Category Archives: Health Care Reform

Opportunities to Advance Patient-Centeredness and Equity

With the historic enactment of national health care reform in March 2010, it can be a little overwhelming to understand all the details and implications of this huge structural shift in national health care policy.

As I continue to refine my own knowledge and understanding of the national health care reform law, I will share my analyses and presentations here. I will be highlighting what I call the “patient-centeredness” and “equity” elements of the legislation, two of the components of health care quality identified by the Institute of Medicine.

Republican Policy Brief: Obamacare Repeal and Replace

Here is the policy brief released today by House and Senate Republicans on how to “repeal and replace Obamacare”, or the Affordable Care Act (ACA). The plan repeats the promises made by President Donald Trump and Republican Congressional leadership to achieve the … Continue reading

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Center on Budget and Policy Priorities: Trump Health Rule Would Reduce Tax Credits, Raise Costs, For Millions of Moderate-Income Families

This policy brief from the Center on Budget and Policy Priorities analyzes the proposed rule misleadingly named as “market stabilization” released yesterday. The proposed rule would raise premiums, out-of-pocket costs, or both, for millions of moderate-income families. If finalized as proposed, … Continue reading

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Centers for Medicare and Medicaid Services: Proposed Rule for ACA “Market Stabilization”

In stunning governmental doublespeak, the Centers for Medicare and Medicaid Services (CMS) has issued this proposed rule misleadingly named “marketplace stabilization” that will severely narrow access the health insurance marketplaces created by the Affordable Care Act (ACA), and reduce costs … Continue reading

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University of California Berkeley Labor Center: California’s Projected Economic Losses Under ACA Repeal

This research brief from the University of California Berkeley Center for Labor Research and Education estimates the economic losses in California from a repeal or re-funding of the key sections of the Affordable Care Act (ACA). An estimated 3.7 million … Continue reading

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Commonwealth Fund: Repealing Federal Health Reform – Economic and Employment Consequences for States

This issue brief from the George Washington University Miliken Institute School of Public Health describes the economic and employment impact of repealing or de-funding the key sections of the Affordable Care Act (ACA). Based on economic modeling, it is estimated that … Continue reading

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Center on Budget and Policy Priorities: Caps on Federal Medicaid Funding Would Give States Flexibility to Cut, Stymie Innovation

This issue brief from the Center on Budget and Policy Priorities describe the impact of changing federal funding provided to states for Medicaid into either block grants or per capita caps, with the explicit intent of reducing federal government spending … Continue reading

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Urban Institute: Block Grants and Per Capita Caps

This issue brief from the Urban Institute highlights another impact of changing federal funding for Medicaid to either block grants or per capita caps: locking in current variations in federal funding among the states. Block grants would give states a fixed … Continue reading

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Medicaid and CHIP Payment and Access Commission: Alternative Approaches to Federal Medicaid Financing

This chapter from the June 2016 Report to Congress from the Medicaid and CHIP Payment and Access Commission (MACPAC) describes alternative approaches to federal financing for the Medicaid program. The majority of the spending growth in Medicaid can be attributed to … Continue reading

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Medicaid and CHIP Payment and Access Commission: Medicaid Spending by State Fiscal Year 2015

This table lists the amount of spending by the federal, state, and territorial governments for Medicaid in each state and territory for Fiscal Year 2015. The total amount of federal government spending was $556 billion, and the federal government share … Continue reading

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Executive Order: Minimizing the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal

President Donald Trump’s first executive order was issued on January 20, 2017, within hours of his inauguration, to establish his Administration’s policy “to seek the prompt repeal of the Patient Protection and Affordable Care Act”. Pending that repeal, the executive order … Continue reading

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