The “Day 1” slam dunk repeal that President Donald J. Trump and the Republicans who control the House and the Senate promised turned into a prolonged and uncertain mélange of repeal, replace, repair, implode, explode – not to mention beg, negotiate, threaten and wheedle. Continue reading
Obamacare is the law of the land. … We’re going to be living with Obamacare for the foreseeable future.” – Paul Ryan
That was the speaker of the U.S. House of Representatives after pulling the GOP health care bill from consideration because it was clear there weren’t enough votes to pass it.
The Associated Press sums up the range of emotion after the decision was announced: After health care bill’s withdrawal, elation and anger. It also points out the “winners, losers and a few in between.”
The House Republicans finally unveiled an ACA repeal bill on March 6. But they face critics on the right in both the House and Senate who have been clamoring for a bill that’s even more slimmed down.
And, in the Senate, they face a handful of Republicans (not all of whom are moderates, incidentally) from states that have expanded Medicaid – and who want those coverage gains preserved along with the federal funding that pays for the bulk of it. Continue reading
Most of the coverage offered under the Affordable Care Act (ACA) is through the individual market (plans sold in the exchanges) or Medicaid. But as Jay Hancock of Kaiser Health News explains in a new AHCJ tip sheet, that doesn’t mean the employer-sponsored insurance system won’t be touched by any plan to repeal and replace the ACA.
Changes to how health care is subsidized – directly through tax credits or indirectly through tax breaks – may have a profound impact on the job-linked insurance that covers more than 150 million people. Continue reading
For those of us deluged with analyses and opinions from the left and the right over replacements for the Affordable Care Act – the actuarial cavalry has arrived.
The American Academy of Actuaries has released three papers analyzing long-time conservative ideas about health reform. These alternatives – high-risk pools, selling insurance across state lines, and association health plans (AHPs) – are playing a high-profile role in the debate over ACA “repeal and replace.” Continue reading