Kip Piper -
Following a five-year demonstration, a new report examines the Health Opportunity Accounts Demonstration Program created by the Deficit Reduction Act (DRA). The law allowed up to 10 states to test the use of Health Opportunity Accounts as an alternative health benefit design in Medicaid. Participating states were allowed to establish Health Opportunity...
White House Oversight of CMS and FDA: Office of Management and Budget Gets Expanded Role in Medicare, Medicaid, and Drug Industry PolicyKip Piper -
Under a new Executive Order, President Bush has significantly expanded the authority of the White House Office of Management and Budget (OMB) over policymaking by the Centers for Medicare and Medicaid Services (CMS) and the Food and Drug Administration (FDA). Specifically, OMB now has the authority to review and approve...
In health policy, bad ideas never go away. Case in point is the proposal in California to require that health plans spend at least 85% of premium revenue on provider payments. Specifically, as part of his $12 billion Stay Healthy California package of reforms, Governor Arnold Schwarzenegger proposes to...
In health care, states serve as the nation's laboratories of reform - able to test innovations in financing, coverage, regulation, and care delivery. In 2007, states are leading the way on health insurance coverage expansion, leveraging a mix of policies including universal coverage, individual mandates, tax credits and Section...
Bush Health Reform Proposals: Tax Deductibility of Health Insurance and New Grants, Flexibility for StatesKip Piper -
President Bush has joined the health reform debate with a proposal of his own. The Bush approach is as intriguing as it is controversial. First, the Administration seeks to reform the federal tax code to change the tax treatment of health insurance premiums and offer new tax deductions to help...
Using new flexibility created by the Deficit Reduction Act (DRA), states may restructure Medicaid benefits. States may now customize Medicaid health care benefits to specific populations, model some benefit package after commercial-like health plans, and offer additional benefits as incentives to reward healthier patient behavior. Based on the concept of...
There's a hot debate over the pros and cons of health savings accounts (HSAs). Like most other health policy issues these days, the debate is based more on differences in political and economic ideology than on facts. While on its face it may appear as a debate between Republicans...
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