A project of the George Washington University's Hirsh Health Law and Policy Program and the Robert Wood Johnson Foundation


NBER study discusses positive impact of including dental benefits in Medicaid

Posted on April 22, 2014

A new study released by the National Bureau of Economic Research (NBER) indicates that including adult dental benefits in Medicaid plans can have a multitude of positive results. The study, How Do Providers Respond to Public Health Insurance Expansions? Evidence from Adult Medicaid Dental Benefits, found that covering dental benefits resulted in more dentists participating in Medicaid without decreasing the number of privately insured patients these dentists see. Additionally, the study reported that dentists participating in Medicaid were able to make greater use of dental hygienists while only mildly increasing patient wait times.

Continue Reading "NBER study discusses positive impact of including dental benefits in Medicaid" »

CBO lowers ACA cost estimate

Posted on April 14, 2014

The Congressional Budget Office (CBO) recently updated their cost estimate for the Affordable Care Act (ACA). The new estimate states that the ACA will cost $1.383 trillion over the next ten years, which is $104 billion less than the February estimate. The CBO states that the readjustment can be attributed to administrative changes, changes in the law, judicial decisions, new data (such as projected healthcare expenditures for both the private and public sectors), and changes in modeling.

Continue Reading "CBO lowers ACA cost estimate" »

Update: State Medicaid, Marketplace and Navigator Law Status

Posted on April 11, 2014

Click here to see an updated version of our HealthReformGPS map that provides a comprehensive depiction of each state’s status on Medicaid expansion, Marketplace operations, and Navigator laws. Note that partnership marketplaces are considered federally-facilitated marketplaces for the purposes of this map.

Continue Reading "Update: State Medicaid, Marketplace and Navigator Law Status" »

CRS memo explains premium subsidies for plans offered outside of Marketplaces

Posted on April 10, 2014

A memorandum from the Congressional Research Service (CRS) released by the House Energy and Commerce Committee states that a “literal application” of the law would prohibit premium subsidies to be offered for plans sold outside of the Affordable Care Act’s Marketplaces. The memo also provided means by which the administration could argue they possessed the authority to offer subsidies outside of the Marketplaces.

Continue Reading "CRS memo explains premium subsidies for plans offered outside of Marketplaces" »

RAND survey shows uptick in employer sponsored insurance

Posted on April 9, 2014

A survey recently released by the RAND Corporation found that a net of 9.3 million individuals gained health insurance during the Affordable Care Act’s (ACA) open enrollment period. The majority of these individuals gained coverage through employer sponsored insurance (ESI), with Medicaid coming in as the second most frequent payer. RAND posits the uptick in ESI resulted from either the individual mandate forcing people to take coverage they had previously denied, or the improvements in the economy that have enabled more individuals to be employed and therefore receive benefits.

Continue Reading "RAND survey shows uptick in employer sponsored insurance" »

BPC releases report on LTC

Posted on April 8, 2014

A new report issued by the Bipartisan Policy Center (BPC) warns of the pending demand for long term care (LTC) services. According to BPC, the number of Americans needing LTC is expected to double by 2050. The report, compiled by BPC’s Long-Term Care Initiative, provides different delivery and financing reforms that may be instituted to help address the growing need for LTC.

Continue Reading "BPC releases report on LTC" »

CBO estimate indicates impact of repealing the individual mandate

Posted on March 13, 2014

The Congressional Budget Office (CBO) score of HR 4015 found that repealing the Affordable Care Act’s (ACA) individual mandate would save the government $169.5 billion over the next 10 years. Doing so would also result in 13 million fewer individuals having insurance by 2018, and those with insurance would pay more for their coverage. Lifting the individual mandate is the current pay-for for the House bill to reform the Sustainable Growth Rate (SGR). The savings from removing the mandate would arise from the decreased issuance of health insurance subsidies, or premium tax credits.

Continue Reading "CBO estimate indicates impact of repealing the individual mandate" »

Georgetown and RWJF publish new navigator resource guide

Posted on March 12, 2014

Georgetown University’s Center on Health Insurance Reform, in conjunction with the Robert Wood Johnson Foundation, released a navigator resource guide for the Affordable Care Act (ACA). The guide serves as a primer for health insurance reform and is intended to supplement official training documents released by the administration. Topics addressed in the guide include: health insurance marketplaces, benefit standards, cost standards, rating, and premium tax credits.

Continue Reading "Georgetown and RWJF publish new navigator resource guide" »

GAO report finds states spend one-third of Medicaid dollars on few beneficiaries

Posted on February 20, 2014

The Government Accountability Office (GAO) released a new report citing how Medicaid spends a third of their funds on a small sect of high-expenditure Medicaid beneficiaries. The report, Medicaid: Demographics and Service Usage of Certain High-Expenditure Beneficiaries, found that states spent 31.6% of all Medicaid expenditures on 4.3% of the Medicaid population. Furthermore, the report stated that certain characteristics, such as residing in a long-term care facility, contributed to individuals being deemed high-expenditure Medicare beneficiaries.

Continue Reading "GAO report finds states spend one-third of Medicaid dollars on few beneficiaries" »

CBO FAQ clarifies recent report

Posted on February 10, 2014

A new set of frequently asked questions (FAQ) was published today by Douglas Elmendorf, the Director of the Congressional Budget Office (CBO), in an effort to clarify some of the misconceptions concerning CBO’s report released last week. The FAQ clarifies that 2.5 million Americans will not lose their jobs as a result of the Affordable Care Act (ACA), but will instead no longer feel forced to remain employed just to receive healthcare. The FAQ also addresses why CBO chose to revisit the labor market in their study.

Continue Reading "CBO FAQ clarifies recent report" »