The Flip Side of Higher Premiums: Better Coverage March 21, 2013 Perspective Time Magazine’s recent cover story on health care – “Bitter Pill” by Steven Brill – has focused attention on hospital prices, especially for people paying out of their own pockets. This is not a new issue, but certainly one that deserves attention. However, what has been lost in the ensuing…
Questions for 2014 March 22, 2013 Perspective Today’s discussion of the Affordable Care Act (ACA) is focused on immediate implementation milestones leading up to 2014 when the law’s major provisions are set to kick in. This is a critical period when the foundation for the ACA is being established and key building blocks such as the state…
Window of Opportunity? January 7, 2009 Perspective Beginning this Spring, between expected approval of an economic stimulus package and the start of campaigning for the midterm election, there will be a rare window of opportunity for passage of major health reform legislation. History suggests that momentum can be lost if policymakers do not move quickly to seize…
On Health Care, Conservatives Protest Too Much January 21, 2013 Perspective Lately conservatives have been feeling like losers in health care and complaining loudly about it. They don’t like Obamacare or the increase in the government’s role in health care or the federal spending it brings with it, even if those things result in coverage for more than 30 million uninsured…
Pre-X Redux June 20, 2013 Perspective With the focus now mainly on exchanges, Medicaid expansions, and enrolling the uninsured in newly available coverage arrangements, there is less attention lately to the ACA insurance reforms which have always been the most popular parts of the law – changes which could affect every American’s insurance in some way…
Pulling It Together: The Falloff in Utilization: “There’s Something Happening, Here, What It Is Ain’t Exactly Clear” April 10, 2012 Perspective For as long as I have been in the field, we have seen cycles in health care costs. Per capita health spending would rise, then moderate, then rise gain. My colleague Larry Levitt and I documented this in The Sad History of Health Care Costs and my friend Dr. Jim Mongan…
Pulling It Together: Perspectives on State Health Reform June 9, 2008 Perspective This Pulling It Together column is the fourth in my new series. All four so far have dealt with different dimensions of health reform. This time I write about one of my favorite topics, the states. As a former head of an umbrella health and social services agency in a…
Pulling it Together: Implementation October 7, 2009 Perspective When I was a graduate student at MIT my adviser Jeffrey Pressman was a great political scientist who had just written the seminal book on program implementation. It was called, simply enough, Implementation, with a subhead that read: “how great expectations in Washington are dashed” (OK, we political scientists study…
Grandfathering Explained September 8, 2011 Perspective The Republican leadership in the House of Representatives recently indicated that it will be seeking to repeal regulations under the Affordable Care Act (ACA) that govern the “grandfathered” status of health plans. As this aspect of the health reform law gets more scrutiny, it may be useful to review some of…
September Kaiser Health Tracking Poll: Pre-Existing Conditions September 23, 2011 Perspective With several elements of the ACA targeted toward individuals with pre-existing conditions, this month’s Kaiser Health Tracking Poll takes a closer look at this group. Fifty-two percent of Americans say that they or someone else in their household has what would be considered a “pre-existing condition,” and among this group, one…