ACA Replacements, Risk Pooling and Adverse Selection

Large Numbers, Risk Pooling and Congress

As Republicans in Congress continue their efforts to repeal and replace the Affordable Care Act, they keep on looking for new ways to separate portions of the insurance markets’ risk pools into different segments. For example, proposals from both the House of Representatives and the Senate would have made it easier for insurance companies to […] Read more »
Senate Revises Health Care Bill

Senate Revises Health Care Bill

Senate Republican leaders have released a revised version of the Better Care Reconciliation Act (BCRA II), their efforts to repeal and replace the Affordable Care Act. BCRA II is identical to the original BCRA, with a handful of key differences: •   BRCA II retains several of the new taxes levied under ACA (most notably the additional […] Read more »
Legislative Efforts to Repeal ACA Do Not Reduce Health Care Costs

Don’t Confuse Cost Shifting with Cost Savings

As the debate in Washington rages on over the efforts to repeal and replace the Affordable Care Act (ACA) there is a fundamental truth that is being ignored: there are no provisions of the current ACA replacement bills – either from the House (the American Health Care Act, or AHCA) or the Senate (the Better […] Read more »
Senate Republicans released the Better Care Reconciliation Act of 2017

Senate Releases Health Care Bill

On June 22, the Senate Republicans released the Better Care Reconciliation Act of 2017 (“BCRA”), their version of a bill to repeal and replace the Affordable Care Act. The bill repeals some provisions of the ACA. However, in many instances the bill retains the ACA framework, but dramatically reshapes provisions of the ACA. Here are […] Read more »