In a report that aligns with predictions by health insurers and groups such as the Kaiser Family Foundation, the Congressional Budget Office on Tuesday forecast that ending cost-sharing reduction (CSR) subsidies under the Affordable Care Act not only would raise premiums for some low-income Americans, but also increase the federal deficit by $194 billion by 2026.
Congressional Democrats had asked both the CBO and the Joint Committee on Taxation to estimate the effect of cutting CSRs after this December – as President Trump has threatened – on the federal budget, health insurance coverage, market stability and premiums. Continue reading →
Before the Affordable Care Act, health insurance regulation in the individual market largely was managed by the states. The ACA saw a shift to a greater federal role. Now under the Trump administration, some responsibilities are going back to the states.
In a new tip sheet for AHCJ, Louise Norris, whom many AHCJ members know as a contributor to healthinsurance.org, explains the new responsibilities. One significant area is network adequacy – whether a plan has enough doctors, hospitals and other providers to meet the needs of beneficiaries. Continue reading →
Liz Seegert (@lseegert), is AHCJ’s topic editor on aging. Her work has appeared in NextAvenue.com, Journal of Active Aging, Cancer Today, Kaiser Health News, the Connecticut Health I-Team and other outlets. She is a senior fellow at the Center for Health Policy and Media Engagement at George Washington University and co-produces the HealthCetera podcast.
From the future of delivery system reform to controlling prescription drug costs to considering how states may handle proposed Medicaid cuts, there is significant concern these days among policy experts who focus on aging and health. Several of the addressed the issue at a recent panel in New York City on the future of aging policy under the Trump administration.
Developing a national aging strategy was high on the list for participants of the session, “Aging Priorities for a New Administration,” part of the d.health Summit 2017 on May 10. Moderating was Joanne Kenen, health care executive editor at Politico and AHCJ’s topic leader on health reform. Continue reading →
The Trump administration is doubling down on its goal of reshaping Medicaid financing and sharply reducing spending.
As we’ve noted before, the House version of the American Health Care Act would put a stop to the open-ended entitlement funding of Medicaid. States would either get a per capita cap (a yearly amount per person) or a block grant (a lump sum). The per capita cap would give states more flexibility as the economy cycles through good and bad periods. In slumps, when more people go on Medicaid, the amount would go up. The block grant amounts would rise by a pre-determined amount for 10 years, but states would have more flexibility in program design. Continue reading →