The Alan Katz Health Care Reform Magazine

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

Explaining the CBO’s vision of health-care catastrophe in the GOP plan

The new Congressional Budget Office report on the American Health Care Act, the House GOP replacement for Obamacare, demonstrates how difficult it is to craft a complex law that affects one-sixth of the U.S. economy. There are many variables — and unforeseen outcomes — that can undermine even the …

Health Care

Trumpcare Scored So Badly It Could Actually Help The Senate

Some GOP senators are so appalled by the House Obamacare repeal bill that they have little choice but starting fresh.<p>WASHINGTON ― The health care bill crafted and passed by House Republicans received another poor score from the Congressional Budget Office on Wednesday evening, with officials …

U.S. Congress

Insurers continue to hike prices, abandon ACA markets

AP Radio AP Radio News:<p>People shopping for insurance through the Affordable Care Act in yet more regions could face higher prices and fewer choices next year as insurance companies lay out their early plans for 2018.<p>Blue Cross and Blue Shield of North Carolina is asking regulators for a 23 percent …

Health Care

GOP leaders move to break health care gridlock

<b>(CNN) —</b> A day after Senate Majority Leader Mitch McConnell said he didn't know how he was going to find 50 votes to pass a bill to repeal and replace Obamacare, the No. 2 Senate Republican emerged from a key health care meeting saying he was suddenly "optimistic" about the negotiations over the …

U.S. Congress

Insurers continue to hike prices, abandon ACA markets

People shopping for insurance through the Affordable Care Act in yet more regions could face higher prices and fewer choices next year as insurance …

Health Care

G.O.P. Health Bill Would Leave 23 Million More Uninsured in a Decade, C.B.O. Says

WASHINGTON — A bill to dismantle the Affordable Care Act that narrowly passed the House this month would leave 14 million more people uninsured next year than under President Barack Obama’s health law — and 23 million more in 2026, the Congressional Budget Office said Wednesday. Some of the …

Health Care

GOP Bill Could Undercut Some Coverage In Job-Based Insurance

Would the House Republican health care bill impact insurance provided by employers? And why don't people without insurance just go to an emergency room for regular care? Here are answers to those and other recent questions from readers.<p><b>Will employer-based health care be affected by the new</b> …

Health Care

Healthy California Act annual price tag: $400 billion

SACRAMENTO — The annual price tag for California’s proposed universal single-payer health care system would be a staggering $400 billion, according …

Health Care

Trump budget: $800 billion in Medicaid cuts

<b>(CNN) —</b> Donald Trump's budget that is expected to be unveiled on Tuesday will include $800 billion in cuts to Medicaid -- a move that underscores the President's resolve to significantly downsize the federal program even as Republican lawmakers are clashing over the issue in Congress.<p>The $800 …

ObamaCare

Senators run into obstacles, consider options on health bill

AP Radio AP Radio News:<p>WASHINGTON (AP) -- Remember the Republican health care bill?<p>Washington is fixated on President Donald Trump's firing of FBI chief James Comey and burgeoning investigations into possible connections between Trump's presidential campaign and Russia.<p>But in closed-door meetings, …

ObamaCare

Quora: Why Single Payer Healthcare Won't Work

It's a form of government rationing because budget restrictions create a shortage for everyone in the system.

Health Care

This State's Governor Would Consider Opting Out of Trumpcare's Essential Health Benefits Waiver

Could other states follow suit?<p>When Donald Trump was elected as the 45th president of the United States in November, and Republicans retained a …

Trump tells advisers he wants to end key Obamacare subsidies

Many senior aides oppose the move for fear it will backfire politically.<p>Updated 05/19/2017 09:15 PM EDT<p>President Donald Trump has told advisers he wants to end payments of key Obamacare subsidies, a move that could send the health law's insurance markets into a tailspin, according to several …

ObamaCare

Not Satisfied With What They’re Seeing In Congress, Governors Start Drafting Own Health Plan

Governors will have more influence over the final legislation to repeal and replace the Affordable Care Act, because they're the ones who will be …

ObamaCare

Obamacare repeal faces possible re-vote in House

It's an unlikely scenario, but GOP leaders are still hanging onto the bill to ensure it clears a procedural hurdle.<p>House leaders have yet to send their Obamacare repeal bill to the Senate as they await a budget analysis that could force them to revise — and re-vote on — the high-stakes …

