Category: ACA and Policy

I watched the Affordable Care Act completely change the way health insurance is paid for and delivered over the past decade. Today, I think it’s prudent to apply some of what I’ve learned on those front lines to the current healthcare debate: Medicare for All.

As you might expect, there are many risks and many unknowns in this proposed massive undertaking that would re-route 20% of our country’s Gross Domestic Product (GDP).

Here are the top 10 things I believe will have to be carefully thought out before such a program has a chance of success. Read more

According to a new Kaiser Family Foundation poll, which asks Americans about healthcare topics each month, support for Medicare-for-all, which we’ve called “single–payer healthcare” in these pages, has narrowed in recent months. In a poll conducted Oct. 3 – 8, 2019, 51% of those polled said they favor a national health plan and 47% opposed. That’s a 5% drop since the beginning of the year.

It seems Americans are starting to think similarly to me – single-payer healthcare will narrow our choices when it comes to healthcare. Read more

Way back in 2009, when lawmakers were negotiating the Affordable Care Act, it was clear that it would cost a lot of money to pay out advanced tax credits, cost-sharing reductions and Medicaid fees for millions of newly covered people. So much money that the authors of the ACA were concerned enough to try and make the ACA revenue neutral.

Read more

A new rule about HRAs could change how small employers fund health insurance

The numbers in Louisiana are frankly not too good: only 20% of employers with fewer than 10 employees offer their employees a group health plan.

Read more

Note: I originally published this post in February 2017. A lot has changed in the healthcare marketplace since then. And a lot has not. I decided to update this post to see whether I could find a healthcare system two years later.
Read more

Congratulations! You have managed to hang in through two parts of a rather elaborate series in which I’m trying to show what could happen if courts uphold the current court decision in Texas v U.S. declaring the Affordable Care Act (ACA) unconstitutional.
Read more