A project of the Galen Institute
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."

Scott Gottlieb, American Enterprise Institute
Thu, 2011-11-03

"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 To improve accountability for an agency that is both out of date with the medical community and out of touch with the public, Congress should closely monitor the impact new mandates have on patient care."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
Thu, 2011-11-03

"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
Wed, 2011-11-02

"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
Thu, 2011-10-27

"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."

Charles Blahous, e21: Economic Policies for the 21st Century
Mon, 2011-10-24

"Had it not been for CLASS, health care reform would have been scored as a net budget positive in the first five years of the ten-year window and a net negative in the later five years – that is, when it was fully in effect. The Orszag-DeParle claim of a positive long-term impact would have hinged entirely upon unquantifiable savings claims in the second decade and beyond, and on a thin $8 billion (1% of the bill’s 10-yr cost) plus in 2019 alone -- after a net minus in each of 2016-2018.."

Karlyn Bowman & Andrew Rugg, American Enterprise Institute
Wed, 2011-10-12

"How have attitudes about health care changed since the passage of the Patient Protection and Affordable Care Act? This 'AEI Special Report: Health Care Polls' examines the evidence and compares the poll results."

James Sherk, The Heritage Foundation
Tue, 2011-10-11

"President Obama’s health care law requires employers to offer health benefits to full-time employees. This employer mandate will price many unskilled workers out of full-time employment. After paying the new health premiums, the minimum wage, payroll taxes, and unemployment insurance taxes, hiring a full-time worker will cost employers at least $10.03 per hour. Full-time workers with family health plans will cost $13.75 per hour. Employers who hire workers with productivity below these rates will lose money. Businesses employing less skilled workers will probably respond by dumping their employees onto the federally subsidized health care exchanges and replacing full-time positions with part-time jobs."

Douglas Holtz-Eakin and James C. Capretta, American Action Forum
Tue, 2011-10-11

"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."

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