US District Judge Reed O’Connor’s Friday night decision to strike down the entire Affordable Care Act would damage the well-being of older adults, those 50-64 nearing Medicare, and frail elders and younger people with disabilities who are receiving long-term care benefits under Medicaid. Many lawyers believe the ruling is poorly reasoned and likely would be reversed on appeal. However, it [...]
President Trump’s multi-pronged administrative attack on the Affordable Care Act would sharply increase premiums for middle-aged people who purchase insurance in the individual market, likely driving many to drop coverage. Most would not feel the effects until 2019, though some will face sharply higher premiums in 2018—rate hikes they’ll see when the open enrollment season begins next month. The President [...]
The still-evolving Senate Republican replacement for the Affordable Care Act could make health insurance unaffordable for more than 50 million middle-aged Americans by allowing insurers to raise premiums for those with pre-existing conditions. Other provisions would allow carriers to boost insurance costs for even health people aged 50-64. The bill would give states federal dollars to help subsidize those rate [...]
Senate Majority Leader Mitch McConnell’s health care plan would substantially increase costs for people age 50-64 who buy insurance in the individual market and for the frail elderly and younger people with disabilities who receive Medicaid long-term care benefits. In some ways, the Senate plan would be marginally better than the House-passed health bill. In others, it would be much [...]
The Senate’s version of the House-passed American Health Care Act will almost certainly include a fundamental change in the way the federal government contributes to Medicaid. Over time, that new structure would result in deep cuts in the federal contribution to Medicaid and ultimately reduce long-term care benefits for frail older adults as well as younger people with disabilities. These [...]
The House-passed health bill could further batter the already-beaten down market for long-term care insurance. And drive even more middle income seniors into impoverishment and onto Medicaid long-term care. Here’s why: The House bill, called the American Health Care Act (AHCA) would significantly raise health insurance premiums and out-of-pocket medical costs for buyers aged 50-64. And that is exactly the [...]
Older adults are among the biggest victims of our often disorganized, uncoordinated, and impersonal system of medical care. Backwards financial incentives encourage useless tests and dangerous hospital admissions and discourage important social support, personal assistance, and preventive care. The result is that Medicare pays hundreds of billions of dollars for treatment that not only fails to improve the quality of [...]
House Speaker Paul Ryan’s proposed blueprint for health reform would make major changes in medical care for seniors, raising out-of-pocket costs for some and shifting others from traditional Medicare coverage to commercial insurance. His plan, called A Better Way, would slowly raise the age of eligibility for Medicare and cap federal spending for the program, increasing subsidies for low-income seniors [...]
For decades, seniors and others with chronic illness have had to scale a seemingly insurmountable barrier built by the health care system, aided and abetted by Medicare and Medicaid. On one side of the wall was medical care, mostly controlled by doctors, hospitals, drug companies, and skilled nursing facilities. Medicare paid them to do as many medical procedures as possible, and [...]
In the past few weeks, no fewer than three highly respected groups have proposed major health care reforms. They all promise greater use of patient-centered integrated care, but none include supports and services for frail elders or younger people with disabilities. It took four decades to incorporate a drug benefit into Medicare. Now we seem to be in the same place [...]