Grace-Marie Turner, The Galen Institute
"So clearly President Obama’s key promise will
be broken after the law fully takes effect. But the
deterioration in coverage already has begun as
many people already are losing the coverage they have now as health insurers are dropping out
of markets in many states. Some of the carriers
are exiting because of onerous state regulations,
others are victims of a faltering economy, but
the cascade has been accelerated by the rules that
already have taken effect and the many more that
are to come as a result of PPACA."
Nicole Fisher, American Action Forum
"Beginning September 1, 2011, health insurers must
submit requests to state or federal reviewers if they
wish to increase insurance rates by 10 percent or more.
This “rate review” process is required by Section 2794
of the Public Health Service Act (PHSA), which was
added to Section 1003 of the Patient Protection and
Affordable Care Act (PPACA), Pub. L. 111-148...
The goal of this mandate is to reduce health care costs
by addressing the asymmetry of information in the
health insurance market between consumers, providers
and industry actors. However, despite the stated goals
of the mandate, it fails to ultimately address the
underlying issues accelerating health care costs."
James C. Robinson, PhD, National Institute for Health Care Managment
"The work reported here confirms earlier
studies showing that hospitals are able to
extract higher private payments when they
hold more market power. Public policy has
been ambivalent with respect to the ongoing
consolidation within hospital markets. While
antitrust regulatory agencies have challenged
a number of hospital mergers in the past few
decades, these challenges rarely culminated in
decisions to disallow a merger. Now provisions
of the ACA are encouraging further consolidation
of hospitals and physicians, and the final antitrust review regulations from the Department
of Justice and the Federal Trade Commission
have eliminated the proposed mandatory
review of certain prospective ACOs."
Devon Herrick, National Center for Policy Analysis
"The Patient Protection and Affordable Care Act (ACA) — the new health reform law — contains financial incentives for the states to establish health insurance exchanges where qualifying individuals and small businesses can purchase subsidized, individual health insurance, starting in 2014.
The structure of the exchange subsidies will encourage low-income workers to congregate in companies that do not provide insurance and high-income employees to work for firms that do provide it."
Anthony Keck, Health Affairs
"As demand outstrips supply we can expect large increases in waiting time for services and a price war for providers between Medicaid and commercial insurers. Regardless of the administration’s arguments, little in the Affordable Care Act (ACA) addresses this dynamic. Increases in primary care physician fees, funding for Federally Qualified Health Centers, and national health services corps slots don’t build any new physician capacity; they only drive more competition for limited physicians and fuel a price war. It is likely the administration is relying on the Independent Payment Advisory Board and their new premium rate review power over private insurance to try to control prices, but waiting lines and an increased reliance on the emergency room will be a new fact of life."
Michael J. Chow, National Federation of Independent Business Research Foundation
"The 2010 healthcare law contains a tax on the health insurance policies that most small businesses purchase... Estimates predict the tax will raise the cost of employer-sponsored insurance by 2% - 3%, imposing a cumulative cost of nearly $5,000 per family by 2020. The NFIB Research Foundation’s BSIM model suggests that such price increases will reduce private sector employment by 125,000 to 249,000 jobs in 2021, with 59 percent of those losses falling on small business."
Scott Gottlieb, American Enterprise Institute
"Under President Obama’s health care plan, the United States Preventive Services Task Force now wields great power to decide which health services (like mammograms) doctors should provide, yet it has few checks on its sweeping authority.
Its mandates are likely to raise health insurance costs and premiums, while reducing the number of covered preventive services.
To improve accountability for an agency that is both out of date with the medical community and out of touch with the public, Congress should closely monitor the impact new mandates have on patient care."
America's Health Insurance Plans Report
"A new technical analysis by Oliver Wyman estimates that the new health insurance tax in the Affordable Care Act (ACA) 'will increase premiums in the insured market on average by 1.9% to 2.3% in 2014,' and by 2023 'will increase premiums 2.8% to 3.7%.'"
Emily Egan, American Action Forum
"What the Supreme Court will focus on, what it will decide, and whether or not a portion of the law can be severed from the act is open to debate. Importantly, the Supreme Court will be able to decide which lower court decisions to review. They are not required to look at all of the cases or every issue in each case. Central questions exist regarding standing, the individual mandate, the employer mandate and state Medicaid expansion. Furthermore, if the individual mandate is deemed unconstitutional, will it render the entire health reform law void- or can the mandate simply be severed from the law?"
Diana Furchtgott-Roth, House Testimony
"Marriage penalties from taxes in general and from the new healthcare law in
particular fall into two categories, disincentives to marry and disincentives to
work. Lower-income individuals will be primarily affected by the interaction
between government-provided health insurance credits and the poverty line, and
upper-income married taxpayers will face earnings losses due to increases in the
Medicare tax on earned and unearned income."