U.S. Congress

Health insurers plan big Obamacare rate hikes — and they blame Trump

Health insurers across the country are making plans to dramatically raise Obamacare premiums or exit marketplaces amid growing exasperation with the Trump administration’s erratic management of the program and its conflicting signals about the fate of aid for low-income consumers and other key …

Health Care

Trump administration pulls back on healthcare provisions aimed at small businesses

Do you know any small business that buys its health insurance through the SHOP exchange? No? Unfortunately, neither do I. There’s a reason for that. Most of us don’t.<p>SHOP stands for Small Business Health Options Program and it was established as part of the Affordable Care Act (ACA) as a place for …

Health Care

Trump administration to dismantle small-business part of ACA marketplaces

The Trump administration said Monday that it will dismantle part of the Affordable Care Act that created online insurance marketplaces for small businesses and tried to foster a greater choice of health plans for their workers.<p>Moving to end the ACA’s small-business enrollment system by 2018 …

Health Care

What does it look like when Obamacare explodes? This interactive graphic explains.

Obamacare’s insurance marketplaces are in a precarious position.<p>Aetna quit the Obamacare marketplaces last week, leaving Nebraska and Delaware.<p>In Iowa, a smaller plan called Medica has threatened to follow suit. If it quits, 94 of Iowa’s 99 counties would have no Obamacare plan at all.<p>Insurers …

Health Care

Health insurance premiums will keep going up, under either ACA or AHCA

<i>“If we do nothing, premiums will go far, far, far higher than they would otherwise go up. . . . I think they’ll go down once this system comes into place.”</i> <b><br>— House Speaker Paul D. Ryan (R-Wis.), interview on CBS’s “Face the Nation,” March 12, 2017</b><p><i>“The numbers that I’ve seen in the first glance is</i> …

Health Care

Why the US does not have universal health care, while many other countries do

The lead-up to the House passage of the American Health Care Act (AHCA) on May 4, which passed by a narrow majority after a failed first attempt, …

Senators hold back-channel talks on bipartisan Obamacare fix

Centrist members from both parties discuss a Plan B health care strategy in case the all-GOP effort crashes.<p>Sen. Bill Cassidy held up bright red posters in a mostly empty Senate chamber Thursday for a presentation on how his ideas would pass the "Jimmy Kimmel Test," by helping people with …

Health Care

Some of the most powerful people in the US are talking about a massive change to healthcare

Once confined to the fringes of debate, the idea of single-payer healthcare is making a comeback with support from some unlikely places.<p>The single-payer healthcare is a system used by countries including Canada, France, the UK, Australia, and others that in theory provides near universal coverage …

Health Care

The Garland Gambit

Republicans floating Merrick Garland for FBI director should be careful what they wish for.<p><i>Slate</i> columnist Dahlia Lithwick brilliantly shut down Sen. Mike Lee of Utah for his “suggestion” that Democrats should back Judge Merrick Garland of the D.C. Circuit as James Comey’s replacement at the …

Government

Senate GOP making tax credits look more like … Obamacare

There’s growing support for making the tax credits more generous for poorer people.<p>Updated 05/11/17 08:41 PM EDT<p>Senate Republicans are working on a potential breakthrough that could help push through an Obamacare repeal bill – by making insurance subsidies look a lot like Obamacare.<p>There’s growing …

ObamaCare

GOP Move to Ease Existing-Condition Health Coverage Mandate Could Endure

WASHINGTON – One of the most controversial provisions of the House Republican health-care bill had been expected to quietly disappear in the Senate. Now, some government budget experts think it might not.<p>The provision would enable states to obtain waivers to opt out of certain Affordable Care Act …

Health Care

Senate hard-liners outline health-care demands with Medicaid in the crosshairs

Senate conservatives, once seen as an impediment to the Obamacare repeal push, are instead lobbying for changes that would drop millions of adults from Medicaid, limit the value of tax credits over concerns about funding abortion and weaken or cancel consumer protections.<p>Senators including Mike Lee …

ObamaCare

Strategy To Exclude Moderates, Women From 13-Man Working Group May Come Back To Bite McConnell

The more moderate senators now have no obligation to fall in line behind the group’s final health law draft and will almost surely continue to work …

U.S. Congress