Pia Christensen (@AHCJ_Pia) is the managing editor/online services for AHCJ. She manages the content and development of healthjournalism.org, coordinates AHCJ's social media efforts and edits and manages production of association guides, programs and newsletters.
The Congressional Budget Office released its analysis of the Senate’s health care plan, the Better Care Reconciliation Act (BCRA), on Monday afternoon.
This came hours after Senate Republicans released a revised version of the bill that adds a provision to penalize people who let their insurance coverage lapse for an extended period. People who let their health insurance lapse for longer than 63 days but then wanted to re-enroll would have to wait six months. The CBO score does take that revision into account in its analysis.
Medicaid is a lifeline for the disabled. As Jonathan Cohn explains, the current Washington debate over Medicaid’s future has profound and often overlooked implications.
Right now much of the Washington policy fight centers on how quickly – when, but not if – the Medicaid expansion of the Affordable Care Act would get rolled back under Republican repeal-and-replace bills. As we’ve pointed out before, there’s a lot less attention being paid to Republican proposals to cap Medicaid spending – to put an end to its open-ended federal entitlement funding. The Senate Republicans are arguing over what rate the spending would grow (there are a few different ways of measuring inflation and medical inflation….). They are not debating whether or not to make this fundamental change – which the Democrats all oppose. Continue reading →
If Senate Majority Leader Mitch McConnell has his way, the Senate’s Obamacare repeal-and-replace process will be a disciplined and at-times clandestine whirlwind romance, culminating in a shotgun wedding. The goal: have the landmark legislation ready for President Trump’s signature by the time Congress breaks for the Independence Day holiday. Continue reading →
The Better Care Reconciliation Act (BCRA), the Senate Obamacare repeal-and-replace bill unveiled Thursday, would do little to promote better care via Medicaid, the federal-state partnership program that insures 75 million primarily low-income Americans that include children, the disabled and certain seniors, according to some insurers that specialize in Medicaid coverage. Continue reading →
The phenomenon of rural hospital closures has gotten a fair amount of attention in the last few years with all the Affordable Care Act finger-pointing. But as the University of North Carolina’s Cecil G. Sheps Center notes, the problem really emerged and caught the attention of policymakers in the late 1980s.
For a few years, the U.S. Department of Health and Human Services published an annual report, but closures slowed down about 20 years ago, and interest waned. The pace of closures picked up again during the Great Recession of 2008-09, before the ACA’s passage. Continue reading →