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.

U.S. Senate: Latest Revision to Better Care Reconciliation Act Would Still Increase Uninsured by 22 Million

The text of the latest revision to the U.S. Senate’s bill to repeal and replace the Affordable Care Act has been released publicly: Link to Original Source Based on this latest revision, the Congressional Budget Office has updated its estimate … Continue reading

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U.S. Senate: Text of Obamacare Repeal Reconciliation Act

Here is the text of the U.S. Senate’s “Obamacare Repeal Reconciliation Act”, which would repeal the key health insurance and Medicaid expansion provisions and all the revenue-generating taxes of the Affordable Care Act, with no replacement. The bill would explicitly … Continue reading

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Congressional Budget Office: Repealing Affordable Care Act without Replacement Would Result in 32 Million Uninsured

The Congressional Budget Office (CBO) wasted no time in reporting that a repeal of the Affordable Care Act (ACA) without any replacement plan would result in 32 million Americans becoming uninsured by the year 2026. A significant percentage of that … Continue reading

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Centers for Medicare and Medicaid Services: Proposed Rule for MACRA Quality Payment Program Year 2

Here is the proposed rule for the second payment year (2020) of the Quality Payment Program (QPP) established by the Medicare Access and Children’s Health Insurance Program Reauthorization Act (MACRA) .  Since there is a two-year lag between the performance … Continue reading

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Congressional Budget Office: Longer-Term Effects of the Senate Better Care Reconciliation Act on Medicaid

This additional analysis from the Congressional Budget Office (CBO) estimates the longer-term effects of the Senate’s Better Care Reconciliation Act on Medicaid, beyond the 10 years projections in its original analysis of the bill.  If the Senate bill is enacted, … Continue reading

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Urban Institute: State-by-State Coverage and Government Spending Implications of the Better Care Reconciliation Act

This policy brief from the Urban Institute estimates the impact of the Senate’s Better Care Reconciliation Act (BCRA) on health insurance coverage and state government budgets for each state.  The Urban Institute estimates that the number of uninsured Americans would … Continue reading

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Center on Budget and Policy Priorities: Senate Bill Still Cuts Tax Credits, Increases Premiums and Deductibles for Marketplace Consumers

This analysis of the Senate’s Better Care Reconciliation Act from the Center on Budget and Policy Priorities highlights the bill’s impact on individuals that will continue to use the federal health insurance marketplace to obtain their health insurance. Under the … Continue reading

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Congressional Budget Office: Senate’s Better Care Reconciliation Act Would Still Result in Additional 22 Million Uninsured Americans

The Congressional Budget Office (CBO) has released its analysis of the impact of the Senate’s Better Care Reconciliation Act to repeal and replace the Affordable Care Act, concluding that the Senate bill would still result in an additional 22 million … Continue reading

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Senate Introduces Better Care Reconciliation Act

Here is the text of the Senate version of the Republican efforts to “repeal and replace” the Affordable Care Act, to be titled the Better Care Reconciliation Act. The draft bill has quite a number of differences with H.R. 1628, … Continue reading

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Center on Budget and Policy Priorities: House Health Bill – Tax Cuts for Wealthy, Insurers, and Drug Companies Paid for by Low- and Middle-Income Families

This policy brief from the Center on Budget and Policy Priorities describes the massive tax cuts for the wealthiest of Americans, health insurance plans, pharmaceutical companies, and medical device manufacturers included in the House Republican-enacted American Health Care Act (H.R. … Continue reading

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