Health Care REFORM UPDATE

Roger Collier's survey of the most recent developments in United States health care reform, together with analysis and opinions

Thursday, February 9, 2012

MEDICARE PROVIDERS DON’T WANT LESS REVENUE—WELL, DUH!

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The Congressional Budget Office’s January issue brief on the failure of almost all of more than thirty Medicare demonstration projects to ...
Thursday, December 22, 2011

ESSENTIAL BENEFITS: WHAT ESSENTIAL BENEFITS?

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Last week’s announcement from the Obama administration that it would not now define a single uniform set of “essential health benefits” to b...
Monday, December 19, 2011

AFFORDABLE CARE ACT: A DATE WITH DESTINY

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The schedule for the Supreme Court to hear arguments on the constitutionality of provisions of the Affordable Care Act was announced this we...
Friday, November 18, 2011

READING THE SUPREME COURT TEA LEAVES

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The announcement on November 14 that the Supreme Court will review various aspects of the constitutionality of the Affordable Care Act has s...
Saturday, November 12, 2011

YET ANOTHER APPEALS COURT HEARD FROM

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The final federal Court of Appeals decision on the constitutionality of the Affordable Care Act, before the Supreme Court meets to decide wh...
Tuesday, October 25, 2011

ACOs: THE GOOD AND THE BAD

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To muted applause and some sighs of relief from providers, HHS released the final ACO regulations last week. The final version supersede...
Sunday, October 16, 2011

IT’S OFFICIAL: CLASS IS DISMISSED

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It happened in the usual Washington way: first, the rumor, then the denial, and then (on a Friday, so as to miss the weekday press), the off...
Tuesday, October 11, 2011

PAUL RYAN IS RIGHT! (EVEN THOUGH HE’S WRONG!)

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Having cost the Republican Party a Congressional seat earlier this year with his plan to turn Medicare into a voucher program, House Budget ...
1 comment:
Wednesday, September 28, 2011

SOONER IS BETTER, DECIDES THE ADMINISTRATION

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Hot on the heels of Monday’s news that the Obama administration had decided not to ask for a re-hearing of the Eleventh Circuit Court’s ru...

MANDATE ON ITS WAY TO THE SUPREME COURT?

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It may have looked like a non-event, but it was a significant one. Monday September 26 was the last day on which the Obama administratio...
Saturday, September 24, 2011

CURTAINS FOR CLASS?

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Several news reports this week indicate that the Community Living Assistance Services and Support program (CLASS Act), enacted last year in ...
Monday, September 12, 2011

PLAN B: IF THE MANDATE IS OVERTURNED

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Kaiser Health News has an interesting piece in which it quotes the answers of six health care system “experts” to what happens if the Afford...
Thursday, September 8, 2011

WINS NUMBER TWO AND THREE FOR THE OBAMA ADMINISTRATION

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The Obama administration won a pair of modest victories today when the Fourth Circuit Court of Appeals in Richmond, Virginia, threw out a lo...
Tuesday, September 6, 2011

THE LIMITS OF COMPETITION

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For those of us with a touching faith in the ability of competition to control health care costs, a dispute in Pennsylvania provides a sober...
1 comment:
Monday, August 22, 2011

AND WHAT HAPPENS IF THE INDIVIDUAL MANDATE IS STRUCK DOWN?

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An alarming article in Politico.com looks at what could happen if the Supreme Court determines that the Affordable Care Act’s individual m...
1 comment:
Sunday, August 21, 2011

MEDICAL LOSS RATIO WAIVERS: AN UPDATE

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The Affordable Care Act’s medical loss ratio issue (requiring insurers’ administrative and other non-medical costs to remain below prescribe...
Monday, August 15, 2011

ATTACKS ON IPAB GATHER STRENGTH—AND WASTE ENERGY?

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The Washington Post reports that the Affordable Care Act’s Independent Payment Advisory Board, intended to constrain Medicare spending incr...
1 comment:
Sunday, August 14, 2011

APPELLATE COURT SETBACK FOR AFFORDABLE CARE ACT

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The second of three federal Appeals Court decisions on the constitutionality of the Affordable Care Act was handed down on Friday, and it wa...
Sunday, July 31, 2011

INTERPRETING THE DRAFT INSURANCE EXCHANGE REGULATIONS

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The Obama administration’s progress—with just a few stumbles—towards health care reform implementation took another major step this month. I...
1 comment:
Thursday, June 30, 2011

OBAMA ADMINISTRATION WINS FIRST ACA APPEALS ROUND

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The first of three anticipated federal Courts of Appeals decisions on the constitutionality of the Affordable Care Act was handed down yeste...
Monday, June 13, 2011

ANOTHER LEGAL ROUND—WITH A MAJOR MISSTEP?

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The past week’s appellate court hearing in Atlanta on the constitutionality of the Affordable Care Act, one of a series along the inevitable...
Saturday, May 21, 2011

MUCH MORE REFORM NEEDED FOR MEDICARE?

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Last week’s startlingly gloomy annual report from the Trustees of the Medicare Trust Funds lent new urgency to the need for further Medicare...
2 comments:
Thursday, May 19, 2011

REFORM CHALLENGES GRIND ON

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Last week saw more legal activity around challenges to the Affordable Care Act, with a hearing in Richmond, Virginia before three appeals ju...
Sunday, May 15, 2011

SINGLE PAYER IN VERMONT? WELL, NOT EXACTLY

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In just a few days, Vermont’s Governor Peter Shumlin will sign into law what the media is calling “single payer health care reform.” But is ...
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