Unbiased Analysis of Today's Healthcare Issues

Wisconsin’s Unique Medicaid Non-Expansion

The Supreme Court ruled that the Affordable Care Act was legal with one exception: the federal government could not require states to increase Medicaid eligibility. Although States were not required to make Medicaid eligibility more generous, the did have an incentive to do so. The federal government will pay 90% of the cost of enrolling […]

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Health Insurance Exchange Enrollment: March 2014 Update

Healthcare.gov was seen as a disaster. Some states, however, opted to create their own exchange. California, for instance, created the “Covered California” website and exchange. How many states decided to create their own exchange? A Robert Wood Johnson issue brief notes that: [Sixteen] States (and DC) established their own marketplaces; 27 states chose, or defaulted […]

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CBO 2014 Budget Projections

California Healthline reports that At least one million fewer people than previously expected are projected to obtain health insurance coverage through the Affordable Care Act’s exchanges this year, primarily because of the troubled rollout of the federal health insurance exchange website last fall, according to the Congressional Budget Office’s new annual budget outlook report. WonkBlog has a […]

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The Hardship Provision

The Affordable Care Act (ACA) contains a provision, known as the individual mandate, which requires all individuals to have health insurance. Like most rules, however, there are loopholes. The most recent loopholes, however, were enacted by the Obama administration due to the problems with the Healthcare.gov website. Robert Laszewski explains: If you had a health […]

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Obamacare vs. Affordable Care Act

It turns out that plenty of people hate Obamacare, but love the Affordable Care Act.  However, they are the exact same thing.  Obama’s branding the ACA as Obamacare may have hurt the appeal of the law. HT: Huffington Post.

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What’s up with the ACA’s Medical Loss Ratio rules?

One lesser known provision of the Affordable Care Act is that it regulates insurers medical loss ratios (MLRs).  What are MLRs?  Does this matter?  A research paper by Karaca-Mandic, Abraham and Simon (2013) examines the question.  They explain the ACA’s MLR requirement as follows. One provision that has gained considerable attention is the establishment of […]

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Will the ACA cause employers to drop health insurance coverage?

As describe in this recent Health Affairs article, as of 2011, your likelihood of being offered health insurance looked like this:   Courtesy of Health Affairs. How will the ACA affect the share of individuals who receive coverage (and what type of insurance coverage they receive). This table describes some of the consequences.   Courtesy […]

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Health Insurance Exchanges: Day One

The start of health insurance exchanges, the most important provision of the Affordable Care Act (a.k.a. Obamacare) began allowing individuals to enroll today.  The start was somewhat inauspicious.  The start of “Obamacare” coincides with a federal government shutdown.  Additionally, some exchanges websites, including healthcare.gov, were not operational due to user volume. Nevertheless, today is a […]

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Best of Both Worlds

Leading health economists Jay Bhattacharya, Amitabh Chandra, Michael Chernew, Dana Goldman, Anupam Jena, Darius Lakdawalla, Anup Malani and Tomas Philipson claim the Affordable Care Act (a.k.a Obamacare) has its problem. Although it expands health insurance coverage to more individuals, it will cause tax rates to rise in order to cover the estimated $1 trillion of […]

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Why is Obamacare Unpopular?

Views on the Affordable Care Act (a.k.a. Obamacare, a.k.a. Health Reform) are mixed. Despite the fact that many people support individual provisions, overall, the measure is unpopular. Why would that be the case? A revealing Health Affairs interview with Cythnia Morgan, may reveal the answer. Morgan is a fifty-eight-year-old former hotel manager, has been out […]

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