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California Can’t Wait for Washington’s Approval to Control Healthcare Spending

Schaeffer researcher Glenn Melnick writes that we need legislation that reduces hospitals’ emergency room leverage by capping out-of-network emergency room charges and to rein in the growing economic power of large healthcare enterprises in California. (more…)

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…)

The Case for Reforming Competitive Bidding in Medicare Advantage

Experts propose to reforming the way that fixed monthly payments to MA plans are determined, replacing the current, overly complex structure with one that would enhance competition, simplify beneficiary choice through standardization, and save an estimated $10 billion annually. (more…)

Before We Reward, We Must Measure: Tracking Population Health Management by US Hospitals

For the amount of money the United States spends on healthcare—the largest percentage of GDP of any nation—the return on investment is not very good. To make our healthcare expenditure more cost-effective, we must reward hospitals that effectively manage population health. But, before we can reward, we must measure.  (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…)

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…)

Switch and Save on Medicare Part D

Simply switching prescription drug plans could save seniors and the government billions. (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…)

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