Some strategists expect Democrats will consolidate around some form of single payer by 2020, though others won’t concede that as a given. The problem: most people don’t think a single payer system has a shot at becoming law anytime soon, and playing to the party’s base may ignore real concerns about affordability.
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The mere existence of ACA insurance policies can’t be the only metric for measuring the success of a major federal program. Another sensible measure of ACA success is the affordability of the policies being sold. For a broad spectrum of middle-aged persons in the middle class, premiums for even the cheapest bronze policy today are, in…

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The government will make this month’s payments to insurers under the Obama-era health care law that President Donald Trump still wants to repeal and replace, a White House official said Wednesday. Trump has repeatedly threatened to end the payments, which help reduce health insurance copays and deductibles for people with modest incomes, but remain under…

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The oracles at the Congressional Budget Office this week descended from Delphi to predict 20% premium increases if the Trump Administration ends illegal Obama Care subsidies for insurers, and Democrats are happy to agree. Yet a careful reading of the report reveals some surprising results that are far less ominous and for consumers mostly benign.…

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Next time you run into someone who minimizes the problems with Obamacare, I want you to introduce them to Fay. She’s a reasonably healthy 60 year old grandmother living in Fayette County, Illinois and earns about 450% of the federal poverty level ($53,460) working for a small employer that does not provide her with health…

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The Affordable Care Act (ACA) requires insurers to offer plans with reduced deductibles, copayments, and other means of cost sharing to some of the people who purchase plans through the marketplaces established by that legislation. The size of those reductions depends on those people’s income. In turn, insurers receive federal payments arranged by the Secretary…

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A group of liberal and conservative health policy experts argues that critical matters relating to health reform must be addressed quickly and that bipartisan approaches are possible. They offer five recommendations for near-term action to protect coverage and health care access for people who are relying on them now while providing new flexibility for the…

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A majority of cities—71 percent—will see Obamacare premiums rise by double-digits next year as more health insurers drop out of the exchanges, according to a report from the Kaiser Family Foundation. The foundation analyzed data in the 20 states and in Washington, D.C. that had submitted rate filings to examine how much premiums were rising and how…

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The Trump administration is giving health insurance companies more time to calculate price increases for 2018 because of uncertainty caused by the president’s threat to cut off crucial subsidies paid to insurers on behalf of millions of low-income people. Federal health officials said the deadline for insurers to file their rate requests would be extended…

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The ACA has expanded funding for Medicaid services, but it has also to an even greater degree expanded the pool of people eligible. It used to be that Medicaid did a fair job of providing for the truly disabled and needy. Now it does a lousy job of serving more people. My wife and I…

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