Medicare Eligibility Age Increases Particularly Levies Pain on Seniors of Color

By: Monday December 10, 2012 12:13 pm

Raising the Medicare eligibility age has been taken down a notch, as well it should. Apart from everything else – privatizing a known commodity that reduces health care costs more than comparable private insurance, making health insurance costs go up across the board – it’s quite regressive and hurts at-risk populations the most: Medicare eligibility [...]

Red-State Governors Offer Partial Expansion of Medicaid

By: Tuesday September 18, 2012 12:20 pm

The Wall Street Journal reports today on the biggest non-Washington policy fight of the next few years, the bid to get states to accept the expansion of Medicaid. The Supreme Court ruling on Obamacare gave states an opt-out for the Medicaid expansion, designed to provide 1/2 of the total coverage expansion in the law. So [...]

Health Care Challenges Could Lock States Into Current Medicaid Spending

By: Friday July 20, 2012 11:40 am

It looks like the sloppy wording in the Affordable Care Act cuts both ways. We’ve been talking about the various challenges to the law arising out of drafting errors, in particular the vagaries of whether individuals seeking coverage on federally-run exchanges substitutes for state exchanges if the state refuses to implement one, can qualify for [...]

Conservatives Raise Court Challenge on Allowing Insurance Subsidies on Federally-Run Exchanges

By: Sunday July 8, 2012 10:17 am

Robert Pear today writes about an emerging lawsuit over the health care law that I touched on Thursday. The language around the insurance exchanges and whether the state or federal government runs them is sufficiently vague that conservative legal functionaries think they can exploit it: Starting in 2014, the law requires most Americans to have [...]

Supreme Court Just Getting Started on Health Care Rulings

By: Thursday July 5, 2012 8:15 am

Last week’s ruling in the Supreme Court on the Affordable Care Act has been framed as an end to all the uncertainty about the law. As we’re seeing with the Medicaid expansion, that’s not true. But it’s not even true in a legal context. As Jennifer Habenkorn points out, there are several other challenges to [...]

States Opting Out of Medicaid Expansion Could Reduce Their Rolls Without Consequences

By: Thursday July 5, 2012 6:15 am

Phil Galewitz of Kaiser Health News sketches out a terrifying scenario for Medicaid in states that opt out of the expansion. Not only could they refuse to cover low-income adults up to 133% of the federal poverty line, but they could actually roll back their current Medicaid plans without any consequence. In 2014 the “maintenance [...]

Non-Trivial Number of Poor People Would Be Ineligible for Insurance Subsidies If Their State Denies Medicaid Expansion

By: Thursday June 28, 2012 2:03 pm

Because the authors of the Affordable Care Act saw no issue with the expansion of Medicaid and presumably found it constitutional, they wrote the exchange subsidies as affecting everyone above the rate of Medicaid, specifically about the federal poverty level (FPL). But what about people who make below the poverty level? They may be ineligible [...]

House GOP Year-End Bill a Christmas Tree of Ideology

By: Saturday December 10, 2011 2:02 pm

The House released their version of a year-end bill to extend unemployment benefits, a payroll tax cut and a “doc fix” to avoid a 27% cut in Medicare reimbursement. A look at the various elements of the bill make clear that Republicans have little interest in passing anything through Congress. The bill, written by House [...]

New Health Care Regulations Close Exchanges to Many Offered Unaffordable Employer Coverage

By: Monday August 15, 2011 1:48 pm

One of the major problems with the Affordable Care Act will come with the determination of what set of plans recipients can become eligible for. Under the law, Americans who make up to 133% of the federal poverty line can sign up for Medicaid. From 133%-400%, they are eligible to collect subsidies on a sliding [...]

Community Health Centers Threatened With Funding Cuts From Debt Limit Deal Fallout

By: Tuesday August 9, 2011 11:44 am

I thought the President was pretty clear yesterday – he thinks we’ve cut the domestic and defense budgets to the bone, and any future savings must come out of a combination of tax revenues and so-called “modest adjustments” to health care programs. So you can forget about that defense-heavy trigger being fired, and even if [...]

Exchange Subsidies Threatened; Part of the Automatic Trigger in the Debt Limit Deal

By: Wednesday August 3, 2011 3:11 pm

The White House definitely wants the Catfood Commission II to negotiate their grand bargain that they can tout along the lines of “getting things done” with a “bipartisan compromise.” And they believe that the automatic cuts that would be triggered if the Catfood Commission II recommendations don’t come about are so distasteful to both sides, [...]

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