Category Archives: Medicaid

CBO’s Alternate Facts About Obamacare

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Millions may lose cov­er­age next year if Con­gress does not repeal Oba­macare.

That’s not what this week’s Con­gres­sion­al Bud­get Office (CBO) analy­sis says, but it is real­i­ty. CBO’s esti­mat­ing mod­els seem imper­vi­ous to reality.

In the real world, the Oba­macare exchanges are in cri­sis, mil­lions of unin­sured peo­ple will­ing­ly pay or avoid IRS penal­ties, and con­sumers strug­gle with ris­ing pre­mi­ums and cost-shar­ing require­ments.  Read more on Nation­al Review Online.

What We Know And Don’t Know About Obamacare, Part II

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More than five years after its enactment there still are many questions about whether Obamacare is working. Here are four of them.

More than five years after its enact­ment there still are many ques­tions about whether Oba­macare is work­ing. Here are four of them.

My pre­vi­ous post dis­cussed what we know about Oba­macare as its third open enroll­ment sea­son begins.  Here are four major ques­tions about the future of Oba­macare that remain unanswered.

Can insur­ance com­pa­nies make mon­ey in the exchanges with­out cor­po­rate wel­fare? Oba­macare con­tains some very expen­sive sweet­en­ers to entice insur­ance com­pa­nies to sell through the exchanges. These include risk cor­ri­dor pay­ments and $20 bil­lion over three years in inapt­ly named “rein­sur­ance” pay­ments, mon­ey gov­ern­ment takes from par­tic­i­pants in group health plans and gives to insur­ers that par­tic­i­pate in the exchanges. Both are sched­uled to end in 2017.

Con­tin­ue read­ing →

What We Know And Don’t Know About Obamacare, Part I

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Obamacare's third open enrollment season launched yesterday. Here are six things we know about the program. (Tomorrow: four things we still don't know.) Credit:americanlegislator.org

Oba­macare’s third open enroll­ment sea­son launched yes­ter­day. Here are six things we know about the pro­gram. (Tomor­row: four things we still don’t know.) Credit:americanlegislator.org

Obamacare’s third open enroll­ment sea­son has kicked off, begin­ning the next chap­ter in its tur­bu­lent his­to­ry.  Today’s post dis­cuss­es what we know about Oba­macare.  Tomorrow’s will dis­cuss what we still don’t know.

What We Know

Few­er peo­ple are unin­sured. How many few­er is a mat­ter of dis­pute, but the improve­ment is sub­stan­tial by any mea­sure.  HHS Sec­re­tary Sylvia Bur­well cred­its Oba­macare with reduc­ing the num­ber of unin­sured peo­ple by 17.6 mil­lion since 2010.   And though you’ll like­ly hear this num­ber repeat­ed (and often round­ed up to 18 mil­lion), it’s almost cer­tain­ly exag­ger­at­ed.   Con­tin­ue read­ing →

Obamacare’s Next Chapter

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Chief Justice John Roberts ' opinion in King v. Burwell betrayed widely-held misconceptions about health insurance markets. [Credit: Human Events]

Chief Jus­tice John Roberts ’ opin­ion in King v. Bur­well repeat­ed wide­ly-held mis­con­cep­tions about health insur­ance mar­kets.  Con­ser­v­a­tives should take note. [Cred­it: Human Events]

“The Patient Pro­tec­tion and Afford­able Care Act grew out of a long his­to­ry of failed health insur­ance reform.” Chief Jus­tice John Roberts, in uphold­ing Oba­macare subsidies.

Oba­macare is the newest chap­ter in that long his­to­ry of failed health insur­ance reform.  Con­ser­v­a­tives who hope one day to replace it would do well to learn from its errors and con­ceits. Con­tin­ue read­ing →

Obamacare And The Daughters of (40% Less) Charity

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The President last week professed his love -- appropriately chaste, of course -- for Sister Carol Keehan, president of the Catholic Health Association and tireless Obamacare advocate. [Credit: Wikipedia]

The Pres­i­dent last week pro­fessed his love — appro­pri­ate and chaste, of course — for Sis­ter Car­ol Kee­han, pres­i­dent of the Catholic Health Asso­ci­a­tion and tire­less Oba­macare advo­cate. [Cred­it: Wikipedia]

I just love nuns gen­er­al­ly.  I’m just say­ing.  – Pres­i­dent Oba­ma, June 9

And nuns just love him too.  At least nuns who run hos­pi­tals seem to.  And with good rea­son: the Pres­i­dent advo­cates poli­cies that enable hos­pi­tals like those oper­at­ed by the Daugh­ters of Char­i­ty to pro­vide less char­i­ty.  Con­tin­ue read­ing →

Obamacare Has Reduced Uninsured By Nearly 8 Million

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A fresh government study has found that Obamacare has so far reduced the number of uninsured by eight million. [Credit: publicbroadcasting.net]

A fresh gov­ern­ment study has found that Oba­macare has so far reduced the num­ber of unin­sured by eight mil­lion. [Cred­it: publicbroadcasting.net]

The num­ber of unin­sured peo­ple declined by near­ly eight mil­lion dur­ing the first nine months of 2014, reduc­ing their ranks to 37.2 mil­lion, accord­ing to an analy­sis of data released late last week by the Nation­al Cen­ter for Health Sta­tis­tics (NCHS).

