Commentary

Commentary

Obamacare’s ACOs punish hospitals for quality care

Obamacare promised to cut Medicare’s costs by coordinating care among doctors. But the first effort to do so – Obamacare’s Pioneer Accountable Care Organizations – lost $2.6 million. Now, the administration is trying a “new and improved” version – so-called Next Generation ACOs. Maine’s Beacon Health Network is participating. But ...
Business & Economics

Yet Another Promise: The ACA and Entrepreneurship

Many were the benefits promised by supporters of the Affordable Care Act. If you like your doctor and health plan, you will be able to keep them. Health insurance premiums will fall by an average of $2500 per year for a typical family, even as coverage will be extended to ...
Business & Economics

Remember When Kasich Proposed An Oil Tax Just Like Obama’s?

President Barack Obama proposed a tax Thursday of $10 for every barrel of oil produced in the U.S. to fund new spending on “green” infrastructure programs. Republican Governor of Ohio and current presidential candidate John Kasich, however, beat him to the punch by a year. In February 2015, Kasich attempted ...
Business & Economics

Pension reforms in peril if leaders don’t defend them

Unfunded public pensions threaten the fiscal solvency of states and localities across the country. And California is not immune. Back in 2012, San Diego voters recognized the threat and overwhelmingly supported Proposition B, a set of pension reforms that is helping San Diego stabilize its long-term budget outlook. Thanks to ...
Commentary

Health laws’ cost-cutting and patient care priorities

The Affordable Care Act promised to cut Medicare’s costs by encouraging doctors to coordinate care — and thus eliminate waste and duplication. So far, it’s backfiring. The White House claimed that its first efforts to get doctors to coordinate care — the Shared Savings Program and Pioneer Accountable Care Organizations ...
Commentary

Single-payer collides with reality

It’s a two-horse race for the Democratic nomination for president. This week, Sen. Bernie Sanders (Vt.) came within 0.2 percentage points of beating Hillary Clinton in the Iowa caucuses. Sanders zealots are “feeling the Bern” in large part because of his healthcare plan. “I believe in a Medicare for all ...
Commentary

The Right Way to Replace Obamacare’s Subsidy

On the eve of the New Hampshire primary, nine candidates for the Republican presidential nomination remain. All are staunch critics of Obamacare. But they differ on what they’d put in its place. One point of tension? How to replace Obamacare’s overly complicated subsidy system. The GOP roughly falls into two ...
California

CAPITAL IDEAS: Freedom, Not Union, Key to Teachers’ Case

Almost everybody agrees that an employee – public or private – should be judged on his or her individual qualifications and performance. Yet, for many of the nation’s teachers, their freedom to be treated as individuals is barred by a collective bargaining process that treats them as a group. This ...
Commentary

Obama’s veto won’t save the Affordable Care Act

To the surprise of no one, President Obama swiftly vetoed the latest bill aiming to repeal his signature health law. Soon afterward, Senate Republican leaders made clear that they don’t want to offer up an Obamacare alternative until after the election in November. That’s garnered criticism among Democrats. “When will ...
Commentary

Obamacare Enrollment Has Tapped Out

Obamacare’s third open enrollment period ends in a few days. The White House insists that it’s been an unequivocal success. According to Health and Human Services Secretary Sylvia Burwell, the exchanges have seen “unprecedented demand” for coverage and “steady progress signing up new customers.” Andy Slavitt, head of the Centers ...
Commentary

Obamacare’s ACOs punish hospitals for quality care

Obamacare promised to cut Medicare’s costs by coordinating care among doctors. But the first effort to do so – Obamacare’s Pioneer Accountable Care Organizations – lost $2.6 million. Now, the administration is trying a “new and improved” version – so-called Next Generation ACOs. Maine’s Beacon Health Network is participating. But ...
Business & Economics

Yet Another Promise: The ACA and Entrepreneurship

Many were the benefits promised by supporters of the Affordable Care Act. If you like your doctor and health plan, you will be able to keep them. Health insurance premiums will fall by an average of $2500 per year for a typical family, even as coverage will be extended to ...
Business & Economics

Remember When Kasich Proposed An Oil Tax Just Like Obama’s?

President Barack Obama proposed a tax Thursday of $10 for every barrel of oil produced in the U.S. to fund new spending on “green” infrastructure programs. Republican Governor of Ohio and current presidential candidate John Kasich, however, beat him to the punch by a year. In February 2015, Kasich attempted ...
Business & Economics

Pension reforms in peril if leaders don’t defend them

Unfunded public pensions threaten the fiscal solvency of states and localities across the country. And California is not immune. Back in 2012, San Diego voters recognized the threat and overwhelmingly supported Proposition B, a set of pension reforms that is helping San Diego stabilize its long-term budget outlook. Thanks to ...
Commentary

Health laws’ cost-cutting and patient care priorities

The Affordable Care Act promised to cut Medicare’s costs by encouraging doctors to coordinate care — and thus eliminate waste and duplication. So far, it’s backfiring. The White House claimed that its first efforts to get doctors to coordinate care — the Shared Savings Program and Pioneer Accountable Care Organizations ...
Commentary

Single-payer collides with reality

It’s a two-horse race for the Democratic nomination for president. This week, Sen. Bernie Sanders (Vt.) came within 0.2 percentage points of beating Hillary Clinton in the Iowa caucuses. Sanders zealots are “feeling the Bern” in large part because of his healthcare plan. “I believe in a Medicare for all ...
Commentary

The Right Way to Replace Obamacare’s Subsidy

On the eve of the New Hampshire primary, nine candidates for the Republican presidential nomination remain. All are staunch critics of Obamacare. But they differ on what they’d put in its place. One point of tension? How to replace Obamacare’s overly complicated subsidy system. The GOP roughly falls into two ...
California

CAPITAL IDEAS: Freedom, Not Union, Key to Teachers’ Case

Almost everybody agrees that an employee – public or private – should be judged on his or her individual qualifications and performance. Yet, for many of the nation’s teachers, their freedom to be treated as individuals is barred by a collective bargaining process that treats them as a group. This ...
Commentary

Obama’s veto won’t save the Affordable Care Act

To the surprise of no one, President Obama swiftly vetoed the latest bill aiming to repeal his signature health law. Soon afterward, Senate Republican leaders made clear that they don’t want to offer up an Obamacare alternative until after the election in November. That’s garnered criticism among Democrats. “When will ...
Commentary

Obamacare Enrollment Has Tapped Out

Obamacare’s third open enrollment period ends in a few days. The White House insists that it’s been an unequivocal success. According to Health and Human Services Secretary Sylvia Burwell, the exchanges have seen “unprecedented demand” for coverage and “steady progress signing up new customers.” Andy Slavitt, head of the Centers ...
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