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Morning Briefing

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Tuesday, Feb 28 2017

Full Issue

Getting Patients To Have Skin In The Game Is An Economist's Dream, But It's Also A Political Risk

Although experts believe high costs are being driven by the high prices of medical services in the country, Republicans are instead focusing on getting Americans to pay more for their own coverage. It's a political risk that could backfire on them. In other news, The Washington Post fact checks Rep. Marsha Blackburn's health law claim, pre-existing conditions continue to be a sticky issue, a look at how one CEO managed to not lose big under the Affordable Care Act, and more.

Republicans聽came into office聽this year promising to rescue Americans聽from rising healthcare bills by repealing and replacing the Affordable Care Act. But the party鈥檚 emerging healthcare proposals would shift even more costs to patients, feeding the very problem GOP politicians complained about under Obamacare. And their solutions could hit聽not only Americans who have Obamacare health plans, but also tens of millions more who rely on employer coverage or on government health plans such as Medicaid and Medicare. (Levey, 2/28)

Among the most popular parts of the Affordable Care Act, passed in 2010 with zero votes from Republican lawmakers, are provisions that prohibit insurance companies from denying coverage based on a preexisting condition and requiring that adult children up to the age of 26 can be carried on their parents鈥 health plan. As Republicans craft a replacement for Obamacare, many have suggested that these ideas will be carried forward. Yet we were surprised when we saw that, in response to a question about whether these provisions would be in the replacement, Rep. Marsha Blackburn told people in her district that these were actually 鈥渢wo Republican provisions which made it into the [Obamacare] bill.鈥 (Kessler, 2/28)

Republican lawmakers will resume work on an Obamacare replacement plan this week after facing anxious hometown crowds who fear losing guaranteed coverage for people with pre-existing conditions. GOP lawmakers have vowed their replacement plan will keep the requirement that insurers accept everyone regardless of potentially costly medical conditions. But the Republican proposals would be different than Obamacare in a key respect: They would allow insurers to charge more to sick people who had been uninsured right before trying to enroll in a new plan. (Haberkorn, 2/27)

Some large health insurance companies have suffered losses under the Affordable Care Act, leading to a few high-profile exits from the health exchanges. Humana is just the latest, announcing in January that it will stop offering health insurance on the Affordable Care Act exchanges at the end of 2017.But the administrators of a smaller, California-based insurer 鈥 Molina Healthcare 鈥 managed to turn a modest profit in the early years of the health law. How did they do it? (Dembosky, 2/28)

Tennessee voters want Obamacare repealed, but only after Congress has rolled out a replacement plan, according to a wide-ranging new poll from聽Middle Tennessee State University that exposed the state's deep partisan divides.聽In addition to the fate of the Affordable Care Act, also known as Obamacare, the poll touched on other controversial topics, including illegal immigration, abortion, President Donald Trump's聽allegations of voter fraud and school vouchers. In almost every case, voters' opinions seemed tightly tied聽to their聽political leanings. (Tamburin, 2/27)

Eligible Minnesotans should start seeing discounts on their health insurance premiums in May, as part of a $310 million relief package signed into law in January by Gov. Mark Dayton. State officials said Monday that the relief remains on track to arrive this spring as intended. Though the relief bill was passed in January, building computer systems to administer the relief isn鈥檛 simple and will take insurance companies eight to 12 weeks from the late-January bill passage. (Montgomery, 2/27)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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