The Alan Katz Health Care Reform Magazine

By Alan | The policies and politics surrounding health care reform in a Donald Trump world.

Upcoming GOP Reform Package is Just the Start

Up until now, the debate over the repeal and replace of the Affordable Care Act has been limited to the reading of tea leaves and, at best, educated …

Health Care

Pre-existing conditions complicate health care replacement

CHICAGO (AP) — As Republicans try to unite around a replacement for the Affordable Care Act, one of the most popular parts of the law will be among the most difficult to replace: the guarantee of health coverage for people with pre-existing conditions.<p>The challenge of providing insurance for …

Health Care

Leaked GOP docs show governors’ health care demands

Republican governors are undecided on how far they want Congress to go in overhauling Medicaid, internal documents obtained by Vox show.<p>The governors, who gathered in Washington this weekend for the National Governors Association, will be a crucial voice in the debate over repealing and replacing …

Health Care

GOP governors outline health care plan, Medicaid changes

DES MOINES, Iowa (AP) — Republican governors are sending a clear message to Congress: Don't scrap the health care law without a viable alternative.<p>Eight Republican governors from all regions of the country are presenting a proposal to the Republican Governors Association meeting in Washington on …

Health Care

Americans Agree Obamacare Needs a Fix. The Question Is: How Much of One?

As lawmakers grapple with the future of Barack Obama's signature health care law, Americans agree that the legislation needs a fix but remain divided about the scope of changes that are needed, according to a new NBC News/Wall Street Journal poll.<p>The Affordable Care Act is now more popular than it …

Health Care

GOP Rep. Mo Brooks says town hall protests may prevent Obamacare repeal

<b>(CNN) —</b> Republican Rep. Mo Brooks said Thursday that protests at town halls around the country might prevent Republican lawmakers from repealing the Affordable Care Act.<p>"I'll tell you, Toni, there are a, in my opinion, a significant number of congressmen who are being impacted by these kinds of …

Health Care

House GOP plans to keep some Medicaid expansion — and steer money to states that never bought in

Congressional Republicans have been struggling for months to resolve one of the most vexing problems in their tortuous effort to replace the Affordable Care Act: What to do about the generous federal funding for states that broadened their Medicaid programs under the law, while not shortchanging …

Health Care

Leaked GOP Obamacare replacement shrinks subsidies, Medicaid expansion

The replacement would be paid for by limiting tax breaks on generous health plans people get at work.<p>Updated 02/24/17 03:10 PM EST<p>A draft House Republican repeal bill would dismantle the Obamacare subsidies and scrap its Medicaid expansion, according to a copy of the proposal obtained by …

Health Care

Trump falsely claims that Obamacare covers ‘very few people’

President Donald Trump falsely claimed on Friday that the health care law known as Obamacare “covers very few people.”<p>Trump, delivering a speech at the annual Conservative Political Action Conference in National Harbor, Maryland, was sharply critical of the Affordable Care Act, which he repeatedly …

Health Care

Repeal of Health Law Faces Obstacles in House, Not Just in Senate

WASHINGTON — Ever since Republicans got down to the business of repealing the Affordable Care Act, the Senate has been singled out as the likely problem. Any plan that could zoom through the House would hit roadblocks among Senate Republicans, many of whom have resisted a wholesale repeal of the …

Hill GOP asks governors to help save Obamacare repeal

<b>(CNN) —</b> Congressional Republicans struggling over how to repeal Obamacare are stuck on a key problem: what to do with the millions of people in 31 states covered under the dramatic expansion of Medicaid the law enabled.<p>So they have privately turned to a handful of governors to help resolve the …

Health Care

Boehner: Republicans won't repeal and replace Obamacare

'They’re basically going to fix the flaws and put a more conservative box around it,' Boehner said.<p>Updated 02/23/17 06:06 PM EST<p>Former House Speaker John Boehner predicted on Thursday that a full repeal and replace of Obamacare is “not what’s going to happen” and that Republicans will instead just …

