Health Care Policy

By Keith Fitzgerald | News related to health care policy issues

A doctor with a bad knee runs into one-size-fits-all medicine

It took me three months of physical torture before I diagnosed my problem: I was suffering from one-size-fits-all medicine.<p>I am one of more than 750,000 Americans who this year will have a total knee replacement, the most common orthopedic operation. Most people do well with the standard physical …

Life Sciences

Obamacare architect Ezekiel Emanuel: Donald Trump has an opportunity “to do enormous good” — or to create “chaos”

Obama's healthcare adviser says the ACA has been a success — and, believe it or not, Trump could make it better<p>Dr. Ezekiel Emanuel was a White House adviser to President Barack Obama on healthcare and a key architect of the Affordable Care Act, commonly referred to as Obamacare. Today, he says he …

Republican Party

G.O.P. Plans Immediate Repeal of Health Law, Then a Delay

WASHINGTON — Republicans in Congress plan to move almost immediately next month to repeal the Affordable Care Act, as President-elect Donald J. Trump promised. But they also are likely to delay the effective date so that they have several years to phase out President Obama’s signature …

Health

The Alternative to Obamacare Is Obamacare

If history didn’t have a way of repeating itself, the tawdry battle of <i>King vs. Burwell</i> would by now be an obscure footnote. Instead, that defunct …

ObamaCare

The First Victims of Repealing Obamacare Will Be the Sick and the Poor

It has been widely noted that Donald Trump’s choice of Tom Price, the Republican congressman from Georgia, to be his Secretary of Health and Human Services makes a full-blown repeal of the Affordable Care Act more likely. Price, an orthopedic surgeon, isn’t just an armchair critic of Obamacare. In …

Tom Price

Democrats Target Price Nomination in Proxy Fight on Health Care

Senate Democrats plan to put up a fight against Donald Trump’s choice of Representative Tom Price to become secretary of Health and Human Services, …

Tom Price

Tom Price’s plan to cut Medicaid spending, explained

There's much in health care policy that divides Republicans. But there's one major idea that unites them: block grants for Medicaid.<p>It’s in the budget proposal that House Budget Chair Rep. Tom Price, Trump’s pick to run Health and Human Services, released this year. It was in Trump’s own health …

Tom Price

Trump Picks Seema Verma To Run Medicare And Medicaid

President-elect Donald Trump unveiled two big health care decisions Tuesday.<p>He picked Rep. Tom Price to head the Department of Health and Human Services and tapped Seema Verma, a health care consultant, to head the Centers for Medicare & Medicaid Services. That's the part of HHS that oversees …

Medicaid

Trump may name HHS secretary Tuesday: report

President-elect Donald TrumpDonald TrumpVideo: Pro-Trump voter yells at craft store staff, alleges mistreatment Trump may name HHS secretary Tuesday: …

Tom Price

Trump turning away intelligence briefers since election win

President-elect Donald Trump has received two classified intelligence briefings since his surprise election victory earlier this month, a frequency that is notably lower — at least so far — than that of his predecessors, current and former U.S. officials said.<p>A team of intelligence analysts has …

Republican Party

Governors planning 'very, very active' role in ObamaCare rewrite

State leaders are positioning themselves to have a key voice in a potential rewrite of ObamaCare next year.<p>With the election of Donald TrumpDonald …

Many in Florida Count on Obama’s Health Law, Even Amid Talk of Its Demise

MIAMI — Dalia Carmeli, who drives a trolley in downtown Miami, voted for Donald J. Trump on Election Day. A week later, she stopped in to see the enrollment counselor who will help her sign up for another year of health insurance under the Affordable Care Act.<p>“I hope it still stays the same,” said …

Health

A Battle to Change Medicare Is Brewing, Whether Trump Wants It or Not

WASHINGTON — Donald J. Trump once declared that campaigning for “substantial” changes to Medicare would be a political death wish.<p>But with Election Day behind them, emboldened House Republicans say they will move forward on a years-old effort to shift Medicare away from its open-ended commitment to …

Medicare

Simply Repealing Obamacare Will Hurt the White Working Class

Donald Trump’s pledge to repeal the Affordable Care Act threatens to harm the voters who put him into office.<p>On January 20—quibbling over the Electoral College notwithstanding—Donald Trump will become president. For the first time in the seven years since its passage, Republicans will have what …

Politics

Scott describes vision for health care reform

ORLANDO — Gov. Rick Scott’s vision for health care in Florida after President-elect Donald Trump repeals the Affordable Care Act would be cheaper, …

ACA repeal considerations stump states that expanded Medicaid

Dive Brief:<p>In the wake of Tuesday’s election, healthcare providers, payers and policymakers are scrambling to understand what a Donald Trump …

Medicare, Medicaid drug prices soar but reform less certain

Medicaid spending on the 20 drugs with biggest cost increases more than doubled last year, according to federal data released Monday that showed the impact of drug price hikes on government health care programs.<p>The Centers for Medicare and Medicaid Services (CMS) reported costs from these drugs …

Politics

Expect Medicaid to Change, but Not Shrivel, Under Donald Trump

WASHINGTON — The expansion of Medicaid, a central pillar of the Affordable Care Act, faces immense uncertainty next year, with President-elect Donald J. Trump and top Republicans in Congress embracing proposals that could leave millions of poorer Americans without health insurance and jeopardize a …

Politics

Why Keeping Only the Popular Parts of Obamacare Won’t Work

Before Obamacare, it could be hard to buy your own insurance if you’d already had a health problem like cancer. An insurance company might have decided not to sell any insurance to someone like you. It might have agreed to cover you, but not cover cancer care. Or it might have offered you a …

Insurance

Paul Ryan’s false claim that ‘because of Obamacare, Medicare is going broke’

<i>“What people don’t realize is, because of Obamacare, Medicare is going broke.”</i> <b><br>— House Speaker Paul D. Ryan (R-Wis.), interview with Fox News, Nov. 10</b><p>Our eyebrows went up when we saw this quote from Ryan. It has been a bipartisan fallacy to claim that the old-age health program Medicare is going …

Medicare

Ryan Plans to Phase Out Medicare in 2017

<b>BRET BAIER</b>: Let's tick down these things. You have a debt ceiling coming up. How is that going to work?<p><b>PAUL RYAN</b>: Thankfully, we're doing it with a …

Medicare

Why Repealing Obamacare Is Going to Be a Long, Chaotic Mess

This is normal. Yep. Totes.Photo by Zach Gibson/Getty Images Now that Donald Trump has won the right to gold-plate his name on the White House, …

ObamaCare

See Obamacare Rates for Every County in the Country

Average Obamacare insurance rates really are going up by 22 percent.<p>Last week, the Obama administration shared prices for Obamacare health insurance plans in most states. Now that markets in every state have published prices, we have a complete picture and, on average, the price increases are …

ObamaCare

Up to 2.1 million Exchange enrollees SHOULD be eligible for Medicaid instead...

Almost exactly 1 year ago, both Andrew Sprung and I realized that due to an overlap in two provisions of the ACA, a significant chunk of exchange …

Data Note: Effect of State Decisions on State Risk Scores

Several health insurers, including United Healthcare and Aetna, are scaling back their participation in the Affordable Care Act (ACA) health …

Health

Adverse Selection in Health Insurance

<b>NBER Working Paper No. 6107</b> <b><br>Issued in July 1997</b> <b><br>NBER Program(s): HC PE</b><p>Individual choice over health insurance policies may result in risk-based sorting …