Really Bad Trade Off Ideas

By: Sunday November 22, 2009 11:05 am

Nate Silver believes progressives should trade the public option away, but what he wants in return is far more useless and an even tougher political battle. And the public option, as currently constructed, would only enroll 3-4 million people, according to the CBO. It’s a relatively minor provision, and one that, in its present, already-compromised [...]

Monday Health Care Highlights

By: Monday November 16, 2009 4:04 pm

Reid is meeting with Senate progressives tonight to talk health care. Harkin thinks the Senate will start debate in earnest on November 30th. And, he is willing to make the Republicans work if they try to filibuster reform.   Mike Castle’s poll numbers take a huge hit, possibly because of his opposition to health care. Carper, [...]

HR 3962′s Massive Expansion Of Coverage Would Result In Very Small Increase In Health Care Spending

By: Monday November 16, 2009 7:00 am

I don’t know why anyone is surprised by the CMS’s conclusion that HR 3962 would result in a very minor increase in overall national health care spending. The estimated effects of H.R. 3962 on overall national health expenditures (NHE) are shown in table 5. In aggregate, we estimate that for calendar years 2010 through 2019 [...]

CMS: Negotiated Rates Public Option Would Still Be Better Than Private Insurance

By: Sunday November 15, 2009 8:20 am

The Department of Health and Human Services’ CMS concludes that the public option would provide better quality health insurance at a better value as the Secretary of HHS would be able to negotiate slightly better deals from providers and have lower administrative costs. However a stronger risk adjustment mechanism is needed as part of the public option to fully realize savings.

CBO Predicts An Incredibly Weak Risk Adjustment Mechanism In The New Exchange

By: Friday November 6, 2009 1:30 pm

The CBO and CMS have both been pointing to the lack of sufficient risk adjustment mechanisms in the new exchange, and how that would hurt the public option. The new CBO analysis of the House bill demonstrates how weak the CBO believes the new risk adjustment mechanism will be: Risk adjustment payments to health insurance [...]

How The CBO Is Likely Very Wrong About Number Of People Who Would Use The Public Option

By: Monday November 2, 2009 2:11 pm

The traditional media has really latched onto CBO prediction that only 6 million people would use the public option. It is important to remember that the CBO is not a health insurance market expert and is known these days for being highly conservative. For example, the CBO’s analysis made several assumptions about the public option [...]

The Achilles Heel Of Health Reform: Risk Adjustment Mechanisms

By: Monday November 2, 2009 6:56 am

The Dutch government, who have a history of “managed competition” among for-profit health insurance companies, called the lack of well-designed risk adjustment mechanisms the Achilles Heel of a health care system. In their system, over half of all money spent on health insurance is redistributed as part of risk adjustment. Without it, insurance companies would [...]

Making Public Option Less Robust Is A Double Slap In The Face To Working Class Americans

By: Wednesday October 28, 2009 8:02 am

Nancy Pelosi may not have enough votes for the “robust” public option tied to Medicare rates plus 5%. The Hill has published the official whip count [note: The Hill has now removed this page. Data was copied and posted here] of those House Democrats who oppose the robust public option. As I’ve pointed out countless times [...]

CMS: Public Option Much Cheaper Than Private Insurance, and Would Make Private Plans Cheaper, Too

By: Wednesday October 21, 2009 3:10 pm

The Centers for Medicare and Medicaid Services (CMS) just released a study of the version of the health care reform bill, H.R. 3200, reported out by the Ways and Means Committee.* The study had some positive news for the robust public option tied to Medicare rates. The public option would on average have premiums 11 [...]

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