“The Pool” Doesn’t Exist, That Is the Real Problem

By: Thursday May 9, 2013 9:49 am

In a disappointing but sadly expected move, Jared Bernstein’s tries to use the Centers for Medicare & Medicaid Services’ (CMS) newly released data on hospital prices to argue for Obamacare even though the law does almost nothing to solve the underlying problem. Bernstein writes: You go to buy a Snicker’s bar, you a) face a [...]

Lobbying Power: Another Reason Insurance Exchanges Fail to Control Cost

By: Tuesday April 2, 2013 8:20 am

Private health insurance exchanges, like those created by the Affordable Care Act or in Medicare Advantage, have historically failed to control cost. Part of the reason is the basic economic issue of individuals lacking real market power and actually choosing the “best” insurance option, which is extremely complicated. Another problem is lobbying related. Whenever you needlessly [...]

The ACA’s Projected 93.1 Percent Insurance Coverage Is Not “Universal Health Care”

By: Monday January 23, 2012 11:01 am

One thing that really bothers me is the number of people claiming that the Affordable Care Act will bring “universal health care” to the United States. Ryan Lizza’s makes this claim in his defense of President Obama at the end of his long story in the New Yorker, but he simply the most recent example [...]

High-Risk-Pool Time Bomb Looms While Baucus Wins Medicare for His Chosen Few

By: Tuesday June 29, 2010 3:25 pm

The media are finally waking up to the fact that the temporary high-risk pools created by the new health-care law were completely unfunded. Only $5 billion was set aside for the program, which is probably less than a third of what would be required to keep the program funded until 2014. This should not be [...]

Mary Landrieu Magically Cares About Cost Control When It Might Help Millionaires

By: Monday December 28, 2009 12:00 pm

After working very hard to kill many progressive idea about how best to control health care costs, Mary Landrieu has found one she likes. Too bad it is the one that will most benefit millionaires: I can only support a bill if the Cadillac plans are taxed at the level they are in the Senate [...]

“Fiscal Conservatives” Waste $200-$350 Billion To Subsidize Private Insurance Companies

By: Monday December 28, 2009 7:52 am

The so called “fiscal conservatives” in the Senate have insisted that we use only extremely wasteful private insurance companies to expand coverage to roughly 15 million Americans. Private health insurance companies have a terrible track record compared to public health insurance programs. Public programs, like Medicare, are able to provide high-quality care much more cost effectively. [...]

Ezra Klein, Defender Of Free-Market Economagic Health Care Myths

By: Monday December 21, 2009 3:16 pm

Ezra Klein attempts to rebut Jane’s reasons for opposing the bill. Many of his arguments are weak at best.

The Senate Bill Is Designed To Make Your Health Insurance Worse

By: Tuesday December 15, 2009 7:46 am

The sole defense of this massive corporate giveaway, formally known as the Senate health care reform bill, is that it would still do some “good,” helping millions of the uninsured. Unfortunately, the bill would dramatically worsen the quality of current insurance coverage for tens of millions Americans, thanks to the new excise tax on insurance [...]

Highlights Of CMS Analysis Of Senate’s Bill

By: Friday December 11, 2009 3:47 pm

The CMS released its analysis of the Senate health care bill. (One big caveat about this report is that it does not take into account any “deal” that Reid may or may not have reached on the public option.) Overall the report is a mixed bag. National health expenditure and coverage expansion National health expenditures [...]

What The Senate Bill Does Better, Part 5: Slightly Stronger Risk Adjustment Mechanisms

By: Friday December 4, 2009 10:00 am

The risk adjustment mechanisms are probably the single most important component to any managed competition health care system. The Dutch Ministry of Health realized that it is the Achilles heel of a regulated private health insurance system. Risk adjusters force insurers to compete on quality instead of by simply trying to avoid signing up/dropping sicker [...]

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