Extreme Healthcare Chaos

Stethoscope with American Flag Reflection on Wooden Table.

Turmoil by executive order again… On Thursday, President Trump threw two more giant logs on the raging healthcare marketplace fire by ordering the discontinuance of federal funding for cost-sharing subsides for low income Americans and by directing the Secretary of Labor to provide guidance on liberalizing association healthcare plan rules. Cost-sharing subsidies made healthcare affordable… [Read More]

States Petition to Chart Their Own Healthcare Course

States Petition to Chart Their Own Healthcare Course

­­The Trump administration has indicated a willingness to liberalize the Section 1332 State Innovation Waiver under the Affordable Care Act (ACA) to make it easier for states to provide affordable coverage. So far, only Hawaii has been granted the ability to deviate from the ACA, but now Iowa will be testing the President’s stomach on… [Read More]

The Biggest Issue in Healthcare Reform Today

presidential election health policy

Now that the GOP’s plan to remake healthcare by fiat seems to be failing, the Trump administration has once again pulled out one of its aces in the hole. Funding of cost sharing subsidies is the biggest issue today in the debate, viewed by the health insurance industry as “the single most destabilizing factor in… [Read More]

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]

Republican Senate Makes One More Go at Healthcare Reform

Making Healthcare Sausage

Senate Republicans are at it again, and this one may be their last chance to deliver on healthcare reform. And it is simply amazing to me how this has morphed into a bill that no one will like. Even though an additional $70 billion has been provided to subsidize care over the next 10 years… [Read More]

Healthcare…What’s the Answer?

Healthcare…What’s the Answer

As the Senate wrestles with finding the balance to pass its version of healthcare reform, a proposal by Senator Ted Cruz looks like it is gaining popularity. This amendment would allow insurers to offer plans which do not comply with the Affordable Care Act so long as they offer at least one plan which does… [Read More]

More Details on the Senate Healthcare Bill

Are Association Health Plans a Good Idea

Debate is now raging in Washington over healthcare reform. Republicans are hoping to use the 2017 budget reconciliation process, reducing the required number of yes votes from 60 to 50, to pass this bill. However, there is a September 30 deadline that looms heavily over the Senate Chamber if reconciliation is to be used. Without reconciliation,… [Read More]

More Movement in Healthcare: Senate Unveils Better Care Reconciliation Act

More Movement in Healthcare Senate Unveils Better Care Reconciliation Act

As President Trump passes his 150th day in office, Congressional Republicans have finally revealed their healthcare bill which has been named the Better Care Reconciliation Act. The select group of senators who have been working behind closed doors to craft this plan will need to appease somewhat unaligned senators, yet at the same time be… [Read More]

Senate Takes up Healthcare Reform

5-2-16 An Exciting Day in Washington

In contrast to the very public spectacle in the House as Republicans took up healthcare, a much more muted approach has been taken in the Senate. Last week, the Senate non-partisan parliamentarian advised that the American Health Care Act (AHCA), passed by the House, met the budget reconciliation rules. That means this legislation could avoid much… [Read More]