Health Care Reform

Commentary

This Groundbreaking Insurance Reform Is Buried In The One Big, Beautiful Bill

The legislative package would codify and expand Individual Coverage Health Reimbursement Arrangements, which the first Trump administration introduced in 2019. ICHRAs allow employers to give workers untaxed dollars, which they can use to purchase health insurance on the individual market. In many ways, ICHRAs are the health insurance equivalent of retirement accounts to ...
Commentary

President Trump Hasn’t Given Up on Hospital Price Transparency

For markets to function efficiently, consumers need to know how much things cost. This is as true for eggs and milk as it is for medical care. And it was this very insight that motivated the rule that President Donald J. Trump implemented during his first term in 2019 ordering ...
Commentary

Is Era of Biomedical Innovation Wins Against Cancer Over?

For evidence of the astounding progress made by medical science in recent decades, look no further than the Annual Report to the Nation on the Status of Cancer, which was jointly issued by the American Cancer Society, the Centers for Disease Control and Prevention, the North American Association of Central ...
Blog

Spending Watch

AB 4: A Bad Idea That Costs Too Much

AB 4: A Bad Idea That Costs Too Much Wayne Winegarden and Nikhil Agarwal May 2025 As we noted in an earlier Spending Watch piece, growing economic volatility will likely cause revenue growth to be much weaker than expected for the upcoming FY2025-26 budget. It is, consequently, fiscally irresponsible for ...
Commentary

Medicaid can’t survive without spending cuts

Congressional Republicans are trying to figure out what to do with Medicaid. Nearly 80 million Americans get health coverage through the entitlement. In California, one in three residents has Medi-Cal, the Golden State’s version of Medicaid. Congress will have to rein in the program at some point. Spending on the ...
Commentary

Obamacare Is Killing Small Business. Here’s How To Fix It.

Obamacare was back on trial this month, as the U.S. Supreme Court heard a challenge about the constitutionality of the panel that determines which preventive care services health plans must cover. According to the Commonwealth Fund, “The case has consequences for the Affordable Care Act’s guarantee of coverage for a ...
Blog

QALYs Put Patients Last

In his latest entry for the American Action Forum’s “Reality Check-Up: The Truth About Single-Payer Systems,” Michael Baker offers an excellent primer on this heartless metric. QALYs attempt to assign a monetary value to life. A year in perfect health equals one QALY. A year with illness or disability counts ...
Blog

Two Good Healthcare Headlines

We all could use a little bit of good news on health policy these days. And Douglas Holtz-Eakin of the American Action Forum provides it in the latest edition of AAF’s “Reality Check-Up: The Truth About Single-Payer Systems.” He commends two articles for readers of the series, and I will ...
Commentary

Trump’s Crusade Against ACA ‘Quiet,’ Historic

Last month, the Trump administration proposed a new rule to ensure “Marketplace Integrity and Affordability” on Obamacare’s health insurance exchanges. Washington is awash in proposed rules. But this one stands out. Read the op-ed:
Commentary

Here’s what “radical transparency” on health care can look like

“Radical transparency” has become a favorite phrase of the Trump administration. The president recently signed an executive order that aims to “empower patients with clear, accurate, and actionable pricing information.” If hospitals and insurers comply — and that’s a big if — patients will finally be able to shop for ...
Commentary

This Groundbreaking Insurance Reform Is Buried In The One Big, Beautiful Bill

The legislative package would codify and expand Individual Coverage Health Reimbursement Arrangements, which the first Trump administration introduced in 2019. ICHRAs allow employers to give workers untaxed dollars, which they can use to purchase health insurance on the individual market. In many ways, ICHRAs are the health insurance equivalent of retirement accounts to ...
Commentary

President Trump Hasn’t Given Up on Hospital Price Transparency

For markets to function efficiently, consumers need to know how much things cost. This is as true for eggs and milk as it is for medical care. And it was this very insight that motivated the rule that President Donald J. Trump implemented during his first term in 2019 ordering ...
Commentary

Is Era of Biomedical Innovation Wins Against Cancer Over?

For evidence of the astounding progress made by medical science in recent decades, look no further than the Annual Report to the Nation on the Status of Cancer, which was jointly issued by the American Cancer Society, the Centers for Disease Control and Prevention, the North American Association of Central ...
Blog

Spending Watch

AB 4: A Bad Idea That Costs Too Much

AB 4: A Bad Idea That Costs Too Much Wayne Winegarden and Nikhil Agarwal May 2025 As we noted in an earlier Spending Watch piece, growing economic volatility will likely cause revenue growth to be much weaker than expected for the upcoming FY2025-26 budget. It is, consequently, fiscally irresponsible for ...
Commentary

Medicaid can’t survive without spending cuts

Congressional Republicans are trying to figure out what to do with Medicaid. Nearly 80 million Americans get health coverage through the entitlement. In California, one in three residents has Medi-Cal, the Golden State’s version of Medicaid. Congress will have to rein in the program at some point. Spending on the ...
Commentary

Obamacare Is Killing Small Business. Here’s How To Fix It.

Obamacare was back on trial this month, as the U.S. Supreme Court heard a challenge about the constitutionality of the panel that determines which preventive care services health plans must cover. According to the Commonwealth Fund, “The case has consequences for the Affordable Care Act’s guarantee of coverage for a ...
Blog

QALYs Put Patients Last

In his latest entry for the American Action Forum’s “Reality Check-Up: The Truth About Single-Payer Systems,” Michael Baker offers an excellent primer on this heartless metric. QALYs attempt to assign a monetary value to life. A year in perfect health equals one QALY. A year with illness or disability counts ...
Blog

Two Good Healthcare Headlines

We all could use a little bit of good news on health policy these days. And Douglas Holtz-Eakin of the American Action Forum provides it in the latest edition of AAF’s “Reality Check-Up: The Truth About Single-Payer Systems.” He commends two articles for readers of the series, and I will ...
Commentary

Trump’s Crusade Against ACA ‘Quiet,’ Historic

Last month, the Trump administration proposed a new rule to ensure “Marketplace Integrity and Affordability” on Obamacare’s health insurance exchanges. Washington is awash in proposed rules. But this one stands out. Read the op-ed:
Commentary

Here’s what “radical transparency” on health care can look like

“Radical transparency” has become a favorite phrase of the Trump administration. The president recently signed an executive order that aims to “empower patients with clear, accurate, and actionable pricing information.” If hospitals and insurers comply — and that’s a big if — patients will finally be able to shop for ...
Scroll to Top