Home » Matthew Fiedler

About Matthew Fiedler


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…)

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. 

Congress Should Replace Medicare’s Merit-Based Incentive Payment System

While the first performance year of the MIPS program has just ended, some observers have already raised concerns that MIPS will fail to improve patient care, even as it generates substantial administrative burdens. In this blog post, we argue that these concerns are well founded and that MIPS or a similar value-based purchasing program is unlikely ever to achieve its goals.  (more…)

How to Interpret the Cadillac Tax Rate: A Technical Note

The Affordable Care Act’s excise tax on employer-sponsored plans, commonly referred to as the “Cadillac tax,” imposes a 40 percent excise tax on employer-provided health benefits with a cost in excess of specified thresholds. (more…)

Repealing the Individual Mandate would do Substantial Harm

Advocates of repealing the mandate claim that its repeal would do no harm. However, this argument suffers from two serious flaws. (more…)

How will the Graham-Cassidy Proposal Affect the Number of People with Health Insurance Coverage?

Based on this analysis, we estimate that the Graham-Cassidy legislation would reduce the number of people with insurance coverage by around 21 million each year during the 2020 through 2026 period. (more…)

How Would the Revised Senate Health Care Bill Affect Individual Market Premiums in 2026 and Over the Long Run?

We find that the current population of individual market enrollees would pay more for the same level of coverage under the BCRA than under current law, before accounting for any premium tax credits for which individuals may be eligible. (more…)

Requirement to Maintain a “Single Risk Pool” Would not Contain Effects of Cruz’s Proposal

The Cruz amendment would put significant upward pressure on premiums for ACA-compliant plans, shifting costs toward sicker individual market enrollees and the federal government. (more…)

Sen. Cruz’s Proposed Change to Senate Health Care Bill Would Undermine Protections for Enrollees with Significant Health Care Needs

Matthew Fielder examines Senator Cruz’s proposed change to the Senate healthcare bill. (more…)

How Would the Senate’s Health Care Bill Affect Individual Market Premiums?

While many reactions to the CBO analysis focused on how the BCRA would affect insurance coverage, the bill’s effects on individual market insurance premiums have also received considerable attention.


Like the AHCA, the Senate’s Health Care Bill Could Weaken ACA Protections Against Catastrophic Costs

Schaeffer Initiative Senior Fellow Matthew Fielder analyzes the potential effects of the Senate’s health care bill on essential health benefits and ACA protections against catastrophic costs. 


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…)

Follow CESR on Facebook

Follow Schaeffer on Facebook