Tag: Healthcare

Can Obamacare Be Fixed? »

It’s a 2,700 page bill. There are 20,000 pages of regulations. Major provisions seem to change every other week. And despite Nancy Pelosi’s promise, four years after it passed most of us still aren’t sure about everything that’s in it. How can something like that possibly be fixed? It’s easier than you might suppose....
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Obamacare’s Risk Corridor “Bailout” Just Got Bigger – Much Bigger »

Last Friday, the Obama administration quietly released 280 pages of rules that, among other things, increases Obamacare’s risk corridors (a.k.a. insurers’ bailout): We propose to implement an adjustment to the risk corridors formula..... Such an adjustment could increase a QHP issuer’s risk corridors ratio if administrative expenses are unexpectedly high or claims costs are...
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A Better Way to Cut Medicare Spending »

Over the next 10 years, the Affordable Care Act (Obamacare) is scheduled to cut Medicare spending by $716 billion, primarily by reducing payments to doctors and hospitals. Further, those cuts in spending will continue indefinitely into the future. By 2060, one-fifth of Medicare will be gone. The Medicare actuaries and others have warned that...
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A Snapshot of the Health Care Workforce »

How is the health care workforce changing under Obamacare? This month’s jobs report from the Bureau of Labor Statistics gives us a snapshot of employment in health care versus the rest of the economy. The table below shows the details. Despite the widely touted notion that Obamacare is putting hospitals out of business, hospital...
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Zeke Speaks Out on McCain and Health Reform »

Normally, I don’t think Zeke Emanuel has much to say that is both true and interesting. But this insider’s view of the making of ObamaCare is fascinating. Apparently there were people inside the White House who wanted to adopt John McCain’s approach to health reform. We ended up with only a timid step in...
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Take the Money and Run? GAO Reports Significant Dropping Out of Government Electronic Health Records Program »

A previous blog entry noted that Veterans Affairs and the Department of Defense have utterly failed to execute a plan to develop an interoperable Electronic Health Record (EHR), despite five million beneficiaries receiving health benefits from both bureaucracies. Despite its inability to manage this for two closely related federal departments, the federal government decided...
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Intergenerational Transfers and Political Support for the Welfare State »

Supporters of the welfare state might see it as a mechanism for transferring income from rich to poor with the idea of helping those at the bottom end of the income distribution, but in the United States, the welfare state is increasingly transferring income from the young to the old, regardless of the wealth...
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VA and Defense Dept. Electronic Medical Records Can’t Talk to Each Other: $29 Billion Fix Already Abandoned »

A recent survey noted that despite almost $27 billion of federal money spent on implementing electronic health records (EHRs) in the private sector, 70 percent of physicians believe that the adoption of EHRs has not been worth it. We should not be surprised: The government cannot manage to get EHRs in two of its...
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Lankford Introduces Legislation Giving Congressional Authority to Interstate Health Care Compact »

In February, Rep. James Lankford (R-OK) introduced legislation (H.J.Res.110) that would give congressional approval to states entering the Health Care Compact. This is an important step forward for one of the most innovative ideas that has been developed to reduce federal interference in regulating health markets. As Lankford notes in a recent Forbes op-ed,...
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Number of Adults with Consumer-Driven Health Plans Grows to 21 Million »

A new survey from the Employee Benefits Retirement Institute (EBRI) reports that 21 million adults have health plans that qualify them to open a Health Savings Account or a Health Reimbursement Arrangement. We refer to these plans as Consumer-Driven Health Plans (CDHP) because they offer lower premiums in return for higher deductibles than traditional...
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