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  • A Blueprint for Medicare Reform

    Heritage Policy Analyst Kathryn Nix recently released a paper explaining why the premium support, or defined contribution, model for Medicare reform found in Heritage’s Saving the American Dream is the best way to get out of our health care spending and debt crises. Several elements of this approach to reform have already been applied to the program under Medicare Part D and Medicare Advantage. Writes Nix, “Applying their successes to the rest of Medicare can restore permanent solvency to the program, preserve robust access to high-quality care, encourage continued physician … More

    Breaking Health Care Research: “Accountable Care” Unlikely

    Medicare continues to be a looming problem in the fiscal crisis. In an effort to lower the program’s cost and improve quality of care for the seniors it serves, Obamacare creates accountable care organizations (ACOs), which are supposed to encourage health care providers to band together and create savings through better coordinated care. In a new Heritage research paper, health policy expert John Hoff writes: The ACO scheme is a microcosm of the PPACA (Patient Protection and Affordable Care Act) and, like it, will not deliver on its rhetorical promises. … More

    Maine Seeks Escape from Its Own Obamacare-like Problems

    Maine is one of the noteworthy states that worked on state health care reform in the spring legislative session. For years, Maine has suffered under poor health policy—leading to fewer insured, skyrocketing premiums, and few coverage choices. Last week, Governor Paul LePage (R) spoke to an audience at The Heritage Foundation about the need for state innovation and free-market solutions instead of a federal government takeover of the health care system. In his comments, Governor LePage pointed out that the diversity of states is a critical consideration in health care … More

    House Subcommittee: Obamacare Will Burden Small Businesses

    The House Energy and Commerce Subcommittee on Health recently held a hearing to review how Obamacare regulations will affect employers’ ability to maintain health coverage. To illustrate the magnitude of the new regulatory burdens on businesses, subcommittee chairman Joe Pitts (R–PA) displayed a stack of over 3,500 pages of Obamacare rules, notices, and regulatory guidance issued so far by the Administration. This additional burden, the hearing highlighted, will harm employers’ ability to offer health coverage and disrupt coverage for Americans across the country. Among the new regulations are “minimum loss … More

    Breaking Research: Obamacare Tax Subsidies a Drag on the Economy

    While economic growth remains sluggish, the last thing the United States needs is another weight holding it back. Unfortunately, the new health care subsidy program created under Obamacare for low- and middle-income Americans does precisely that. In recent research, Heritage’s Paul Winfree lays out exactly how the Obamacare subsidies will negatively impact the economy. According to Winfree, “tax subsidies are available for certain households who purchase federally approved coverage in the newly created state health insurance exchanges…unless they are eligible for Medicare or Medicaid or they can receive coverage through … More

    New Study Shows Higher Health Care Costs under Obamacare

    Despite President Obama’s assurances that his massive overhaul of the health care system would control health care costs and allow Americans to keep their current coverage, the outlook indicates otherwise. PricewaterhouseCoopers (PWC) recently released its annual report on medical cost trends for 2012, and it is revealing. The report shows health care costs and premiums continuing to rise—and uncertainty increasing for employers who offer insurance to their workers. Health care spending increased by 7.5 percent in 2010 and will grow by 8 percent this year. In 2012, it will rise … More

    New Research: Seniors and Taxpayers Can Gain from Medicare Reforms

    The big three entitlement programs—Medicare, Medicaid, and Social Security—promise to increase federal spending to unprecedented and unaffordable levels in coming years. Medicare in particular represents trillions in unfunded obligations, and only bold reforms can restore long-term sustainability to the program. In his recently released budget, House Budget Committee Chairman Paul Ryan (R–WI) takes on Medicare’s future insolvency through a proposal to change the program to a premium support model. Since its release, Ryan’s approach has received much criticism. But the fact is that nothing short of a complete transformation can … More

    Breaking Health Care Research: Pursuing a Different Path in Health Reform

    After one year, Obamacare remains just as unpopular as ever. The fight for repeal has gained ground in both Congress and the states. But repeal is only the first step in setting a new agenda on health care. In her recently released paper, Heritage expert Nina Owcharenko explains the four steps necessary to creating lasting reform that is truly market-based and patient-centered: “Unlike Obamacare, Congress should pursue an approach to health care reform that preserves the doctor–patient relationship and cutting-edge innovation while controlling costs and expanding access to private health … More

    Side Effects: Obamacare Creates More Unnecessary Work for Already Swamped Doctors

    One provision of Obamacare has already spawned a nightmare for doctors, pharmacists, and patients. As of January 1, Americans with health savings accounts (HSAs), flexible savings accounts (FSAs), and health reimbursement accounts (HRAs) can no longer purchase over-the-counter (OTC) drugs using these tax-exempt accounts. After only a couple of months, health care providers are already experiencing the negative consequences of the change. This provision was included to raise tax revenue to help pay for massive new spending under Obamacare. From its conception, its major flaw is that it creates additional … More

    Side Effects: Ball Drop Brings Bad News for Consumer-Driven Health Plan Users

    This year, as the clock strikes twelve on New Year’s Eve, Americans who depend on health savings accounts (HSAs) to make medical expenditures more affordable will experience first-hand yet another adverse side effect of Obamacare.  Starting in 2011, American families will no longer be able to use HSAs to purchase over-the-counter drugs, such as cough and allergy medicines. Americans using HSAs will not be the only ones affected.  The provisions of the new law will also change rules regarding the use of flexible spending accounts (FSAs) and health reimbursement accounts … More