Federal and State governments use four major structures to provide access to health care coverage – namely, Medicaid, Medicare, TriCare and the Affordable Care Act’s (ACA) Marketplace. The ACA and Medicaid face severe funding difficulties. Beyond these are private health care plans supported by employers and individuals. The ACA created Marketplace has about 9 million […]
There is wide agreement that access to health care is important for everyone. A large segment of the 325 million US population is covered by government health programs such as Medicare (55.5 million enrollees in 2015), Medicaid and CHIP (74.5 million in 2017), and Veterans Health (about 10 million in 2013). These government run health […]
The ten Essential Health Benefits (EHBs) listed by CMS are: ambulatory patient services; emergency services; hospitalization; maternity and newborn care; mental health and substance use disorder services including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services and chronic disease management; and pediatric services, including oral and […]
Today, a coalition of 45 nonprofit organizations sent a letter to the U.S. Senate urging the repeal of Obamacare taxes. The letter is available online.
In a breathtaking display of economic arrogance, California is considering a health care program that would appoint the state as a single payer which offers health care coverage to everyone in the state – young, old, lawful resident or not. Presumably, the plan designers have worked overtime at including every imaginable health intervention, all at […]
To jumpstart the process of repealing and replacing the Affordable Care Act (ACA), Republicans recycled Restoring Americans’ Healthcare Freedom Reconciliation Act of 2015 (aka H.R. 3762) a bill that they had approved earlier. This “partial repeal bill does not get rid of Obamacare’s tens of thousands of pages of insurance regulations, the regulations that are […]
Is there a right sequence for Congress to tackle the expected initiatives of the new Administration? Consumers want growth in the economy and wages, sanity in healthcare services and costs, protection from hostile nations and hate groups, and an end to officials encouraging divisive identity politics. The core of the President-elect’s promised initiatives was to […]
From the beginning of the Affordable Care Act (ACA), we expected that Americans with pre-existing conditions would be more in need of intensive treatments and more likely to be eligible for premium subsidies. Most of us doubted that ACA would attract healthy young enrollees willing to pay full-sized premiums. Indeed 7.5 million workers paid a […]
For many, the quest to extend access to health care has been an important public goal. For decades, progress was made through employer-based coverage, and more recently, extensions of coverage were made through Medicaid, Medicare, the Veterans Administration, the Affordable Care Act, and the Children’s Health Insurance Program. With access closer to universality, quality and […]
The Affordable Care Act (ACA) enrollee counts have plateaued at about 11 million. While the Congressional Budget Office (CBO) foresaw this, non-payment swings are proving more severe than expected. The result? The ACA is unable to deliver on its promise of full coverage at affordable prices. To read more, visit Real Clear Policy.