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  • Issue Brief posted July 30, 2015 by Nina Owcharenko Medicaid at 50: Reform Is Needed to Better Serve Low-Income Health Care Needs

    Medicaid, enacted along with Medicare in 1965, was created to provide health care for certain categories of low-income Americans.[1] Over the past 50 years, the program has changed significantly. Not only has Medicaid eligibility expanded, so also has the scope of its care and services. Mounting fiscal, demographic, and structural challenges continue to strain the…

  • Issue Brief posted July 23, 2015 by Edmund F. Haislmaier, Nina Owcharenko States Should Start Planning Now for the Post-ACA World

    When the Supreme Court handed down its decision in King v. Burwell upholding the Obama Administration’s interpretation of the law, some concluded that the intense debate over the Affordable Care Act (ACA or Obamacare) was coming to an end. Not surprisingly, President Barack Obama encouraged that interpretation in his response to the Court’s decision, saying that “the…

  • Commentary posted June 29, 2015 by Nina Owcharenko Counterpoint: Ruling doesn't change unworkable and unaffordable Obamacare

    The Supreme Court’s ruling on Obamacare is a disappointment for the rule of law and for states that have fought to keep its flawed policies at bay. While the administration and Obamacare supporters attempt to convince the American people that it is now smooth sailing for Obamacare, nothing could be further from the truth. The law’s flawed foundation continues to make…

  • Issue Brief posted February 27, 2015 by Nina Owcharenko, Edmund F. Haislmaier King v. Burwell: An Opportunity for Congress and the States to Clear Away Obamacare’s Failed Policies

    On March 4, the Supreme Court will hear oral arguments in King v. Burwell—a case challenging the Obama Administration’s IRS ruling granting premium support subsidies to those enrolled in federal exchanges under the Affordable Care Act (ACA). While a ruling against the Administration would preclude paying those subsidies to individuals who obtain coverage through the…

  • Commentary posted November 10, 2014 by Nina Owcharenko, Robert E. Moffit, Ph.D. Lame duck legislators ought not act on complex health policy issues

    A lame-duck Congress typically is driven by a desire to "get things done." But lawmakers should resist ramming last-minute deals on Medicare physician payments and the Children's Health Insurance Program through this Congress. These are complex and highly consequential health policy issues. They deserve prudent deliberation by the people's chosen representatives, i.e.,…

  • Backgrounder posted October 30, 2014 by Edmund F. Haislmaier, Robert E. Moffit, Ph.D., Nina Owcharenko, Alyene Senger A Fresh Start for Health Care Reform

    Despite President Barack Obama’s insistence that the national health care debate is over, and that he will not “re-litigate” the misnamed Patient Protection and Affordable Care Act (PPACA), the practical concerns, aggravated by implementation glitches and policy failures, guarantee that the debate over the PPACA is far from over.[1] In the next phase of the health care…

  • Issue Brief posted November 12, 2013 by Derrick Morgan, Rea S. Hederman, Jr., Nina Owcharenko, Romina Boccia Principles for the Budget Conference

    For the first time in years, lawmakers have agreed to convene in a budget conference to reconcile differences between their respective budget proposals, as presented by House Budget Committee chair Paul Ryan (R–WI) and Senate Budget Committee chair Patty Murray (D–WA). The two chambers’ budgets differ wildly in terms of taxes and the size of government. A budget…

  • Commentary posted November 6, 2013 by Nina Owcharenko The Conservative Alternative to Obamacare

    It’s not a secret that Obamacare is wreaking havoc on the health-care sector, and this is prompting many Americans to ask for an escape. However, we wouldn’t want to go back to the health system as it existed before the Affordable Care Act. Recognizing this, the Heritage Foundation last week released a definitive compilation of health-care solutions that make patients…

  • Commentary posted October 10, 2013 by Nina Owcharenko Shopping for Health Insurance: Obamacare Exchanges a Mess

    Starting today, the Obamacare exchanges are supposed to be open for business. They are critical pieces in the Obamacare infrastructure. Not only are they supposed to be the place for consumers to shop for their health insurance, but they are also the delivery mechanism for the financial assistance the government hopes will entice customers to shop there for their health…

  • Commentary posted October 10, 2013 by Nina Owcharenko Yet Another Misleading Presidential Pitch for Obamacare

    President Obama and former President Bill Clinton yesterday tried to persuade Americans, particularly young adults, to enroll in Obamacare’s government exchanges. Again.  As before, they focused on the so-called “popular provisions” and insisted that the health care law will somehow make coverage more affordable. But yet again there is more to the story.  President Obama…

  • Commentary posted September 25, 2013 by Nina Owcharenko Yet Another Misleading Presidential Pitch for Obamacare

    President Obama and former President Bill Clinton yesterday tried to persuade Americans, particularly young adults, to enroll in Obamacare’s government exchanges. Again. As before, they focused on the so-called “popular provisions” and insisted that the health care law will somehow make coverage more affordable. But yet again there is more to the story. President…

  • Commentary posted August 2, 2013 by Nina Owcharenko, Alyene Senger Many Will Opt Out and Simply Pay a Small Penalty

    It should come as no surprise when employers and young adults decide not to join in the Obamacare parade - despite the lofty promises made by the president and supporters in Congress. As more about the law is learned, more problems come to light. Two groups crucial to the health-care law's success - employers and young adults - are beginning to see that costs may be…

  • Issue Brief posted June 10, 2013 by Nina Owcharenko If Obamacare Collapses: How States Can Protect Their Citizens

    As the case against Obamacare continues to mount, states should be ready to act. Despite the President’s professions of confidence, recent concerns voiced by Members of Congress—added to lackluster support for and understanding of the law by the public—have further exposed Obamacare’s real and practical vulnerabilities. In preparation for the likely collapse of Obamacare,…

  • Commentary posted April 15, 2013 by Nina Owcharenko Obama Offers One More Reason States Shouldn't Rush to Expand Medicaid

    Tucked away in the president’s latest budget was a recommendation to delay scheduled cuts in payments to hospitals that treat large numbers of the uninsured patients and therefore provide a disproportionate amount of uncompensated care. The cuts in Disproportionate Share Hospital (DSH) payments were enacted under Obamacare, and the call to postpone them constitutes…

  • Commentary posted March 8, 2013 by Nina Owcharenko Obamacare Option Puts Patients Taxpayers at Risk

    To extend health coverage to millions of currently uninsured Americans, the architects of Obamacare relied heavily on the idea that states would open up their already strained Medicaid programs to tens of millions of new people. But expanding Medicaid is risky business. Not only can it lead to lower quality of care for people within the program, it can also risk busting…