1 / 16

Henry Aaron

Henry Aaron. MacLaury Senior Fellow, The Brookings Institution (member, DC Health Exchange Board). Health Reform d ifficult, controversial—are you surprised ?. Content of the ACA. Medicaid expansion. Content of the ACA. Medicaid expansion The Big Three (all linked)

josef
Download Presentation

Henry Aaron

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Henry Aaron MacLaury Senior Fellow, The Brookings Institution (member, DC Health Exchange Board) Health Reform difficult, controversial—are you surprised?

  2. Content of the ACA • Medicaid expansion

  3. Content of the ACA • Medicaid expansion • The Big Three (all linked) B Insurance market reforms B Individual mandate B Refundable tax credits [exchanges]

  4. Content of the ACA • Medicaid expansion • The Big Three (all linked) B Insurance market reforms B Individual mandate B Refundable tax credits [exchanges] • Pilots, demonstrations, new Medicare benefits, and a whole lot more

  5. Background facts • Reform = redistribution

  6. Background facts • Reform = redistribution • No post-enactment fixes — no ‘conference’ — no ‘technical corrections’ bills

  7. Background facts • Reform = redistribution • No post-enactment fixes — no ‘conference’ — no ‘technical corrections’ bills • Political amity is scarce

  8. The problem with Obamacare is… …it is so-o-o conservative!

  9. Obama’s options: replace what we have with… Vouchers Single-payer Neither could be enacted

  10. The only other option:start with the kludge we have, and build on it

  11. The problem with the ACA approach is… • …it imposes heavy burdens on consumers ill-equipped to bear them • …it imposes worse burdens on administrators http://www.healthreformbeyondthebasics.org/wp-content/uploads/2014/02/Webinar-2.26.14-Common-Eligibility-and-Enrollment-Issues.pdf

  12. What next? • Exchanges improve

  13. What next? • Exchanges improve • More ‘glitches’ to come

  14. What next? • Exchanges improve • More glitches to come • Political war --until 2016!

  15. What next? • Exchanges improve • More glitches to come • Political war --until 2016!

  16. What next? • Exchanges improve • More glitches to come • Political war --until 2016! • And, then, • it all depends…

More Related