Because what Americans care most about is cost – and we can’t fix the rest of our coverage problems without also addressing cost. And we, as a nation, are not really talking about cost. The president’s budget would slash entitlement spending, particularly on Medicaid. But like all presidential budgets – it’s not going to pass and lowering federal spending on old, poor and sick people isn’t going to make the costs of taking care of old, poor and sick people go away. Continue reading
A bunch of proposals are floating around. It’s worth checking out whether your state legislators or regulators have similar ideas of their own to strengthen their individual markets, such as adding more generous subsidies or forms of reinsurance. Here is a sample of proposals that are at least now getting a hearing in the House. (This list is adapted from a summary issued by the House Energy and Commerce Committee for spring hearing — it’s not all-inclusive of every idea of every Democrat.) Continue reading
A federal judge in Texas has thrown out the Affordable Care Act – every single word of the sprawling law. As Michigan law professor Nick Bagley tweeted, even the calorie counts on restaurant menus are now at risk.
The Dec. 14 Texas decision, if upheld (a big if) threatens the coverage of roughly 20 million people covered in the ACA exchanges and through Medicaid expansion. (More on the numbers at the end of this post). Continue reading
Don Berwick is a former administrator of the Centers for Medicare and Medicaid Services (CMS) under President Obama. Berwick’s long résumé includes leadership positions at the U.S. Preventive Services Task Force, the National Advisory Council of the Agency for Healthcare Research and Quality, the Institute of Medicine’s Governing Council, the IOM’s Global Health Board, and on President Clinton’s Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. He is president emeritus of the Institute for Healthcare Improvement. He also teaches at Harvard Medical School and is on staff at several major Massachusetts hospitals.
Prior to his keynote address on social determinants of health at the recent Institute for Healthcare Improvement conference in Orlando, Fla., Berwick sat with me to talk about some of today’s most pressing health care issues. [This interview has been edited for clarity and length.] Continue reading
The Trump administration has released new guidance that revamps the Affordable Care Act (ACA) state innovation waivers – also known as 1332 waivers – to give states more flexibility to expand access to less expensive non-ACA plans.
One of the biggest changes would be allowing people to use their ACA subsidies to buy insurance outside of ACA markets, including short-term plans or association health plans that don’t meet ACA coverage and patient protection rules. Continue reading
During an event on Tuesday at the American Enterprise Institute, CMS Administrator Seema Verma said that there is a contingency plan if the courts were to strike down the Affordable Care Act, particularly the part that requires coverage of existing conditions.