We estimate that premiums would be around 13 percent higher under the AHCA than they are under current law, holding plan generosity and the individual market age distribution fixed at their current law levels. (more…)
In anticipation of the official CBO estimates, this blog post draws upon prior CBO estimates and analysis to assess how they will likely expect this legislation to impact insurance coverage.
MACRA assumes a wide range of attractive APM opportunities available to physicians, but the reality is that the opportunities are limited, especially for physicians in specialties outside of primary care. (more…)
By Erin Trish
In order to mitigate incentives for insurance companies to avoid sicker patients, policymakers will need to include a risk adjustment program in any replacement reforms that require insurers to issue insurance to any applicant and set limits on adjusting premiums to fully reflect an enrollee’s health status. (more…)
The frequency of surprise balance billing is substantial and the financial consequences can be devastating. The Department of Labor can take concrete steps to begin mitigating the problem. (more…)