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Ryan’s Medicare Proposals: the Latest

April 9, 2014

House Budget Committee Chairman Paul Ryan’s Medicare proposals — summarized in a new CBPP analysis — have evolved since Ryan issued his Roadmap for America’s Future in 2010, but much is still the same in the budget plan he released last week.


Why Raising Health Reform’s Threshold for Full-Time Work Would Be Counterproductive

April 1, 2014

The House this week will consider the “Save American Workers Act,” which would raise the threshold for full-time work under health reform from 30 to 40 hours a week.  As we have explained, however, this step would aggravate the very problem that the...

House Budget-Process Bills Are Ill-Advised

March 28, 2014

The House will consider three bills in the coming weeks that would make the budget process more complicated, less transparent, and less credible.

  • The Pro-Growth Budgeting Act (H.R.1874) would require the Congressional Budget Office (CBO) to prepare “dynamic” estimates of the budgetary impact of major legislation.  Contrary to widespread misunderstanding, CBO’s standard estimates
  • ...

Proposed Medicare Advantage Payment Policies: The Sky Isn’t Falling

March 13, 2014

In testimony today before the House Energy and Commerce Committee, I explain why policymakers should reject calls from health insurance lobbyists to block the Administration’s proposed 2015 payment policies for Medicare Advantage (MA) plans.  AHIP (the health insurance industry’s trade...

CBO Confirms: Raising Health Reform Threshold to 40 Hours Could Affect More Workers

March 3, 2014

The Congressional Budget Office’s (CBO) new cost estimate of the “Save American Workers Act,” which would raise the threshold for full-time work under health reform from 30 to 40 hours a week, supports our contention that the bill could exacerbate...

Chained CPI Makes Sense Only Under Certain Conditions

February 20, 2014

We’ve long said that the chained Consumer Price Index (CPI) for cost-of-living adjustments in Social Security and other retirement programs could be a reasonable part of a comprehensive deficit-reduction package — but only under certain conditions.  In the absence of those conditions, the President’s decision not to include...

Still More Bogus Economics From the Medical Device Industry

February 20, 2014

The medical device industry’s trade association, AdvaMed, has released a survey of manufacturers claiming that health reform’s 2.3-percent excise tax on the devices has forced them to move operations overseas, eliminate U.S. jobs, and cut back research and development.  But we debunked...

Why Health Reform Provides Subsidies in All States

February 18, 2014

Two CBPP board members — Henry Aaron and Robert Reischauer — and I are among the 48 economists who filed a brief in federal court yesterday explaining why health reform authorizes the provision of premium subsidies, an essential part of health reform, in all states.

Some opponents of health reform have filed a lawsuit claiming...

Proposed Changes in Budget Process Would Be Counterproductive

February 10, 2014

The House Budget Committee will consider two bills tomorrow that would mark a step backward for the budget process.

  • The Budget and Accounting Transparency Act (H.R. 1872) would add an extra amount to the recorded budgetary cost of federal credit programs, beyond their actual cost to the government, to
  • ...

“Generational Accounting” Far More Likely to Obscure than Illuminate

February 6, 2014

Generational accounting is a method of comparing the effects of budget policies on people born in different years.  But it is hard to interpret and easily misunderstood, and including it in regular budget reports and cost estimates, as the proposed Intergenerational Financial Obligations Reform (INFORM) Act would require, would be a mistake, as we explain in a...