Rita Numerof, Ph.D., The Heritage Foundation
"The Patient Protection and Affordable Care Act (PPACA) creates federal 'accountable care organizations' (ACOs). In theory, ACOs provide financial incentives to health care organizations to reduce costs and improve quality. In reality, given the complexity of the existing system, ACOs will not only fail; they will most likely exacerbate the very problems they set out to fix. ACOs will concentrate more and more power in fewer and fewer organizations, allowing them to become 'too large to fail.' Such a system undermines competition and entrepreneurship—the bedrock of innovation and job growth in this country."
Lockton Benefit Group, Health Reform Financial Analysis Report
"Our actuarial modeling of more than 130 employee benefit plans
shows that last year’s health reform law imposes additional costs on
employers’ health plans. The study also shows that the law will create
a financial incentive for some employers to terminate health benefit
plans in 2014 when new Insurance Exchanges take effect."
Jean M. Abraham, PhD; and Pinar Karaca-Mandic, PhD, The American Journal of Managed Care
"In 2009, using a PPACA-adjusted MLR
deﬁnition, we estimated that 29% of insurer-state
observations in the individual market would have
MLRs below the 80% minimum, corresponding to
32% of total enrollment. Nine states would have
at least one-half of their health insurers below the
threshold. If insurers below the MLR threshold
exit the market, major coverage disruption could
occur for those in poor health; we estimated
the range to be between 104,624 and 158,736
Americans for Tax Reform
"1. Did you know that . . . since Jan. 1 of this year (2011), you cannot use your flex-account at work (FSA) or health savings account (HSA) to purchase over-the-counter medicines?
2. Did you know that . . . since July 1 of last year (2010), Americans have been paying a 10 percent excise tax on all indoor tanning services?"
Paul Howard, Missouri Medicine
"Our current health care
arrangements have many
flaws, but we should not lose
sight of the many blessings
that come from the life
saving and life lengthening
by the U.S. health care system. Reforming the reforms is
our next task, one that I hope we will approach with more
sobriety and less partisanship than has been our recent
Peter J. Cunningham, Center for Studying Health System Change
"Under the Patient Protection and Affordable Care Act (PPACA), Medicaid enrollment is expected to grow by 16 million people by 2019, an increase of more than 25 percent. Given the unwillingness of many primary care physicians (PCPs) to treat new Medicaid patients, policy makers and others are concerned about adequate primary care capacity to meet the increased demand. States with the smallest number of PCPs per capita overall—generally in the South and Mountain West—potentially will see the largest percentage increases in Medicaid enrollment, according to a new national study by the Center for Studying Health System Change (HSC). In contrast, states with the largest number of PCPs per capita—primarily in the Northeast—will see more modest increases in Medicaid enrollment. Moreover, geographic differences in PCP acceptance of new Medicaid patients reflect differences in overall PCP supply, not geographic differences in PCPs’ willingness to treat Medicaid patients."
Brian Blase, The Heritage Foundation
"On its one-year anniversary, Obamacare’s unpopularity is growing. Its hodgepodge of mandates and regulations have reduced competition in health insurance markets and increased the cost of coverage. Overall, Obamacare has increased government control of Americans’ health care choices and limited consumer choice. The more than 1,000 waivers already granted tacitly acknowledge that Obamacare’s 'benefits' are not worth its costs. Congress should replace Obamacare with consumer-focused reforms and sensible changes in health care entitlement programs."
Brian Blase & John S. Hoff, The Heritage Foundation
"Among Obamacare’s hundreds of pages was tucked a new government-run long-term care program, the Community Living Assistance Services and Supports (CLASS) Program. CLASS was poorly designed, and actuaries criticized it as being unsustainable well before the passage of ObamaCare. It appears from three recent congressional appearances by Health and Human Services (HHS) Secretary Kathleen Sebelius that the Obama Administration has caught up with the actuarial analysis."
Robert E. Moffit, Ph.D., The Heritage Foundation
"But over the past two years, ordinary Americans have come to realize that Washington’s political class—the politicians and their staffs and the armies of lawyers and lobbyists and consultants that intermingle with them routinely—really have become distant from them in mind and heart; they have become disconnected in so many ways. That mental and emotional distance had become glaringly evident on many topics, such as record spending and deficits, but none so clearly as in the long and bitter national debate on the Patient Protection and Affordable Care Act of 2010 (PPACA), the new national health care law."
Douglas Holtz-Eakin, American Action Forum
"The ACA contains insurance reforms, medical device taxes, pharmaceutical fees, and insurance company
fees that will raise the cost of insurance for millions of individuals, small businesses and households.
This analysis suggests that the insurance tax in isolation will raise premiums by roughly 3 percent. An
important topic for future research is to perform similar analyses for the other cost-raising aspects of the
ACA in order to assess the overall pressure on premiums."