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The Trump Administration Side-Stepped Rulemaking Processes on the ACA’s State Innovation Waivers— And it Could Make Their New Section 1332 Guidance Invalid

If the 2018 guidance is in fact a legislative, rather than interpretative, rule, then the agencies’ attempt to adopt it without notice and comment is impermissible, and that may have significant implications for future litigation. (more…)

Pain Relief Without Pills

CESR researcher Joan Broderick Trains Health Care Providers on a Successful, Non-Pharma Approach for Patients to Manage Their Chronic Pain that may help stem American’s opioid crisis.

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Treatment-Specific Payment Approaches: The Case Of Macular Degeneration

Treatment for neovascular or wet age-related macular degeneration (nAMD) is an area where a change in Medicare Part B payment specific to this procedure has far more potential for substantial reductions in spending. (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…)

States Have Already tried Trump’s Healthcare Order. It went Badly.

Like many appealing ideas, this one, proposed by Sen. Rand Paul (R-Ky.), has hidden land mines that are already well-mapped out based on previous failed attempts to enact them, even in Paul’s home state of Kentucky. (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…)

Why Bernie Sanders’s Plan for Universal Health Care is Only Half Right

Every American should automatically get health insurance, but Medicare for all isn’t the correct path towards that goal.  (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…)

How the Revised BCRA Would Impact Enrollee Costs, According to Your Age and Income

The BCRA revised July 20 would increase total costs for lower-income enrollees in all age groups, finds Loren Adler and Paul Ginsburg in their updated analysis.
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