Relevant and even prescient commentary on news, politics and the economy.

Healthcare Costs and Its Drivers Today

I have been doing my typical reading on healthcare in the US and ran across several articles which seemingly come together at various points in the dialogue and are written by different authors. I decided to tie them together into a much wider and telling story. An interesting point being was made by MedPage Today’s […]

Why are Republicans About to cut $25 Billion from Medicare ?

The PayGo law forbids bills which increase the national debt. Unless it is repealed or waived, the Republican tax cuts would cause automatic sequestration of, among other funds $ 25 billion from Medicare. This is an excellent as usual Vox Explainer by Tara Golshan It all comes down to the “pay-as-you-go,” or PAYGO, rule — […]

Trump’s HHS Secretary Nomination and Healthcare Economist Uwe Reinhardt

News Editor Joyce Frieden at Medpage Today offers up an excellent review of President Trump’s head of HHS selection Alex Azar. If you do not read MedPage Today, it is a good site to get information on healthcare and healthcare policy. Orrin Hatch of Utah: “The leader of HHS will be at the tip of […]

Similar to “Alexander – Murray,” CMS Proposal Gives States Authority to Redefine ACA Minimum Benefits

I have been getting quite a few alerts on proposed changes happening behind the scenes with the ACA. I also found a couple of new places with some intelligent writers who have explained things in greater depth than what I knew. The CMS is proposing a rule allowing states greater authority in defining the ACA. […]

House Passes Senate Tax Reform Budget Resolution and Creates 2018 Budget

Everyone is reporting a 2018 Budget has been passed. Tucked away inside the 2018 Budget is a Tax Reform Resolution which allows the House to write the bill. The House has passed the Senate Tax Reform Budget Resolution creating a $1.5 trillion deficit with a 216-212 vote. What this means in the Senate is a […]

What is the Matter With the Iowa ACA?

The story as it is told is “Iowa’s Healthcare Market has imploded.” Companies have gone out of business, lost money, premiums increased, policies canceled, etc. “ With Obamacare’s fifth open-enrollment season kicking off on Nov. 1, the consequences are playing out across one of America’s most politically influential states as residents struggle to maintain coverage.” […]

Odds and Ends October 23, 2017

Hurricane Relief: Interesting developments going on in the Senate. Senator John Cornyn (R-TX) is taking to task administration officials and conservative movement leaders by holding up the confirmation of Russ Vought as the right hand man to Mick Mulvaney’s at the Office of Management and Budget. Wonder why he would do this? Apparently Senator Coryn […]

Cost Sharing Reductions and the Constitution

Republican Representatives who sued the Obama administration, Judge Rosemarry Collyer who decided they were right, Donald Trump and lawyers representing the Trump administration argue that the Department of Health and Human Services (HHS) can not compensate insurance companies for the expence of cost sharing reductions (CSRs) for people with income under 250% of the poverty […]

New Bill to Restore the ACA CSR

Senate Health Committee Chairman Lamar Alexander (R-TN) “Unless they are replaced with something else temporarily, there will be chaos in this country and millions of Americans will be hurt.” Twelve Republicans and 12 Democrats signed on to the bill, which would continue ObamaCare’s insurer subsidies for two years and give states more flexibility to waive […]