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Mostly about the ACA: Obamacare to Trumpcare to Bidencare.

Thursday, August 24, 2017

ACA marketplace remake: Iowa leverages Wellmark's warm cooperation

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This week the Iowa Insurance Division formally filed an ACA innovation waiver request to radically remake the state's individual marke...
8 comments:
Wednesday, August 23, 2017

Not throwing away our Schatz: What kind of public option in the ACA marketplace?

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Senator Brian Schatz's proposal to allow any American to buy into Medicaid is frustratingly vague: we don't know the plan design ...
2 comments:
Sunday, August 20, 2017

If I had $194 billion...spending the federal funds that CSR cutoff would waste

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The CBO report on the effects of the federal government ceasing reimbursement of insurers for the Cost Sharing Reduction subsidies they ar...
Tuesday, August 15, 2017

Can Democrats afford to stand pat on the ACA?

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A while back, I anticipated that Republicans would demand a steep price for passing legislation that would guarantee federal funding for t...
Thursday, August 10, 2017

Compromise maybe a little? Urban Institute's Blumberg and Holahan on what's next for the ACA

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In August 2015, Urban Institute healthcare scholars Linda Blumberg and John Holahan acknowledged that ACA marketplace subsidies were too sk...
1 comment:
Sunday, August 06, 2017

What price will Republicans extract for CSR funding and reinsurance?

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If the current glimmers of bipartisanship in healthcare legislation take on any sustained shine, the primary agenda for Democrats is obviou...
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Wednesday, August 02, 2017

Are New York's Essential Plan and Minnesota's MinnesotaCare threatened by CSR fund cutoff?

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A question hath arisen on Twitter: if federal Cost Sharing Reduction (CSR) reimbursements to insurers are cut off, either by Trump adminis...
1 comment:
Tuesday, August 01, 2017

Peter Lee to HHS: Marketing makes the risk pool

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Covered California, the golden state's ACA marketplace, released preliminary health plan rates for 2018 today. In a marketplace suppo...
Thursday, July 27, 2017

Managed Medicaid for all? A compendium

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In an illuminating string about what she's learned from ACA enrollees, Sarah Kliff highlights a point that's come sharply into fo...
Sunday, July 23, 2017

"Not losing, choosing"? - Avik Roy turns up the gaslight on the BCRA

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Two weeks ago, I took on the argument of various BCRA proponents that most of the 22 million people forecast by CBO to lose insurance cove...
1 comment:
Thursday, July 20, 2017

Go ahead, Trump, cut off CSR payments -- starting in 2018

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Imagine for a moment that Republicans fail to pass legislation repealing the ACA -- leaving the ACA marketplace intact as a matter of law, ...
Monday, July 17, 2017

If serious compromise on healthcare were possible, what would Democrats give?

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As Republicans flail away at the BCRA, Democrats' first murmurs about bipartisan legislation to stabilize the ACA marketplace have been...
4 comments:
Friday, July 14, 2017

A pill quite poison from Frelinghuysen

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In late June, a subcommittee of the House Committee on Appropriations, chaired by Rodney Frelinghuysen (R-NJ), released a financial service...
Wednesday, July 12, 2017

Not drowning but waiving: Timothy Jost on how Democrats might compromise responsibly on ACA

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There's news today -- good news -- of Democrats in both the House and Senate acknowledging flaws in the ACA and proposing their own fix...
Saturday, July 08, 2017

Those uninsured by the BCRA "not losing, but choosing"? Get ready to hear it more.

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Bloomberg reporter Steve Dennis flags a Republican talking point in favor of their latest travesty of a 'healthcare" bill that we...
1 comment:
Friday, July 07, 2017

Info sources for healthcare wars

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If I post this, I'll have an easier time finding it myself...an index of fact/stat sources for our current healthcare wars as well as f...
Sunday, July 02, 2017

Healthcare spending cuts, Democrat style. Healthcare spending cuts, Republican style

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The cut to federal Medicaid spending that CBO estimates would result from the BCRA -- $750 billion over ten years -- superficially recalls...
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Saturday, July 01, 2017

The real cost of "benchmark silver" for low income BCRA enrollees

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For ACA marketplace enrollees with incomes under 200% FPL -- over half of all enrollees -- benchmark silver plans have an average actuarial...
Thursday, June 29, 2017

The party of Cost Sharing Inflation

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When House Republicans sued the Obama administration in 2014 to stop federal payments to health insurers for Cost Sharing Reduction subsidi...
Thursday, June 22, 2017

Trading Medicaid coverage for high deductible private market coverage

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The Senate version of the AHCA, the Orwellianly named Better Care Reconciliation Act , does even more fundamental damage to the U.S. health...
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About Andrew Sprung

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I'm a freelance writer focused mainly on the unfolding drama of Affordable Care Act implementation and health reform more generally.
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