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GAO: Administration Can Make Health Reform’s “Risk Corridor” Payments

October 10, 2014

Health reform’s opponents are renewing efforts to kill its temporary “risk corridor” program, through which the federal government will help cover any higher-...

Damaging House Bill Would Undo Health Reform Protections and Raise Small Business Premiums

September 9, 2014

The House this week is scheduled to consider a bill sponsored by Rep. William Cassidy (R-LA) that would allow insurance companies, through 2018, to continue to offer to any small employer the health insurance plans in the small group market that the insurers were selling in 2013.

In short, the bill is another attempt to undermine health reform and try to ensure it doesn’t succeed, as we...

CBO Findings Refute the Medicare Part D Myth

August 6, 2014

The Medicare drug benefit’s lower-than-expected costs do not reflect efficiencies produced by competition among private insurers, as we’ve repeatedly explained.  The main factors were the slowdown in per-capita drug spending throughout the U.S. health care system and lower-than-expected Medicare Part D...

Today’s Conflicting Court Decisions Won’t Affect Federal Marketplace Subsidies

July 22, 2014

Two federal appellate courts issued rulings today that relate to the health reform law.  In a unanimous decision, a panel of the U.S. Circuit Court of Appeals for the Fourth Circuit upheld a lower court decision finding that individuals are eligible for premium subsidies to purchase health insurance through the federal...

MedPAC: Medicare Advantage Overpayments Not the Right Way to Aid Low-Income Beneficiaries

July 8, 2014

Overpaying the insurance companies that serve some Medicare beneficiaries through the Medicare Advantage (MA) program is not a targeted, effective way to help low-income beneficiaries with their out-of-pocket costs, the Medicare Payment Advisory Commission’s (MedPAC) latest report to Congress explains.

Insurers have long...

RSC Health Plan: More Uninsured and Underinsured, Fewer Consumer Protections

July 2, 2014

With House supporters planning a new push for the Republican Study Committee (RSC) health plan (H.R. 3121), aided by RSC chairman Steve Scalise (R-LA)’s election as House majority whip, it’s worth...

Senate GOP Plan Would Cause Millions to Lose Health Coverage or Block Them From Gaining It in the Future

May 13, 2014

Health reform opponents like Senator Richard Burr (R - NC) have repeatedly attacked the Affordable Care Act (ACA) over the past year by pointing to insurers that cancelled...

Flawed Analysis Exaggerates How Health Reform’s Medicare Advantage Savings Will Affect Enrollees

April 24, 2014

Insurers and others who oppose the health reform provisions that scale back Medicare Advantage overpayments often imply that the payment reductions will mean a dollar-for-dollar benefit cut for Medicare Advantage enrollees.  That’s exactly what the American Action Forum (AAF) did last week when it...

States' Very Good Deal on Expanding Medicaid Gets Even Better

April 22, 2014

In a little-noticed finding in last week’s Congressional Budget Office (CBO) report on health reform, CBO sharply lowered its estimates of how much the Medicaid expansion will cost states.  We’ve...

Medicare Advantage Overpayments Help Insurers More Than Beneficiaries

April 9, 2014

I noted yesterday that health reform scales back overpayments to private Medicare Advantage plans, thereby lowering premiums for all Medicare beneficiaries and extending the solvency of Medicare’s trust fund.  Insurers, arguing that curbing the overpayments results in direct benefit cuts for...

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