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Category Archives: Health Care Markets

Allowing States to Define “Essential Health Benefits” Could Weaken ACA Protections Against Catastrophic Costs for People with Employer Coverage Nationwide

This post addresses the new MacArthur Amendment specifically and provides more detail on why waivers in one state could have effects elsewhere. (more…)

To Promote Stability in Health Insurance Exchanges, End the Uncertainty Around Cost-Sharing and Other Rules

While it is unclear whether the changes included in the CMS rule will have a small positive or negative impact on market stability, it is clear that the impact pales in comparison to the instability caused by the lack of commitment to fund the ACA’s cost-sharing reduction subsidies or to enforce the individual mandate. (more…)

How Should The Trump Administration Handle Medicare’s New Bundled Payment Programs?

There is room to modify the bundled payment models to address concerns raised by Secretary Price and others without damaging the integrity of the models. (more…)

New Changes to Essential Benefits in the GOP Health Bill Could Jeopardize Protections Against Catastrophic Costs, Even for People with Job-Based Coverage

Weakening essential health benefit standards could also have important negative consequences for the coverage offered by employers of all sizes because it would weaken the ACA’s guarantee of protection against catastrophic costs. (more…)

How will the House GOP Health Care Bill Affect Individual Market Premiums?

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…)

House Plan to Replace Obamacare ‘has Republican DNA,’ Especially Regarding Mandate

Does the new health care bill proposed by GOP leaders on March 6 contain enough incentives to keep enough healthy people in the pool of people who desire coverage? (more…)

Expect the CBO to Estimate Large Coverage Losses from the GOP Health Care Plan

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. 
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How Republicans and Democrats can Both Keep their Promises on Health Care

Read our four-step market-based proposal that is consistent with many of the president’s remarks on health care and, importantly, with many core Democratic principles on health care too. (more…)

New Data on Sign-ups Through the ACA’s Marketplaces Should Lay “Death Spiral” Claims to Rest

Comparing enrollment changes across states implies that Marketplace premium increases had little if any impact on Marketplace sign-ups, providing strong evidence against claims that these increases would send the individual market into a “death spiral.” (more…)

Four Recommendations to Advance Medicare Delivery System Reform

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…)

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