I find it ironic that the Republican’s effort to stop Obamacare, by shutting down the government, managed to distract from the bad news stories about Obamacare. This is a rare instance when the GOP’s war on Obamacare may have helped the effort of Democrats to sell it.
|By: Jon Walker Tuesday October 1, 2013 12:14 pm|
|By: Jon Walker Tuesday October 1, 2013 10:12 am|
If you choose to make your plan needlessly complex, you won’t get any slack when you run into problems implementing it.
|By: Jon Walker Monday September 30, 2013 9:15 am|
The Affordable Care Act exchanges are supposed to officially open tomorrow. It will be a big day for policy wonks, politicians, IT contractors and bureaucrats, but it will not be a big day for regular people. It won’t even be an important day for the limited number of people planning to eventually buy insurance on the exchanges.
|By: Jon Walker Friday September 27, 2013 1:00 pm|
While I think the design of the Affordable Care Act is bad, as a policy wonk I look at the implementation as having one unique silver lining. It will be the largest natural experiment on the effectiveness of insurance marketplaces ever launched.
|By: Jon Walker Thursday September 26, 2013 10:30 am|
Not everything is going to be ready as planned on October 1st when the health care exchanges are scheduled to open. More significant glitches and problems have emerged.
|By: Jon Walker Tuesday July 23, 2013 8:15 am|
President Obama is banking on several big name celebrities to help spread the world about the new health insurance exchanges that will begin open enrollment this October.
|By: Jon Walker Friday July 19, 2013 1:25 pm|
By far, the best provision in the law is the Medicaid expansion intended to cover all people near the poverty line. This should not only eventually be responsible for the bulk of the coverage expansion, but it should do the most good for people.
|By: Jon Walker Monday April 29, 2013 10:20 am|
One of the big reasons I’m so pessimistic about the new health insurance exchanges created under the Affordable Care Act is the principle behind them. The idea is that everyone will be well informed dedicated shoppers who will know how to select the best plan to fit their needs, which will reduce cost for everyone. Aflac’s 2013 WorkForces Report shows how deeply misguided this assumption is in reality.
|By: Jon Walker Tuesday April 16, 2013 8:15 am|
Next year the federal government should spend over $340 on each person enrolled in the federally-run exchanges just to operate these marketplaces. My estimates are based on the new Health and Human Services (HHS) budget and Congressional Budget Office (CBO) reports. It puts per enrollee federal exchange spending at $341 for fiscal year 2014.*
To put this amount in perspective, the average premium for an employer-provided single coverage plan was $5,600 last year, which means next year the HHS will spend roughly 6 percent of the cost of insurance just on helping people select private insurance. The private plans bought on the exchanges will also be allowed to spend up to 20 percent of the actual premiums on administrative overhead.
|By: Jon Walker Thursday August 23, 2012 2:12 pm|
There is a zombie myth that if you make people buy health insurance on exchanges the magic of the marketplace will bring down costs. The problem is that this idea has never worked in reality. It didn’t work for Medicare Advantage’s private health insurance exchange, it didn’t work in the federal employee insurance exchange, and it has not worked when tried by other countries.