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  • Issue Brief posted May 16, 2013 by Christopher Jacobs The Taxman Cometh: The IRS’s Role in Implementing Obamacare

    The recent admission by the IRS that its employees improperly subjected certain organizations to heightened scrutiny based upon their political affiliation raises troubling questions about the agency’s ability to manage Obamacare in a competent and impartial manner. At a time when doubts are growing about the IRS’s politically biased behavior, Obamacare grants the agency…

  • 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 April 14, 2013 by Edmund F. Haislmaier Ignore the Rumors: No Deals on Medicaid

    Pressure is mounting on Florida lawmakers — who have resisted expanding a dysfunctional program — to agree to the Medicaid expansion included in Obamacare. Many of them are justifiably concerned about the long-term costs and consequences of “super-sizing” a program that already crowds out other state budget priorities, distorts the health-care system and delivers…

  • Issue Brief posted April 10, 2013 by Edmund F. Haislmaier, Alyene Senger Obamacare’s Essential Benefits Regulation Creates Disparities Among States

    The Department of Health and Human Services (HHS) has issued final rules for Obamacare’s essential health benefits (EHB) package, setting up yet another new source of conflict over Obamacare, this time among the states.[1] HHS has adopted a “state benchmark plan” approach for setting the EHB package. The result of this decision is that the EHB package will now vary from…

  • Backgrounder posted March 22, 2013 by Robert E. Moffit, Ph.D., Alyene Senger Medicare’s Outdated Structure—and the Urgent Need for Reform

    Traditional Medicare, which liberals once envisioned as the foundation for national health insurance for all ages,[1] is a fee-for-service model rooted in the 1960s. Its outdated structure makes the program fundamentally flawed, as the editors of The Washington Post remarked recently: “Medicare as we know it is not sustainable” and the “ultimate solution” is structural…

  • Backgrounder posted March 22, 2013 by Robert E. Moffit, Ph.D., Alyene Senger Medicare’s Rising Costs — and the Urgent Need for Reform

    The rising cost of Medicare is placing an increasing burden on current and future taxpayers, as well as exacerbating the poor financial condition of a program on which America’s seniors depend in their retirement. The traditional program’s fee-for-service payment system, in which doctors and hospitals are paid a fixed price for each and every procedure or service that…

  • Backgrounder posted March 21, 2013 by Robert E. Moffit, Ph.D., Alyene Senger Medicare’s Demographic Challenge—and the Urgent Need for Reform

    Americans should ignore false promises to keep “Medicare as we know it”—the program is already changing. Under the misnamed Patient Protection and Affordable Care Act of 2010, Congress and President Barack Obama have already enacted big reductions in Medicare funding (amounting to $716 billion over the next 10 years[1]), as well as complex new rules governing federal…

  • Testimony posted March 15, 2013 by Edmund F. Haislmaier Medicaid Expansion: Implications for Ohio

    Testimony before Finance and Appropriations Committee Health and Human Services Subcommittee Ohio House of Representatives  March 13, 2013 Edmund F. Haislmaier My name is Edmund Haislmaier.  I am Senior Research Fellow at The Heritage Foundation. The views I express in this testimony are my own, and should not be construed as representing any official position of…

  • 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…

  • Issue Brief posted March 5, 2013 by Nina Owcharenko Why the Obamacare Medicaid Expansion Is Bad for Taxpayers and Patients

    Medicaid needs reform, not expansion. This federal–state health care program provides health care to over 60 million Americans and consumes a growing portion of state and federal budgets. Research shows a long history of Medicaid enrollees having worse access and outcomes than privately insured individuals.[1] Due in part to low reimbursement, one in three doctors refuses…

  • Commentary posted March 4, 2013 by Edmund F. Haislmaier Even Rebranded, Obamacare Exchanges Are Still Unworkable

    At last count, 26 states have rejected the idea of setting up health insurance exchanges that are part of the Affordable Care Act — a continued blow to the Obama administration’s scrambled efforts to get the nationwide exchange program up and running. The Health and Human Services Department recently rebranded the exchanges, calling them “marketplaces.” But that hasn’t…

  • Lecture posted February 25, 2013 by Edmund F. Haislmaier The Complexities of Providing Health Insurance

    Discussions of the ethics of health care financing typically focus on issues of equity and social justice. Yet such discussions are more often about means than ends. Contrary to the impression given by occasionally heated political rhetoric, there, in fact, exists a broad consensus across the political spectrum that modern societies have an obligation to ensure that all…

  • Commentary posted February 19, 2013 by Edmund F. Haislmaier State Medicaid Expansion Represents Bad Welfare and Health Policy

    The first reason states should opt out of the expansion is it's bad welfare policy. While typically considered a health-care program, Medicaid is also America's largest means-tested welfare program. A core principle of welfare policy should be that able-bodied, non-elderly adults receive public assistance only if they are working, preparing for work or actively seeking…

  • Commentary posted February 10, 2013 by Nina Owcharenko Gov. Scott Walker Should Resist This Obamacare Temptation

    Pressure is mounting on Gov. Scott Walker to expand Medicaid as part of the Affordable Care Act. Obamacare proponents say the expansion is a no-brainer - that the federal government will pick up the tab and bring even more doctors into the struggling health care program for the poor. But this deal is too good to be true. The proposed Medicaid expansion would likely end…

  • Commentary posted February 5, 2013 by Nina Owcharenko Health Care and the Debt Deal

    In agreeing to a temporary increase in the debt ceiling, the House attached several conditions. One was a commitment to pass a budget that will balance within 10 years. Meeting that goal is important not only for the country’s fiscal future but also for the future of the country’s health care. Health care entitlements are a major driver of federal spending. In 2011,…