Obamacare Overview

Known as Obamacare, the Affordable Care Act (ACA) is a long, confusing law  But if you are an avid reader of the Healthcare Economist, you don’t have to be confused. For your reference I have created an Obamacare Overview page that summarizes the most important ACA provisions.

Health Insurance Exchanges: Day One

The start of health insurance exchanges, the most important provision of the Affordable Care Act (a.k.a. Obamacare) began allowing individuals to enroll today.  The start was somewhat inauspicious.  The start of “Obamacare” coincides with a federal government shutdown.  Additionally, some exchanges websites, including healthcare.gov, were not operational due to user volume. Nevertheless, today is a…

House threatens to defund Obamacare

The house has passed a bill that would defund Obamacare.  Although passage in the Senate is unlikely, this marks a significant roadblock to implementing the Affordable Care Act and could cause a government shutdown.  The New York Times reports: The Senate is expected to reject decisively a House bill that would delay the full effect…

Best of Both Worlds

Leading health economists Jay Bhattacharya, Amitabh Chandra, Michael Chernew, Dana Goldman, Anupam Jena, Darius Lakdawalla, Anup Malani and Tomas Philipson claim the Affordable Care Act (a.k.a Obamacare) has its problem. Although it expands health insurance coverage to more individuals, it will cause tax rates to rise in order to cover the estimated $1 trillion of…

Dartmouth Response to “Target Decision-makers, Not Geography” Report

The title of the Institute of Medicine’s recent report “Target Decision-makers, Not Geography” at first glance appears to be an indictment of the work of the Dartmouth Atlas, which largely claims that policymakers can reduce healthcare spending by targeting the highest spending geographic areas. A more detailed review shows that the empirical findings from IOM…

Why is Obamacare Unpopular?

Views on the Affordable Care Act (a.k.a. Obamacare, a.k.a. Health Reform) are mixed. Despite the fact that many people support individual provisions, overall, the measure is unpopular. Why would that be the case? A revealing Health Affairs interview with Cythnia Morgan, may reveal the answer. Morgan is a fifty-eight-year-old former hotel manager, has been out…

Wisconsin is not Oregon

Recently in the news, a psuedo-randomized trial of Oregon’s Medicaid expansion found that people with Medicaid used more healthcare services.  They use more doctor visits, more medications and even a few more ER visits and hospitalizations (though these last two were not statistically significant).  Some policymakers believed that insurance will decrease ER visits and hosptializations…