Healthcare Reform
Our work in Healthcare Reform
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Effects of the More Austere Medicaid Per Capita Cap Included in the Senate’s Health Bill
Last month, we analyzed how states and the federal budget would have fared had a Medicaid per capita cap like the one envisioned in the House-passed American Health Care Act (AHCA) been implemented in the recent past. On June 22, the Senate released a “discussion draft” of their Affordable Care Act repeal bill: the Better […]
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Changes to State Innovation Waivers in the Senate Health Bill Undermine Coverage and Open the Door to Misuse of Federal Funds
Under current law, section 1332 provides broad flexibility for states to waive key ACA provisions so long as health coverage is not jeopardized and federal deficits not increased. The changes in the Senate bill would upset this structure.
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Like the AHCA, the Senate’s Health Care Bill Could Weaken ACA Protections Against Catastrophic Costs
Matthew Fielder analyzes the potential effects of the Senate’s health care bill on essential health benefits and ACA protections against catastrophic costs.
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Effects of Medicaid per Capita Cap Included in the House-Passed American Health Care Act
The American Health Care Act (AHCA), which was passed by the House of Representatives on May 4, would alter how the costs of state Medicaid programs are shared between the federal government and states. In “Effects of the Medicaid Per Capita Cap Included in the House-Passed American Health Care Act,” (PDF) Loren Adler, Matthew Fiedler, […]
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Why America Needs a ‘Do-Over’ on Medicaid Reform
Republicans and Democrats should aim toward securing the health of the most vulnerable American children and families.
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Allowing States to Define “Essential Health Benefits” Could Weaken ACA Protections Against Catastrophic Costs for People with Employer Coverage Nationwide
This post addresses the new MacArthur Amendment specifically and provides more detail on why waivers in one state could have effects elsewhere.
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To Promote Stability in Health Insurance Exchanges, End the Uncertainty Around Cost-Sharing and Other Rules
While it is unclear whether the changes included in the CMS rule will have a small positive or negative impact on market stability, it is clear that the impact pales in comparison to the instability caused by the lack of commitment to fund the ACA’s cost-sharing reduction subsidies or to enforce the individual mandate.
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How the Growing Gap in Life Expectancy May Affect Retirement Benefits and Reforms
Growing gap in life expectancy by income increases gap in lifetime retirement benefits including Medicare by $130,000
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New Changes to Essential Benefits in the GOP Health Bill Could Jeopardize Protections Against Catastrophic Costs, Even for People with Job-Based Coverage
Weakening essential health benefit standards could also have important negative consequences for the coverage offered by employers of all sizes because it would weaken the ACA’s guarantee of protection against catastrophic costs.
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How will the House GOP Health Care Bill Affect Individual Market Premiums?
Schaeffer Initiative experts estimate that premiums would be around 13% higher under the AHCA than they are under current law, holding plan generosity and the individual market age distribution fixed at their current law levels.
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