- Title Pages
-
Chapter 1 The Health Care Reform Legislation -
Chapter 2 The Simple Economics of Health Reform -
Chapter 3 The Economics, Opportunities, and Challenges of Health Insurance Exchanges -
Chapter 4 Can the ACA Improve Population Health? -
Chapter 5 Systemic Reform of Health Care Delivery and Payment -
Chapter 6 How Stable Are Insurance Subsidies in Health Reform? -
Chapter 7 Financial Regulatory Reform -
Chapter 8 Government Guarantees -
Chapter 9 How Little We Know -
Chapter 10 Finding the Sweet Spot for Effective Regulation -
Chapter 11 A Recipe for Ratings Reform -
Chapter 12 Should Banker Pay Be Regulated? -
Chapter 13 Fixing Bankers’ Pay -
Chapter 14 It Works for Mergers, Why Not for Finance? -
Chapter 15 Hedge Fund Wizards -
Chapter 16 Investment Banking Regulation After Bear Stearns -
Chapter 17 Why Paulson Is Wrong -
Chapter 18 Dr. StrangeLoan -
Chapter 19 Questioning the Treasury’s $700 Billion Blank Check -
Chapter 20 Auction Design Critical for Rescue Plan -
Chapter 21 A Better Plan for Addressing the Financial Crisis -
Chapter 22 Please Think This Over -
Chapter 23 Is Macroeconomics Off Track? -
Chapter 24 If It Were a Fight, They Would Have Stopped It in December of 2008 -
Chapter 25 Comment on Barbera -
Chapter 26 Pension Security Bonds -
Chapter 27 Carbon Taxes to Move Toward Fiscal Sustainability -
Chapter 28 Net Neutrality Is Bad Broadband Regulation -
Chapter 29 Trills Instead of T-Bills -
Chapter 30 The Google Book Settlement -
Chapter 31 The Stakes in the Google Book Search Settlement -
Chapter 32 The NFL Should Auction Possession in Overtime Games - Index
Systemic Reform of Health Care Delivery and Payment
Systemic Reform of Health Care Delivery and Payment
- Chapter:
- (p.39) Chapter 5 Systemic Reform of Health Care Delivery and Payment
- Source:
- The Economists' Voice 2.0
- Author(s):
Henry J. Aaron
- Publisher:
- Columbia University Press
This chapter discusses the four main obstacles faced by the Affordable Health Care Act (ACA). The first hurdle is judicial. Several states are challenging the constitutionality of the individual mandate—the requirement that everyone who is not insured at work or covered by a public program must personally buy health insurance. Second, Republicans have sworn to seek repeal of the ACA. The third challenge is implementation. The technical challenges of implementation are enormous. For example, many observers believe that health insurance subsidies should be based on data that are more current than the tax information currently available to the IRS. Collecting such data, processing the information, paying out subsidies, and recovering overpayments are daunting tasks. The fourth group of obstacles is found in state capitals. The ACA requires each of the fifty states to set up health insurance exchanges. It grants the states wide discretion as to how to organize the exchanges and where to place them in the state governmental structure. How well the states do this job is of critical importance. Insurers will be tempted to try to dump high-cost patients in the exchanges. If they succeed, premiums charged in the exchanges will be very high, rendering insurance through the exchanges burdensome or unaffordable for many people.
Keywords: Affordable Care Act, ACA, health care policy, health care reform, health insurance exchange
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- Title Pages
-
Chapter 1 The Health Care Reform Legislation -
Chapter 2 The Simple Economics of Health Reform -
Chapter 3 The Economics, Opportunities, and Challenges of Health Insurance Exchanges -
Chapter 4 Can the ACA Improve Population Health? -
Chapter 5 Systemic Reform of Health Care Delivery and Payment -
Chapter 6 How Stable Are Insurance Subsidies in Health Reform? -
Chapter 7 Financial Regulatory Reform -
Chapter 8 Government Guarantees -
Chapter 9 How Little We Know -
Chapter 10 Finding the Sweet Spot for Effective Regulation -
Chapter 11 A Recipe for Ratings Reform -
Chapter 12 Should Banker Pay Be Regulated? -
Chapter 13 Fixing Bankers’ Pay -
Chapter 14 It Works for Mergers, Why Not for Finance? -
Chapter 15 Hedge Fund Wizards -
Chapter 16 Investment Banking Regulation After Bear Stearns -
Chapter 17 Why Paulson Is Wrong -
Chapter 18 Dr. StrangeLoan -
Chapter 19 Questioning the Treasury’s $700 Billion Blank Check -
Chapter 20 Auction Design Critical for Rescue Plan -
Chapter 21 A Better Plan for Addressing the Financial Crisis -
Chapter 22 Please Think This Over -
Chapter 23 Is Macroeconomics Off Track? -
Chapter 24 If It Were a Fight, They Would Have Stopped It in December of 2008 -
Chapter 25 Comment on Barbera -
Chapter 26 Pension Security Bonds -
Chapter 27 Carbon Taxes to Move Toward Fiscal Sustainability -
Chapter 28 Net Neutrality Is Bad Broadband Regulation -
Chapter 29 Trills Instead of T-Bills -
Chapter 30 The Google Book Settlement -
Chapter 31 The Stakes in the Google Book Search Settlement -
Chapter 32 The NFL Should Auction Possession in Overtime Games - Index
