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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…

  • Issue Brief posted April 11, 2013 by Robert E. Moffit, Ph.D., Rea S. Hederman, Jr. Medicare Savings: 5 Steps to a Down Payment on Structural Reform

    If we solve our healthcare spending (Medicare), practically all of our fiscal problems go away. If we don’t? Then almost anything else we do will not solve our fiscal problems.  - Dr. Victor Fuchs, Emeritus Professor of Economics, Stanford University, March 5, 2012. [1] The Medicare savings embodied in President Obama’s Fiscal Year 2014 budget proposal—mostly from…

  • 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 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  • Backgrounder posted March 22, 2013 by Robert E. Moffit, Ph.D., Alyene Senger Medicare’s Outdated Structure—and the Urgent Need for Reform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 Its outdated structure makes the program fundamentally flawed, as the editors of The Washington Post remarked recently: “Medicare as we know it is not sustainable” and the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 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…

  • Issue Brief posted March 18, 2013 by Robert E. Moffit, Ph.D. Medicare Drugs: Why Congress Should Reject Government Price Fixing

    Senator Patty Murray (D–WA), chair of the Senate Budget Committee, is offering a budget resolution claiming $275 billion in health care savings, though she provides few details.[1] But Senator Amy Klobuchar (D–MN) has introduced legislation (S. 117) that would replace today’s private-sector negotiation of Medicare drug prices with government “negotiation.” This approach…

  • Issue Brief posted March 11, 2013 by Drew Gonshorowski The Affordable Care Act Negatively Impacts the Supply of Labor

    Labor market distortions are common within the Patient Protection and Affordable Care Act (PPACA/Obamacare). Employers are faced with uncertainty at every turn. As observed from the recently released Federal Reserve beige book, this uncertainty restrains hiring.[1] While substantial attention has been given to the employer side, the employee side also experiences many…

  • 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…

  • Center for Policy Innovation Discussion Paper posted February 6, 2013 by Diane Calmus The Long-Term Care Financing Crisis

    The Obama Administration’s suspension of the Community Living Assistance Services and Supports (CLASS) Act provisions of the Affordable Care Act halted a new federal entitlement program that was fiscally unsound. The repeal of the CLASS Act as part of the American Taxpayer Relief Act provides an opportunity for a necessary discussion. The debate over the CLASS Act…

  • Issue Brief posted December 12, 2012 by Nina Owcharenko, Edmund F. Haislmaier Medicaid Expansion and State Health Exchanges: A Risky Proposition for the States

    Recent decisions by the Obama Administration concerning the health care exchanges and Medicaid expansion underscore what a risky proposition the Patient Protection and Affordable Care Act (PPACA) is for the states. Congress presumed in PPACA (Obamacare) that the states would agree to build and run exchanges and could be forced to expand Medicaid. The Supreme Court,…

  • Backgrounder posted November 7, 2012 by Kevin Dayaratna Studies Show: Medicaid Patients Have Worse Access and Outcomes than the Privately Insured

    Abstract: Academic literature has consistently illustrated that Medicaid patients—adults and children—have inferior access to health care, and notably poorer health outcomes, than privately insured patients. Due to the program's low reimbursement rates, more and more doctors are refusing to even accept Medicaid. As a result, it is becoming increasingly difficult for…

  • Issue Brief posted November 1, 2012 by Robert E. Moffit, Ph.D., Rea S. Hederman, Jr., Alyene Senger Obama’s Medicare Plan: Seniors Will Pay More

    Today’s seniors are facing higher Medicare costs. Over the next five years, current law, as amended by the Patient Protection and Affordable Care Act (PPACA, also known as “Obamacare”), and President Obama’s budget proposals guarantee higher costs for today’s seniors. Status Quo Hikes The 2012 Medicare trustees report says that, over the period 2012 to…

  • Center for Policy Innovation Research Summary posted October 15, 2012 by Diane Calmus The Affordable Care Act’s Rulemaking Process: What the Research Shows

    Abstract: The rush to issue regulations for implementing the most popular parts of the President’s health insurance bill resulted in eight “economically significant” regulations of remarkably poor quality, according to Jerry Ellig of the Mercatus Center at George Mason University and Christopher Conover of Duke University. They detailed major deficiencies in the…

  • Issue Brief posted September 28, 2012 by Rea S. Hederman, Jr. Why Medicare Premium Support Would Not Cost Future Beneficiaries $6,400 More

    Opponents of Medicare premium support routinely charge that it would cost future retirees $6,400 more annually. In fact, this dollar amount is incorrect, and the charge is erroneous. Such false charges are based on an outdated Congressional Budget Office (CBO) model of House Budget Committee chairman Paul Ryan’s (R–WI) 2011 budget proposal. Ryan’s 2012 proposal,…