It’s a Legislative Circus Out There

It’s a Legislative Circus Out There

My predictive skills have been working pretty well on healthcare reform. I suggested that it wouldn’t be easy or quick. I thought the House would fall in line and the Senate would eke something out – and that it ultimately will come to a thumbs up / thumbs down in both houses of Congress. With… [Read More]

Healthcare. Okay. Now What Do We Do?

Flag and Stethoscope

What a week it’s been. I am not sure why President Trump thinks that his latest attempt to coerce the Republican Congress will work better than his past efforts. The Democrats relied on 50 votes to get the Affordable Care Act (ACA) through and now the Republicans are trying to rely on 50 votes to make… [Read More]

Repealing ACA… but What About the Replace?

repealing-aca-but-what-about-the-replace

With the Congressional transition now complete, true to their word, Republican leadership is taking up the repeal of the Affordable Care Act as their initial agenda item. And the first hurdle has been cleared in a 51-48 Senate vote with Rand Paul the only senator to break ranks. Political jockeying is filling the airwaves with… [Read More]

US Hospitals – Correcting an Imbalance in Capacity

hospital, coverage, healthcare, health insurance

Across the country, cities and towns are being affected by the growing mental health crisis. Emergency rooms are overflowing with patients that hospitals can’t place. They are jammed at capacity with their already-limited number of mental health beds – while empty beds sit vacant in other areas of the hospital. For decades, access to mental… [Read More]

Bill Clinton Thinks the Affordable Care Act Is ‘The craziest thing in the world’

clinton-aca

Bill Clinton seems to agree with me – we should’ve just expanded Medicaid and been done with it. He said that the system does not work for the middle class who make too much money to get government assistance but still have trouble affording high premiums. But he wants to take Medicaid a step further…. [Read More]

This Chart May Be the Laws Unraveling

gallupiamge

After seven years of partisan bickering, arguments, and counterarguments about the ACA’s successes (dramatically reducing the uninsured rate) and failures (lack of competitiveness, high costs), there is one chart that holds the greatest influence over the future of the ACA. The chart has been published by the polling firm, Gallup, over the last five years,… [Read More]

Telling It Like It Is

Flag and Stethoscope

During this electoral primary season, I find it interesting – but not remarkable – that our candidates rarely speak the truth about healthcare in the United States. Uttering the cold hard truth would be telling our populace what they really don’t want to hear. The fact is that the cost of healthcare in our country… [Read More]

The Affordable Care Act Scorecard

aca-scorecard

The 2016 healthcare.gov enrollment has been heralded as a success by many, and no doubt, we have seen coverage expansion under the Affordable Care Act. But – and there are some pretty significant buts – 2014 enrollment was 9.3 million with 9 million enrolled in Medicaid. 2015 enrollment increased to 11.9 million; however, as of… [Read More]

The Changing Health Insurance Landscape

healthcare cost2

A common blog theme is the reformation of the health insurance industry. While there is very rapid contraction in the established medical insurer market – especially now with the Anthem-Cigna and Aetna-Humana deals pending – there are many new market entrants. I have summarized these below: The federal effort at incubating healthcare co-ops has been… [Read More]

Watch Out – Medicaid Expansion is Hitting Home

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Medicaid expansion is just starting to hit home. CMS reported that in August Medicaid enrollment hit 67.9 million lives, an increase of 15% over the prior year. States which opted to implement the ACA’s Medicaid expansion with functioning exchanges showed the most significant increases: Kentucky 72.4%; Nevada 63.4%; Vermont 62.8% and Oregon 59.7%. These increases should… [Read More]