How California Would Handle the Striking Down of the Individual Mandate

By: Wednesday June 27, 2012 8:22 am

If the entire Affordable Care Act gets struck down tomorrow, that would trigger a fair bit of chaos, with lawsuits and scrambling for reauthorization of programs like the Indian Health Service expected. But if the Supreme Court just throws out the individual mandate – and even if they toss insurance regulations like guaranteed issue (the [...]

Republican Innumeracy and Half-Universal Health Care

By: Thursday March 15, 2012 1:40 pm

Republican innumeracy basically explains half of their policy prescriptions, but as these things go, this is a pretty good one. The short story is this. The 2010 Affordable Care Act carried a price tag of $940 billion over ten years. This was mainly accomplished by delaying the implementation until 2014 to keep the 10-year budget [...]

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 [...]

The “Blended Rate” – A Dangerous Proposal in the Debt Limit Deal to Cut Medicaid or Render It Ineffective

By: Wednesday July 6, 2011 2:18 pm

The most dangerous plans I’ve seen coming out of the debt limit talks are chained CPI and the Medicaid blended rate. I’ve written extensively about chained CPI, which would cause a Social Security benefit cut of hundreds of dollars a year for the average beneficiary. The way that can be most easily combated is by [...]

Still No Sign of a Budget Deal, With Days to Go

By: Monday April 4, 2011 7:25 am

Everyone breathed a sigh of relief when Congressional leaders decided on a set level of cuts for the rest of Fiscal Year 2011. OK, breathed a sigh of relief may not be the best word. But there was a perception that Democrats and Republicans would work out the particulars and reach a deal on funding [...]

HHS Delivers Incentive Payments to States for Enrolling Low-Income Children in Health Insurance Plan

By: Monday December 27, 2010 8:03 am

It’s a sad state of affairs that you have to bribe state governments to get them to give health insurance coverage to children, but that’s where we are in this new cruel version of America. So bribe the states we must, and we will. The Obama administration plans to announce Monday that it will make [...]

Insurance Industry’s Long Game On Pre-Existing Conditions

By: Tuesday March 30, 2010 6:43 am

After a week of wrangling, the health insurance trade group AHIP announced that insurers would agree to covering all children regardless of pre-existing conditions, though they added in the same breath that they could have to increase rates to accommodate such a change. This exposes the poor drafting of this late-to-the-game regulation, because without some [...]

Does The House Health Care Bill Eliminate SCHIP?

By: Thursday November 5, 2009 11:11 am

Jay Rockefeller is making a lot of noise about a provision in the House health care bill that would fold the SCHIP (State Children’s Health Insurance Program) into the insurance exchanges when they begin running in 2013. Rockefeller, who changed the Senate Finance Committee bill to rescue SCHIP from the same fate, released this statement [...]

Multiple Reports That Senate Bill Will Include Public Option With Opt-Out

By: Sunday October 25, 2009 8:52 pm

The Wall Street Journal reports tonight that Harry Reid is going along with the opt-out: WASHINGTON — Top Senate Democrats are close to finalizing their health bill and could unveil a measure as soon as early this week that would include stiffer penalties on employers who fail to provide health coverage. Senate leaders plan to [...]

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