A project of the Galen Institute
Christopher J. Conover & Jerry Ellig, Mercatus Center
Mon, 2012-01-09

"Will the Patient Protection and Affordable Care Act (ACA) improve the performance of the U.S. health care system? The quality of the major interim final regulations issued under the ACA in 2010 gives three main reasons for pessimism on this score."

Roy Ramthun, HSA Consulting Services LLC
Tue, 2011-12-27

"The final medical loss ratio (MLR) regulations will likely create a vacuum for affordable coverage that cannot be filled by Bronze plans under the state insurance exchanges. If the 'essential benefits' and 'actuarial value' requirements are equally as discriminatory, there will be no affordable options available and the cost of subsidies will skyrocket. As a result, millions of Americans that have policies today that could have qualified as Bronze plans will be forced to change their coverage or drop coverage because they can no longer afford it."

Clint Bolick, The Hoover Institution
Fri, 2011-12-16

"The Goldwater Institute’s lawsuit challenges IPAB’s very existence as an unlawful delegation of congressional power. Although most of the legal challenges to Obamacare have focused on the individual mandate to purchase government-prescribed health insurance, IPAB is no less central to the overall regulatory scheme. Many members of Congress voted for Obamacare only when convinced of the dubious premise that the law would constrain health-care costs. If IPAB is removed, the flimsy cost-containment rationale will disappear as well."

Ilya Shapiro, Florida International Law Review
Wed, 2011-12-14

"This article chronicles the (first) year I spent opposing the constitutionality of Obamacare: Between debates, briefs, op-eds, blogging, testimony, and media, I have spent well over half of my time since the legislation’s enactment on attacking Congress’s breathtaking assertion of federal power in this context. Braving transportation snafus, snowstorms, and Eliot Spitzer, it’s been an interesting ride. And so, weaving legal arguments into first-person narrative, I hope to add a unique perspective to an important debate that goes to the heart of this nation’s founding principles."

Grace-Marie Turner, The Galen Institute
Thu, 2011-12-08

"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
Thu, 2011-12-08

"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
Mon, 2011-11-21

"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
Wed, 2011-11-16

"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
Mon, 2011-11-14

"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
Wed, 2011-11-09

"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."

ObamaCare Watch Weekly

* indicates required

View previous campaigns.

Check out Jim Capretta's new book.

ObamaCare Primer