Tag: "ObamaCare"

Obamacare and Employment (Again)

Vox’s Mattew Yglesias, an undaunted Obamacare supporter, has listed “7 charts that show what Obamacare critics are getting wrong”. The first is, you guessed it, that chart from the Gallup survey of health insurance that this blog has been analyzing and criticizing pretty relentlessly.

I’m not going to go through all seven, but focus on his claim that Obamacare is not causing part-time work at the expense of full-time work. Here it is:

Vox

One State Leads the Fight for Health Freedom

AZWhen it comes to no-holds-barred, patient-centered health reform, one state is absolutely crushing it: Arizona.

Governor Doug Ducey, a businessman with no direct healthcare experience, has recently signed (at least) three path breaking pieces of legislation.

We’ve already discussed Arizona’s law that will allow patients to order diagnostic tests without a physician’s order.

28 Percent of Federal Taxes Go To Health Care

27.49 percent, actually. Weekly Standard’s Jeryl Bier used the White House’s own calculator to figure this out. The trend is not our friend:

In 2010, the year Obamacare passed and was signed into law, the healthcare percentage was 24.10. The following year, 2011, it dropped to 23.7 percent, and in 2012 dropped still further to 22.45 percent. After this, however, the trend sharply reversed. In 2013 the healthcare share jumped to 25.19 percent, and the latest numbers posted this week for 2014 show the highest proportion yet at 27.49 percent, a full 22 percent increase over 2012.

Tax Day: Obamacare Comes Home To Roost

The National Taxpayers Union Foundation (NTUF) has released its latest analysis of  “tax complexity”:

This year’s new analysis of tax complexity from National Taxpayers Union Foundation (NTUF) found some startling lead figures: a $234 billion cost to the economy due to 6.1 billion lost hours of productivity and $32 billion spent out-of-pocket to comply with America’s insanely complicated tax system.

Looking deeper at NTUF’s research, there is one big reason to think this could be the beginning of a trend in the wrong direction: 3,322 pages of legal guidance for Obamacare (or the ACA) added to IRS.gov (1,077 pages of regulations, 1,377 pages of Treasury decisions, 669 notices, 100 revenue procedures, and 12 revenue rulings).

Essentially, Obamacare is coming home to roost.

NTUF

“Doc Fix”: The War of All Against All Begins!

The U.S. Senate passed H.R. 2, the so-called Medicare “doc fix,” 92-8 last night.  By the time you read this, President Obama will likely already have signed it. He’s eager to do so, because it locks in Obamacare’s vision of the relationship between physicians and the state.

This was a seriously flawed bill, as NCPA has discussed exhaustively (here and here). Now, doctors and patients will have to get used to a new reality where the federal government and beltway lobbyists’ priorities are more deeply embedded in physicians’ offices than ever.

Billy Wynne at the Health Affairs blog has a very good, dispassionate response to the bill’s passage. Wynne starts by describing the Merit-Based Incentive Payment System (MIPS):

Why Are So Many Working-Age People On Medicare Since Obamacare Started?

Gallup has released the full results of its first quarter survey of health insurance. It concludes that the proportion of uninsured Americans has collapsed to the lowest level ever – 11.9 percent.

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The early release of the estimate had predicted 12.3 percent, and it got a little better as the dust has settled on the second open season.

More Than One in Five Obamacare Enrollees From 2014 Have Not Re-Enrolled

Avalere Health has released a new analysis of exchange enrollment, emphasizing that states with the federal Obamacare exchange (healthcare.gov) retained more 2014 Obamacare beneficiaries than states with their own exchanges:

Federally-facilitated exchange states reenrolled 78 percent of their 2014 enrollees in 2015, on average. In state-run exchange states , that percentage drops to 69 percent of 2014 enrollees. California, the state with the highest enrollment in 2014, only retained 65 percent of their 2014 enrollees.Avalere

Will Obamacare’s Tax Dodgers Take Advantage of Special Enrollment?

Those of us who take the time to understand the burdens that the federal government increasingly impose on us might be excused for envying the Obamacare tax dodgers, who got a special enrollment period to sign up for Obamacare if they let the February 15 deadline for enrollment whizz by.

From the Administration on February 20:

For those who were unaware or didn’t understand the implications of the fee for not enrolling in coverage, CMS will provide consumers with an opportunity to purchase health insurance coverage from March 15 to April 30. If consumers do not purchase coverage for 2015 during this special enrollment period, they may have to pay a fee when they file their 2015 income taxes.

These are the folks who, despite massive media coverage of Obamacare (which was signed in 2010) lived in blissful ignorance that the federal government now imposes a mandate on them to purchase a government-certified health plan. When they file their taxes, they will be shocked and appalled to learn that they owe a penalty.

For every other American, of course, ignorance of the law is no excuse. Obamacare is so unpopular, however, that the Administration knew it had to give relief to these folks.

Well, the early figures for the special enrollment are in, and they are pretty laughable: Only 36,000 of 4 million eligible enrollees signed up by March 29. Charles Gaba, an Obamacare advocate and leading expert on estimating Obamacare enrollees, thinks it’s too early to panic: Folks have another month to enroll.

I tend to agree: Someone who has still not figured out – after five years – that Obamacare imposes this mandate is unlikely to file his taxes early – or even on time.

Accountable Care Enrollees to Triple by 2020

David Muhlestein of Leavitt Partners predicts that the number of patients enrolled in Accountable Care Organizations (ACOs) will rise from 23.5 million today to 72 million in 2020.F9What is an ACO? I am becoming less sure that it is a meaningful term. I mean, really, are you in favor of unaccountable care?

Have House Republicans Cast Their First Vote for Obamacare?

A similar version of this Health Alert appeared at Forbes.

Former Speaker of the U.S. Representatives Newt Gingrich said something last week that many feared, but few have been willing to admit: Republicans in Congress have no intention of repealing and replacing Obamacare with patient-centered health reform.

Faced with an interviewer who seemed to believe opposition to Obamacare is actually opposition to Barack Obama, and who suggested that after this president leaves office, opposition will soften, Mr. Gingrich accused his former colleagues of misrepresenting their commitment.

Now that we are in the twilight of the Obama presidency, and Republicans have majorities in both chambers of Congress, they should be able to put such charges to rest. Unfortunately, last week’s overwhelming bipartisan support in the House of Representatives for a deal to lock in Obamacare’s way of paying doctors sends a terrible signal.