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12 Days of Obamacare Surprises: The Independent Payment Advisory Board

Posted By Drew Gonshorowski On December 23, 2012 @ 1:49 pm In Obamacare | Comments Disabled

Not all surprises are good. When it comes to Obamacare, the original projections are turning into unfortunately different realities. For the next three days, Heritage is going to highlight one of the various changes in Obamacare projections (e.g., cost, enrollment, etc.) from when the law first passed until now.

Obamacare created the Independent Payment Advisory Board (IPAB), which consists of 15 unelected bureaucrats who are tasked with finding savings within Medicare to meet a new, fixed target for spending growth in the program. The board’s recommendations will be implemented unless Congress enacts an alternative proposal that amounts to the same level of savings.

In 2010 [1], the Congressional Budget Office (CBO) projected that IPAB would result in Medicare savings of $15.5 billion from 2010–2019.

In 2012 [2], the CBO projected that the IPAB would result in zero savings for the years 2015–2019.  According to the CBO, “…the IPAB mechanism will not affect Medicare spending during the 2011-2022 period.” Later, in a letter [3] regarding the repeal of Obamacare, CBO estimated that the IPAB could save $3.1 billion over the 2013–2022 period, but cautioned “That estimate is extremely uncertain because it is not clear whether the mechanism for spending reductions under the IPAB authority will be triggered under current law over the next 10 years.”

Surprise: The IPAB is yet another Obamacare plan that not only sounds like a bad idea, it is a bad idea. The IPAB is like a fruit cake—and it’s time to regift.

12 Days of Obamacare Surprises:

9. Increased employer penalties [4]

8. More cuts to Medicare [5]

7. Loss of employer-sponsored insurance [6]

6. A 50/50 split on enrollment estimates [7]

5. More uninsured Americans [8]

4. Increased exchange subsidies [9]

3. Big tax increases [10]

2. The small business tax credit [11]

1. And the individual mandate [12].


Article printed from The Foundry: Conservative Policy News from The Heritage Foundation: http://blog.heritage.org

URL to article: http://blog.heritage.org/2012/12/23/12-days-of-obamacare-surprises-the-independent-payment-advisory-board/

URLs in this post:

[1] 2010: http://www.cbo.gov/sites/default/files/cbofiles/ftpdocs/113xx/doc11379/amendreconprop.pdf

[2] 2012: http://www.cbo.gov/sites/default/files/cbofiles/attachments/43060_Medicare.pdf

[3] letter: http://www.cbo.gov/sites/default/files/cbofiles/attachments/hr452_2012.pdf

[4] employer penalties: http://blog.heritage.org/2012/12/22/12-days-of-obamacare-surprises-increased-employer-penalties/

[5] cuts to Medicare: http://blog.heritage.org/2012/12/21/12-days-of-obamacare-surprises-more-medicare-cuts/

[6] employer-sponsored insurance: http://blog.heritage.org/2012/12/20/12-days-of-obamacare-surprises-loss-of-employer-sponsored-insurance/

[7] enrollment estimates: http://blog.heritage.org/2012/12/19/12-days-of-obamacare-surprises-a-5050-split-on-enrollment-estimates/

[8] uninsured Americans: http://blog.heritage.org/2012/12/18/12-days-of-obamacare-surprises-uninsured-americans/

[9] exchange subsidies: http://blog.heritage.org/2012/12/17/12-days-of-obamacare-surprises-exchange-subsidies/

[10] tax increases: http://blog.heritage.org/2012/12/16/12-days-of-obamacare-surprises-taxes/

[11] small business tax credit: http://blog.heritage.org/2012/12/15/12-days-of-obamacare-surprises-small-business-tax-credit/

[12] individual mandate: http://blog.heritage.org/2012/12/14/12-days-of-obamacare-surprises-the-individual-mandate/

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