Health Care

GOP Health Insurance Fix Could Raise Premiums For Older Patients

Dale Marsh has not been enamored with his health insurance since the Affordable Care Act took effect. Premiums for Marsh, 53, and his wife, Tammy, rose, their deductibles grew, and they gave up access to their regular doctors to keep costs down. This year, facing monthly premiums of $1,131 — a 47 …

Health Care

Issa bill to replace Obamacare doesn't address subsidies

Under pressure from constituents in and outside of his congressional district, Rep. Darrell Issa of Vista on Tuesday released a draft bill that would …

Health Care

A GOP tax idea would upend employer-based insurance

(Bloomberg Gadfly) -- Even by recent standards, February has been an eventful month for health insurance.<p>Last week brought thwarted mergers, threats …

House, Justice Department ask for delay in ObamaCare lawsuit

Republican lawmakers and the Department of Justice have asked for more time Tuesday to decide whether they want to move forward in the House's …

Government

Health Insurance Woes Add To The Risky Business Of Farming

There are many challenges to farming for a living: It's often grueling work that relies on unpredictable factors such as weather and global market prices. But one aspect that's often ignored is the cost of health care.<p>A University of Vermont researcher found that nationally, most farmers cited …

Health Care

Conservatives Object to Obamacare Replacement's Tax Credits - Bloomberg

Some conservative House Republicans are objecting to a major part of the Obamacare replacement outline presented to them by party leaders, …

Taxes

Obamacare possible repeal may birth a new retirement account

The end of the Affordable Care Act could mean the rise of a new kind of tax-advantaged investment plan: the Roth health savings account …

Retirement

GOP health plan: Lower costs, better care, or road to ruin?

WASHINGTON (AP) — Top House Republicans say their outline for replacing President Barack Obama’s health care law is a pathway to greater flexibility …

Health Care

17 Provisions That Will Disappear if Obamacare Is Repealed

Repealing the Affordable Care Act would reshape how Americans buy and receive health coverage.<p>Now-former President Barack Obama's hallmark …

Health Care

If the Affordable Care Act may be repealed, can I ignore the tax penalty?

In some recent emails, readers asked about what to expect as Republicans move to overhaul the health law. Should people bother paying the penalty for not having health insurance when they file their taxes this year? Will people be able to sign up on the exchange for 2018 after their COBRA benefits …

Health Care

New Deadlines Give Insurers More Time To Decide On 2018 Marketplace Participation

In the preface to its February 15 market stabilization rule, the Department of Health and Human Services announced that it would be revising its 2017 …

GOP Leaders Urge Return To 'High-Risk Insurance Pools' That Critics Call Costly

Some Republicans looking to scrap the Affordable Care Act say monthly health insurance premiums need to be lower for the individuals who have to buy insurance on their own. One way to do that, GOP leaders say, would be to return to the use of what are called high-risk insurance pools.<p>But critics …

Health Care

Yikes: Canada's Healthcare System Has Some Of The Longest Wait Times In The World

It looks as though Canadians have some of the best healthcare in the world--provided they live long enough to actually see a doctor. A new...

Health Care

Republicans' New Plan to Gut Public Insurance

A proposal from the House GOP to dismantle Obamacare would also fundamentally alter the way Medicaid works.<p>Medicaid has essentially functioned the same way for half a century. Eligibility for the program has changed, most notably when Obamacare extended an option to states to expand coverage to all …

Health Care

House Republicans’ plans to repeal Obamacare worries health insurers

House Republicans’ outline of an Affordable Care Act repeal plan left health insurers increasingly worried about the future of the health law’s exchanges, despite a Trump administration proposal earlier this week aimed at providing stability.<p>The new House Republican plan, whose backers include …

Health Care

The prospects of a quick Obamacare repeal are sinking fast

One of President Trump’s primary goals — and a long-standing priority of the Republican Party — is to repeal the Affordable Care Act, a.k.a. Obamacare. On Thursday, House Republican leaders briefed members on aspects of their plan, but there is as yet no consensus on what the plan will ultimately …

Health Care

Pre-ACA Market Practices Provide Lessons for ACA Replacement Approaches

Significant changes to the Affordable Care Act (ACA) are being considered by lawmakers who have been critical of its general approach to providing …

Insurance