Backgrounder posted September 4, 2014
Progress in Medicare Advantage: Key Lessons for Medicare Reform
Medicare Advantage (MA) is a program of competing private health plans. For the vast majority of senior citizens, it is the only viable alternative to enrollment in traditional Medicare. For Members of Congress, its record also provides valuable lessons for comprehensive Medicare reform.
MA is an increasingly attractive option for millions of senior and disabled…
Testimony posted August 7, 2014
Risk Corridors in the Patient Protection and Affordable Care Act
Testimony before the Committee on Energy and Commerce
Subcommittee on Health
United States House of Representatives
July 28, 2014
Mr. Chairman, Ranking Member Pallone, thank you for inviting me to testify today. My name is Edmund F. Haislmaier and I am a Senior Research Fellow in Heath Policy at The Heritage Foundation. The views I express in this testimony are my…
Backgrounder posted August 1, 2014
How the Affordable Care Act Fuels Health Care Market Consolidation
The Affordable Care Act (ACA), often called Obamacare, accelerates the pernicious growth of market consolidation in American health care.
The national health care law reinforces the trend of providers, including doctors and hospitals, to merge into large regional health systems that dominate local markets. The law also introduces new rules and restrictions that will…
Issue Brief posted August 1, 2014
The 2014 Medicare Trustees Report: A Dire Future for Seniors and Taxpayers Without Reform
The recently released annual Medicare trustees report reiterates a decades-old message: The Medicare program faces an unsustainable financial future. Unless the program is reformed, it will impose a huge financial burden on American taxpayers and jeopardize access to care for seniors.
While these facts are incontrovertible, the Obama Administration’s allies and some in…
Backgrounder posted July 28, 2014
New Obamacare Enrollment Data: Employer-Based Coverage Declines
The Department of Health and Human Services (HHS) issued a series of monthly reports on exchange performance during the initial open enrollment period (October 1, 2013, through March 31, 2014) for the Patient Protection and Affordable Care Act (PPACA), commonly known as Obamacare. However, the data HHS provided are insufficient for determining either the number of…
Testimony posted July 2, 2014
Reinsurance, Risk Adjustment, and Risk Corridors in the Patient Protection and Affordable Care Act
Testimony before Committee on Oversight and Government Reform Subcommittee on Economic Growth, Job Creation and Regulatory Affairs United States House of Representatives
Mr. Chairman, Ranking Member Cartwright: Thank you for inviting me to testify today. My name is Edmund F. Haislmaier, and I am a Senior Research Fellow in Health Policy at The Heritage Foundation. The…
Backgrounder posted April 28, 2014
Four Years of Obamacare: Early Warnings Come True
But we have to pass the bill, so you can find out what is in it, away from the fog of controversy.
—Nancy Pelosi, Speaker of the U.S. House of Representatives, March 9, 2010
It is not our job to protect the people from the consequences of their political choices.
—Chief Justice John Roberts, National Federation of Independent Business v. Sebelius, June 28,…
Issue Brief posted March 14, 2014
Medicare SGR Replacement Is Not Worth More Deficit Spending
Congress is considering compromise legislation (H.R. 4015 and S. 2000) to repeal and replace the unworkable Medicare Sustainable Growth Rate (SGR) formula for updating physician payments. Since 2003, Congress has prevented its own 1997 formula from going into effect because the Medicare physician payment cuts, often draconian, would threaten seniors’ access to medical…
Issue Brief posted March 11, 2014
Proposed Rules for Part D Would Create Undue Disruption for Seniors
The Obama Administration’s Centers for Medicare and Medicaid Services (CMS) has announced that it will not finalize controversial elements of its proposed Medicare rule. The proposed rule would have undercut patient choice and reduced the competition that controls costs in the Medicare drug program (Part D). Many key stakeholders and Members of Congress expressed…