Douglas Holtz-Eakin and James C. Capretta, American Action Forum
"There is growing concern that the substantial infrastructure necessary for successful implementation of the
PPACA’s primary provisions will not be ready by 2014. Moreover, there are serious legal challenges to the law still
pending. Finally, significant political disagreements exist over the merits of many PPACA provisions; these are likely
to be debated extensively in the 2012 election season. Consequently, there is growing interest in delaying further implementation of the law until the operational, legal, and political concerns can be settled. In this short note, we explore the budgetary implications of delaying the implementation of the PPACA for 2, 3, and 4 years."
Aon Hewitt Report
"Overall, PPACA is anticipated to increase costs by an average of 1.5% in 2011 across the surveyed health plans. Other surveys have offered similar cost estimates. However, it is important to understand that these averages cannot be easily extrapolated to any particular health insurance policy or across different lines of business... Overall, for 2011 health plans reported estimated increases due to PPACA of 4.7% for individual policies, 1.5% for small group plans, and 0.8% for large group plans on a weighted average basis. These impacts are additive to the other trend components discussed previously."
Diana Furchtgott-Roth & Harold Furchtgott-Roth, AdvaMed
"One provision of the new healthcare law is a 2.3% excise tax on the medical device industry which will take effect in 2013. This study estimates the potential effect of the device tax on employment in the medical device industry. The study finds that the tax could reduce employment in the industry by cutting back on the demand for medical devices and by encouraging American firms to shift production overseas."
John S. Hoff, The Heritage Foundation
"CMS’s effort, launched by Obamacare, to use the leverage of Medicare reimbursement to impose and control a favored model of health care delivery is bound to fail, but only after increasing the angst of providers and patients and dissipating large amounts of resources—money, time, and brainpower. It blocks the development of other ideas for reforming health care delivery. However, changes in the proposed regulations to fix the anomalies and problems discussed above, and numerous other provisions like them not discussed here, would not be sufficient to rescue the scheme. The Shared Savings Program and its ACOs are fatally flawed by the overweening assumptions embedded in the PPACA itself."
Ranking Member Report, United State Senate Committee on Health, Education, Labor and Pensions
"The survey found passage of the new health care law prompted health insurance carriers to stop selling new child-only health plans in many states. Of the 50 states, 17 reported that there are currently no carriers selling childonly health plans to new enrollees. Thirty-nine states indicated at least one insurance carrier exited the child-only market following enactment of the new health care laws. Accordingly, child-only health insurance access and competition in the market have declined significantly since passage of the Act."
William J. Dennis, National Federation of Independent Business Research Foundation
"Twenty (20) percent of small employers currently offering expect to significantly change their benefit package and/
or their employees’ premium cost-share the next time they renew their health insurance plans. Almost all significant
changes expected involve a decrease in benefits, an increase in employee cost-share, or both. Since enactment, one in eight (12%) small employers have either had their health insurance plans terminated or been told that their plan would not be available in the future. Plan elimination is the first major consequence of PPACA that small-business owners likely feel."
Gary Lawson, The Heritage Foundation
"The Patient Protection and Affordable Care Act (PPACA) is not so much a set of norms to regulate conduct as an authorization to administrators to produce norms to regulate conduct. Implementation of the Act will require many years and literally thousands of administrative regulations that will determine its substantive content and coverage. Under current law, those regulations will be promulgated through so-called informal rulemaking procedures, which offer very limited opportunities for public input."
Richard V. Burkhauser, Sean Lyons & Kosali Simo, Employment Policies Institute
"In our most dynamic case, when all covered employees are compensated in higher wages to offset their payment
of the full ESI premium in order that some will be able to take full advantage of an affordable coverage rule that
is broadly interpreted to mean affordable family coverage, we estimate that the movement of workers out of ESI
and into exchange-based coverage will: 1) overwhelm the number of workers moving into ESI by currently
uninsured workers in large firms due to the mandates; 2) cause the provision of health care insurance to working
Americans to become more sharply segregated based on family income; and 3) cost taxpayers up to $5 billion
dollars in gross subsidies for every one million workers who switch from being an ESI main policy holder to
receiving subsidized exchange coverage, all else equal.
James Sherk, The Heritage Foundation
"Private-sector job creation initially recovered from the recession at a normal rate, leading to predictions last year of a 'Recovery Summer.' Since April 2010, however, net private-sector job creation has stalled. Within two months of the passage of Obamacare, the job market stopped improving. This suggests that businesses are not exaggerating when they tell pollsters that the new health care law is holding back hiring. The law significantly raises business costs and creates considerable uncertainty about the future. To encourage hiring, Congress should repeal ObamaCare."
Scott Gottlieb, Testimony before the House Committee on Energy and Commerce
"The Independent Payment Advisory Board (IPAB) was created based on the premise that decisions about the pricing of health benefits offered by Medicare are simply too contentious to be adequately handled by our present political system. But these decisions are precisely the kinds of consequential choices that should be subject to close public scrutiny and an open, rigorous, and transparent decision-making process that engages with Medicare's stakeholders. Changes to the way Medicare pays for and covers medical services affect too many people in significant ways to be made behind the closed doors of an insulated committee."