Health economists and policy analysts have long known that Medicare spends much more, per patient, in some parts of the country than in others. In fact, the primary project of a large research group at Dartmouth is devoted to analyzing the geographic patters in Medicare spending. Last year, Atul Gawande brought this phenomenon greater public attention with an article in The New Yorker on medical care in the areas of McAllen and El Paso, two regions in Texas that have superficially similar demographics but vastly different levels of per-patient Medicare …
Earlier this year, Richard Foster, the Chief Actuary for the Centers for Medicare and Medicaid Services (CMS), issued a report projecting that about half of all seniors and disabled Americans enrolled in Medicare Advantage plans will be pushed out of that program due to the new health care reform law, the Patient Protection and Affordable Care Act (PPACA). In response to a request from Sen. Charles Grassley (R–IA) and three other Republican Senators, Foster recently confirmed that in addition to losing access to the health plan of their choice, those …
President Barack Obama has repeatedly said, “If you like your health plan, you can keep it.” But is that true? Most likely not, if your plan is a Medicare Advantage (MA) plan. MA is the “private option” within Medicare in which private health insurers are paid a fixed monthly fee to provide health benefits to their enrollees. They must provide at least the same minimum benefits as traditional fee-for-service (FFS) Medicare, but most MA plans provide more benefits, often with lower co-pays and deductibles, and some provide a rebate of …
The advocacy group Health Care for America Now (HCAN) has released yet another report decrying what they claim are “huge profit gains” by the five largest for-profit health insurance companies for the first three months of 31%. Shocking? Well, one thing the report glosses over is, “31% of what?” The answer: 31% of the profit for first three months of the previous year, which is a (shocking?) $2,415.9 million for the five companies put together. What they don’t tell you – but which you can figure out with a little …
While the House reconciliation bill keeps many of the Senate provisions that will already slow economic growth, the reconciliation bill goes even farther in punishing employers who do not offer sufficient health care. These penalties will slow employment growth and given employers a disincentive to hire anyone who purchases subsidized health care. Punishing Businesses That Hire Low-Income Workers Businesses that already offer insurance can be affected by the reconciliation bill. Even if the employer does provide health insurance, if any employees qualify for, and accept, a premium subsidy on the …
A recent study by the Urban Institute, a prominent liberal think tank, lists “the biggest losers” should congressional health care legislation fail to become law. Interestingly enough, this is oddly similar to an earlier Heritage Foundation assessment of the “biggest losers”—if the liberal bills do become law. Here, we outline how Urban’s biggest losers would actually be worse off under Obamacare than under the current system:
Anthem Blue Cross, the California subsidiary of Wellpoint, one of the nation’s largest health insurers, recently announced steep premium increases for its individual (i.e., not employment-based) insurance customers. The political response to these premium increases – of up to 39% for almost 700,000 customers – was swift and blunt. Health and Human Services (HHS) Secretary Kathleen Sebelius ordered a federal investigation into how Anthem could “justify” the increases, Rep. Henry Waxman (D-CA) scheduled a hearing, MoveOn.org launched a petition drive, and President Obama himself jumped at the opportunity to claim …
We knew this was coming eventually. It came from Bryan Walsh, writing in Time: As the blizzard-bound residents of the mid-Atlantic region get ready to dig themselves out of the third major storm of the season, they may stop to wonder two things: Why haven’t we bothered to invest in a snow blower, and what happened to climate change? … …There is some evidence that climate change could in fact make such massive snowstorms more common, even as the world continues to warm. … That’s in part because of global …
Nancy-Ann DeParle, the Director of the White House Office of Health Reform, posted a note – ironically titled “Reality Check” – on the White House blog this morning claiming that a new report from the federal government’s health actuaries supports the administration’s position on health care reform. But all that report says is that U.S. health care spending continues to increase – even though the rate of increase actually hit a historic low in 2008 (the latest year for which figures are now available). DeParle’s argument is basically this: We …
The Senate health care bill no longer contains an explicit “public option,” but it does include heavy regulation of private health plans, including minimum amount they must spend on medical claims, and taxes that will not count toward those limits, limits on deductibles and co-payments, and authority for federal regulators to define what services plans must cover. It’s entirely possible – in fact, even likely – that a combination of three particular regulations could combine to make it impossible for private health plans to legally operate, by making it impossible …
