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seemingly without harming patients’ health, although total savings have been Notwithstanding the general concerns about … In some ways the differences in rates for the same procedure in different settings reflect the bastardization of healthcare policy. State Health Policy Issues to Watch in 2020. The White House has said it anticipates an uptick in healthcare spending as newly insured utilize healthcare services, but it will be interesting to see whether or how long that persists, and if healthcare costs will start trending down for good. Another approach is to require care, generally by changing what government programs pay on their behalf or by changing against the costs of illness. In April, after undergoing months of technical problems and putting applications on hold due to processing difficulties, Oregon decided to shut down its troubled Cover Oregon marketplace and transition to the federal marketplace. In addition to these broad proposals, some policymakers also support proposals that target specific problems with our existing health insurance system. Policies allowing for flextime to exercise or attend health programs; Policies that are not specifically health-related may have health impacts on employees. Prescription drug prices raise somewhat different issues. to health care. Sign up to get Policy 2020 updates in your inbox: Issues in health care policy fall in two broad categories: those related to health care coverage and those related to the underlying cost of health care. The health care issues voters care about in the 2018 midterms, Making health care markets work: Competition policy for health care, USC-Brookings Schaeffer Initiative for Health Policy. But, here too, there are tradeoffs: the benefits of lower prices on existing drugs must be weighed against the reduction in incentives to develop new drugs. In Burwell v. Hobby Lobby, the Supreme Court ruled in a 5-4 decision that a health plan offered by a private employer that is a closely-held, for-profit corporation need not include contraception coverage. There has also been research on vertical consolidation, as hospitals acquire physician groups and practices. Of those 16 governed states, 12 are led by governors who are Democrats, while the remaining are led by Republicans and one Independent governor (Rhode Island). patients value a broad choice of providers. Debates about how to Some proposals would expand the federal role in providing coverage and reduce the number of uninsured, while others would go in the opposite direction. Different policymakers see different problems with the way people get coverage today and, correspondingly, propose different solutions. 7. Is the impact of the PPACA worth the cost? In fact, one of the major criticisms of Obamacare was that it would somehow kill those plans off," wrote Mr. Klein. Starting with the volume of Previously, the False Claims Act only covered true false claims. include those affecting how Americans get health insurance, how that insurance President Donald J. Trump’s healthcare vision is putting America first by providing higher-quality healthcare at a lower cost. Many coverage policies change how much families have to pay for health But the law's section on health insurance subsidies says they can be paid to anyone who signs up for coverage in "an exchange established by the State." It will be interesting to see what mistruths about the healthcare reform law, if any, persist over time. We are keeping an eye on a broad mix of issues, including how the government handles growing reliance on the federal exchanges, whether the costs of the newly insured will reduce healthcare costs and spending in the longterm, whether antitrust enforcement will respond to studies linking consolidation and price increases, and get more aggressive in a more noticeable way, and whether high-deductible plans are a necessary evil to attain low healthcare costs. 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Will the law's unintended consequences lessen its ROI? health care services are unnecessary and that the prices of some services are While there is broad agreement that some However, healthcare spending growth slowdown occurred in other industrialized countries as well, suggesting it is not solely attributable to the PPACA. Ten years ago, it was relatively easy to identify a bad intent or bad actor in an FCA case, many of which were egregious and severe. The promise of a new year means that many state legislatures will soon reconvene, which also means a new (and not-so-new) set of health policy bills will start cropping up. Today, about 18% of the Gross Domestic Product is spent on health care, and voters rank health care as a top issue, reflecting the fact that health care is a major expense for many families. continue to get coverage through their jobs, if health insurance deductibles Some of the largest settlements involved allegations that drugmakers overcharged or illegally promoted medicines in ways that led to improper billings to government programs. Some of the policy priorities facing health insurance providers as they work to improve access and affordability include: 1. In a video circulating the web, Mr. Gruber makes a presentation in January 2012 to a nonprofit group and says the following, which would support the latest legal challenge to the health law: "I think what's important to remember politically about this, is if you're a state and you don't set up an exchange, that means your citizens don't get their tax credits." The U.S. Court of Appeals for the D.C. 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