The survey’s find­ings con­flict with a report issued last month by the RAND Cor­po­ra­tion, which esti­mat­ed that the num­ber of unin­sured fell by 16.9 mil­lion since Obamacare’s imple­men­ta­tion [sub­scrip­tion required].  The RAND study put the num­ber of unin­sured at 25.8 mil­lion, near­ly 12 mil­lion few­er than the NCHS esti­mate. Con­tin­ue read­ing →

Let States Exchange Obamacare For Something Better

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Colorado Governor John Hickenlooper established an Obamacare state exchange that is now "teetering," according to a state official. [Credit: mnginteractive.com]

Col­orado Gov­er­nor John Hick­en­loop­er estab­lished an Oba­macare state exchange that is now “tee­ter­ing,” accord­ing to a state offi­cial. [Cred­it: mnginteractive.com]

In the 34 states that did not estab­lish Oba­macare exchanges, Gov­er­nors ner­vous­ly await a Supreme Court rul­ing that could throw their health insur­ance mar­kets into chaos. Mean­while, many of the Gov­er­nors who did estab­lish exchanges are regret­ting their decision.

More than five years after its enact­ment, Oba­macare has proven a bit­ter brew for many states.  Nowhere is this more evi­dent than in health care exchanges.  Con­tin­ue read­ing →

The GOP’s Gift To Henry Waxman — Part II

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Cold War era Congressman Chet Holifield wanted the federal government to finance a network of underground bomb shelters. His successor, Henry Waxman, wanted the federal government to take over health care. Holifield failed; Waxman is still doing just fine. [Credit: NY Times]

Cold War era Con­gress­man Chet Holifield want­ed the fed­er­al gov­ern­ment to finance a net­work of under­ground bomb shel­ters. His suc­ces­sor, Hen­ry Wax­man, want­ed the fed­er­al gov­ern­ment to take over health care. Holifield failed; Wax­man did just fine. [Cred­it: NY Times]

Chet Holifield was obsessed with The Bomb.

Dur­ing a 32-year tenure that flow­ered dur­ing the Cold War, the Los Ange­les Con­gress­man sought fed­er­al mon­ey to help Amer­i­cans sur­vive a nuclear war.  He called for “a nation­wide sys­tem of under­ground shel­ters” in which to hud­dle, safe from irra­di­at­ed debris.

Though Holifield achieved suc­cess in oth­er areas – he was known as “Mr. Atom­ic Ener­gy” for his pro­mo­tion of nuclear pow­er — he left Con­gress in 1974 with­out ful­fill­ing his sub­ter­ranean vision. Con­tin­ue read­ing →

The GOP’s Gift To Henry Waxman — Part I

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Nancy Pelosi (D-CA) and John Boehner (R-OH) took a bow when the House passed a $141 billion health care bill. But Henry Waxman deserves the credit. [Credit: Politico]

Nan­cy Pelosi (D‑CA) and House Speak­er John Boehn­er (R‑OH) took a bow when the House passed a $141 bil­lion health care bill. But Hen­ry Wax­man deserves the cred­it. [Cred­it: Politico]

“What a way to cel­e­brate a birth­day!”  – House Minor­i­ty Leader Nan­cy Pelosi (D‑CA) after the House passed bipar­ti­san health care legislation

Sor­ry, Nan­cy.  It’s not about you.

The $141 bil­lion health care bill that cleared the House last month and that is expect­ed to win Sen­ate approval next week is a trib­ute from the GOP-con­trolled Con­gress to for­mer Con­gress­man Hen­ry Wax­man, a man who worked tire­less­ly – and with great suc­cess – to expand health care-relat­ed wel­fare spend­ing. Con­tin­ue read­ing →

Obamacare: The More You Pay, The Less You Get

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Obamacare enrollment increased this year, but only the poorest among the uninsured have so far signed up. [Credit: Arkansas Times]

Oba­macare enroll­ment increased this year, but only the poor­est among the unin­sured have so far signed up. [Cred­it: Arkansas Times]

Can gov­ern­ment get peo­ple to buy a prod­uct that mil­lions think isn’t worth the price?

That’s the ques­tion that health care ana­lysts are ask­ing as they pore over the results of the Oba­macare open sea­son that con­clud­ed on Feb­ru­ary 15. Con­tin­ue read­ing →