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health insurance exchanges
This is the time for brainstorming, but how much are we willing to change? Could we revamp the whole process if it meant a more streamlined, less expensive health insurance shopping system? What if we kept all of the ACA’s market reforms and consumer protections, but without the exchanges?
April 13, 2014
Harold: Now, would you be happy or sad if there was this exodus to the exchanges? Jon: I think I’d probably be, depends if the exchanges don’t function as well, I hope though they’ll function within the next three to five years, I think it’ll be a good thing. I think if you view it, sort of … I guess I view it a little bit like the move from defined-benefit to defined-contribution pension plans, which if done in a fair basis to workers, is actually a better thing for a worker because then, if they leave the job, they don’t leave their pension behind.
April 10, 2014
For this edition of Curbside Consult, I Skyped with Dr. Jonathan Gruber, who is the Ford Professor of Economics at the Massachusetts Institute of Technology and director of the health care program at the National Bureau of Economic Research. We talked about the future of Medicaid, strategies to expand primary care access, why he supports the controversial “Cadillac tax” on insurance benefits.
April 8, 2014
If you support the Affordable Care Act, know that your work is not yet done. And if you don’t like it, you’ll have opportunities to vote for candidates who say they’d like to get rid of it. Just be careful not to be persuaded to vote against your own best interests.
April 7, 2014
If you’re one of those health policy diehards, definitely head over to the Health Affairs Blog, and check out Chris Fleming’s “March Madness Edition” of Health Wonk Review. No, it’s not (thankfully) more words about basketball, but there are – as he points out – parallels to the NCAA Final Four:
March 30, 2014
“When you hear a final tally next month of the millions who have signed up for coverage through a public exchange, know that millions more other Americans are also newly insured – and it may be months before all them are accounted for.” – Wendell Potter
March 27, 2014
“… And if you’re thinking “well, that would never happen to me …” consider all of the other ways that you could wake up perfectly healthy tomorrow and then find yourself in the hospital by nightfall. Accidents don’t come with warnings. And in many cases, neither do serious illnesses. People like my father, who are perfectly healthy, can suddenly be stricken with chronic conditions that would be impossible to finance without insurance for all but the wealthiest among us.” – Louise Norris
March 24, 2014
In states that have not expanded Medicaid, the people who most desperately need help paying for health insurance – those with the lowest incomes – end up in the coverage gap, not eligible for Medicaid and also not eligible for any subsidies to help them pay for a private plan.
March 20, 2014
Six of the country’s most successful state-run exchanges have overcome technological hurdles, dealt with massive volume, created innovative marketing strategies, and worked tirelessly to make open enrollment a success. And it’s certainly paying off.
March 19, 2014