton’s signature.

April 18, 2017

Looking Ahead To 2018: Will A Shorter Open Enrollment Period Reduce Adverse Selection In Exchange Plans?

A reduced open enrollment period may decrease enrollment by “healthy procrastinators” and plan switching among re-enrollees.

April 14, 2017

Examining The Final Market Stabilization Rule: What’s There, What’s Not, And How Might It Work? (Updated)

The Trump administration has issued a final market stabilization rule. Stabilizing the individual and small group markets is an important concern, as many counties will have only one insurer next year. Does the rule do what’s needed, and what threats to market stability does it leave unaddressed?

April 14, 2017

Looking To The Future Of The US Military Health System

A recent Bipartisan Policy Center paper notes that in FY 2016, the Military Health System covered health care for an estimated 9.4 million TriCare beneficiaries, costing $48 billion. The paper was funded in part by the Peter G. Peterson Foundation.

April 13, 2017

Medicaid Work Requirements: Who’s At Risk?

Work requirements, such as those proposed in the AHCA, might pressure a small number to gain work on a temporary basis, but is it worth the trade off of causing millions to lose their health insurance coverage?

April 12, 2017

Making Sense Of ‘Invisible Risk Sharing’

Before Congress recessed last week, the House amended the pending American Health Care Act to include an “Invisible Risk-Sharing Program,” funded with $15 billion over nine years. What should we make of claims that this approach caused premiums to plummet in Maine and can make a big dent nationally?

April 12, 2017