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Category Archives: Health Care Markets

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.

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Changes to State Innovation Waivers in the Senate Health Bill Undermine Coverage and Open the Door to Misuse of Federal Funds

Under current law, section 1332 provides broad flexibility for states to waive key ACA provisions so long as health coverage is not jeopardized and federal deficits not increased. The changes in the Senate bill would upset this structure. (more…)

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. 

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Why America Needs a ‘Do-Over’ on Medicaid Reform

Republicans and Democrats should aim toward securing the health of the most vulnerable American children and families. (more…)

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…)

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