The Alan Katz Health Care Reform Magazine

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

The Individual Insurance Market In 2018: Business As Usual?

<i>Editor’s Note: This post is part of a series stemming from the</i> <i>Sixth Annual Health Law Year in P/Review</i> <i>event held at Harvard Law School on December</i> …

ObamaCare

CBO to lower estimate of uninsured caused by repeal of Obamacare mandate

The Congressional Budget Office has found that the repeal of Obamacare’s individual mandate, which requires people to have health insurance or pay a …

ObamaCare

Column: Don’t delay on health care reform

Sens. Lamar Alexander, R-Tenn., and Patty Murray, D-Wash., recently created a bipartisan bill to improve health insurance markets. The deal allocates …

Health Care

CMS launches new voluntary bundled payment model

The Centers for Medicare and Medicaid Services on Tuesday announced a new voluntary bundled payment model that will qualify as an Advanced …

Health Care

Maryland’s got a new idea to safeguard the Obamacare mandate: insurance down payment

States are already coming up with creative solutions to the Republican tax bill.<p>More people in Maryland are insured now than before the Affordable …

Health Care

The Association Health Plan Proposed Rule: What It Says And What It Would Do

Author’s Note<p><i>There is little more I can say about Tim Jost that hasn’t already been said by Don Berwick and Chris Fleming. Tim is truly a national</i> …

Health Care

Sarah Wollaston urges government to get a grip on NHS 'crisis'

<b>The government must "get a better grip" on the challenges facing the NHS in England, a senior Tory MP has said, as bosses cancelled non-urgent operations.</b><p>Officials say the move is a planned response to severe winter pressures and not evidence of a health care crisis.<p>But Sarah Wollaston, who chairs …

Referendums

What lies ahead for health care in 2018

<b>REPUBLICANS' OBAMACARE QUANDARY: REPEAL OR PROP UP?</b> — Party leaders don’t want to spend precious time on a failed attempt to repeal the health care law, the situation they found themselves in last year. But they also don’t want to take repeal off the table and antagonize conservatives, POLITICO's …

Health Care

The uninsured are overusing emergency rooms — and other health-care myths

In the search for ways to bring down American health-care spending, there are certain ideas that are close to dogma. Chief among them: If you provide health insurance to people, they will stop overusing the emergency room.<p>“A lot of people just didn't bother getting health insurance at all. And when …

Health Care

Trump admin rolling back use of fines against nursing homes

The use of fines levied against nursing homes that have been cited for violations such as neglect or mistreatment is reportedly being rolled back by …

Health Care

The Uninsured: A Primer – Key Facts about Health Insurance and the Uninsured Under the Affordable Care Act

In the past, gaps in the public insurance system and lack of access to affordable private coverage left millions without health insurance, and the …

Deadline Is Friday For Most ACA Insurance Sign-Ups, With Important Exceptions

Open enrollment on the federal health law's marketplace — HealthCare.gov — ends Friday, and most people who want a plan for next year need to meet the deadline.<p>But some consumers who miss the cutoff could be surprised to learn they have the opportunity to enroll later.<p>"While a lot of people will be …

Sen. Collins’ Strategy To Stabilize Insurance Market Raises Doubts Among Analysts

Sen. Susan Collins (R-Maine), whose vote was pivotal in pushing the GOP tax bill forward last week, thought she had a deal to bolster health care …

5 Ways Congressional Tax Legislation Would Transform Health Care

Having failed to repeal and replace the Affordable Care Act, Congress is now working on a tax overhaul. But it turns out the tax bills in the House and Senate also aim to reshape health care.<p>Here are five ways the tax legislation could change health policy:<p><b>1. Repeal the requirement for most people</b> …

Two senators’ inexplicable flip-flop on health care

Sens. Susan Collins (R-Maine) and Lisa Murkowski (R-Alaska) stood tall against partisan pressure in voting to stop a disastrous health-care bill. Now, in the context of the tax bill, they are prepared to vote for a bill that would repeal the individual mandate, causing grave economic disruption to …

ObamaCare

Trump Backs Bipartisan ACA Market Bill, Boosting Tax Plan

The fight for the individual health market continues<p>Sen. Lamar Alexander, R-Tenn. (Photo: Alexander)<p>President Donald Trump told Republican senators …

Cost of pneumococcal vaccine keeps rising

Every November, like clockwork, she gets the same letter, said Lindsay Irvin, a pediatrician in San Antonio.<p>It’s from the drug company Pfizer Inc., and it informs her that the price tag for the pneumococcal vaccine Prevnar 13 is going up. Again.<p>And it makes her angry.<p>“They’re the only ones who make …

Health Care

Facebook will show users what Russian propaganda they liked or followed

You could soon see whether you interacted with Russian propaganda on Facebook and Instagram during the 2016 election.<p>On Wednesday, Facebook announced a new portal that lets users see which Internet Research Agency-linked Facebook pages or Instagram accounts they liked or followed between January …

Social Media

Kaiser Health Tracking Poll – November 2017: The Politics of Health Insurance Coverage, ACA Open Enrollment

KEY FINDINGS:<p>This month marks the start of the ACA’s fifth open enrollment period for individuals who purchase health plans on their own. The …

ObamaCare

We've lost one of the clearest voices on health care, Uwe Reinhardt

All journalists have a list of experts they can call to explain complicated theories and policies, but few if any could explain things as clearly and …

Middle-Class Families Confront Soaring Health Insurance Costs

CHARLOTTESVILLE, Va. — Consumers here at first did not believe the health insurance premiums they saw when they went shopping for coverage this month on HealthCare.gov. Only five plans were available, and for a family of four with parents in their mid-30s, the cheapest plan went typically for more …

Health Care

For Millions of Insured Americans, State Health Laws Don’t Apply

Let’s say you have health insurance through your employer and live in one of 21 states with laws protecting consumers against surprise medical bills …

I.R.S. Starts to Enforce Health Law’s Rule That Employers Offer Insurance

As Republicans and the Trump administration continue trying to chip away at the Affordable Care Act, the Internal Revenue Service has begun, for the first time, to enforce one of the law’s most polarizing provisions: the employer mandate.<p>Thousands of businesses — many of them small or midsize — …

What repealing Obamacare's individual mandate means

Republican lawmakers have long wanted to kill Obamacare's individual mandate, one of the least popular provisions of the health reform law. Now, GOP senators are trying to do the deed by repealing the mandate in their tax reform bill.<p>Senators say eliminating the individual mandate would give them …

Health Care

Senate tax plan repeals Obamacare's individual mandate

<b>OBAMACARE REPEAL IS BACK —</b> Republican efforts to repeal Obamacare have reemerged in the Senate's latest tax reform package, which includes scrapping the health law’s individual mandate.<p>Senate Finance Committee Republicans late Tuesday evening released an updated version of their tax reform plan, …

The Ezra Klein Show: VC Bill Gurley on Transforming Health Care

November 15, 2017:<p>In November of 2015, I posted a tweet that declared Benchmark was interested in discovering Internet healthcare investments. Our …

Not on Obamacare? 3 Shocking Charts Show Why a Repeal Could Soon Affect You, Too

The first is the most important for you, and the third is what politicians can't afford to ignore.<p>A report came out recently with major implications …

Is 10 minutes long enough for a doctor's appointment? Fed up patients are sick of waiting

Patients are turning up at their GPs with a “shopping list” of ailments after waiting weeks for an appointment, a North East doctor has …