Executive Summary: Declining in the Affordable Care Act Marketplace cannot be reduced to a single cause – it reflects a convergence of designed legislative sunsets, a crackdown on improper enrollment, and a fiscal choice to limit spending. The expiration of the enhanced premium tax credits reverts the Affordable Care Act subsidy to its initial statutory … Continue reading
Tag Archives: Healthcare
The Medicaid Work Requirement Debate Isn’t Just About Work
Executive Summary The One Big Beautiful Bill Act (OBBBA) has introduced work requirements for Medicaid expansion enrollees, expected to reduce federal spending while decreasing enrollment. Evidence from prior implementation of work requirements in Arkansas found no clear increase in employment, though they were short lived and administratively flawed. The empirical evidence for work requirements reflects … Continue reading
Notable Paperwork Expansion Within the CY 2026 Physician Fee Schedule Final Rule
The Centers for Medicare & Medicaid Services (CMS) published its Current Year (CY) 2026 Physician Fee Schedule (PFS) and related policy updates on November 5. While the final rule spans a wide range of Medicare payment and operational policies, the information collection request associated with the Medicare Prescription Drug Inflation Rebate Program introduces a particularly … Continue reading
Impact of AI on Healthcare
Executive Summary Artificial Intelligence is increasingly integrated into medical practice, combining traditional AI, such as machine learning, and generative AI to improve efficiency and decrease research costs. Abridge AI, Freed AI, GE’s Critical Care Suite, and AlphaFold are FDA approved HIPAA compliant tools which automate clinical documentation, aid diagnostic imaging, and accelerate biomedical research. Despite … Continue reading
AI Regulation Updates in the Healthcare Sector
As Artificial Intelligence (AI) expands into new parts of our economy, new regulations in areas such as the healthcare sector are being proposed in 2024. In the healthcare sector, there are many concerns about the privacy and accuracy of AI algorithms, both from governments and independent organizations. As policy makers look to the future of … Continue reading
Europe / Healthcare / Home Health Services / Medicare / UN
Gear Up: A Comparison of Durable Medical Equipment in the United States, Canada and the United Kingdom
Executive Summary: The United Kingdom appears to have greater utilization of Durable Medical Equipment (DME) products as compared to the US Medicare Population (over half of the UK vs 21 percent of the US Medicare population). However, this variation in utilization may be driven by definitions rather than patient need. The definition of DME varies … Continue reading
Housing as Healthcare: Medicaid’s New Program Sparks Debate
Executive Summary: The Biden administration has encouraged states to use Medicaid funds to alleviate the homelessness crisis with around 20 states directing billions of dollars from their Medicaid program to provide short-term housing for those experiencing homelessness, with some states devoting anywhere from six to fifteen percent of its Medicaid spending to such programs. In … Continue reading
We Were Born to Die: STI Rates’ Exponential Increase in the U.S.
Executive Summary Sexually transmitted infection (STI) rates are dramatically increasing at a seemingly uncontrollable rate nationwide. Nearly eradicated diseases such as syphilis have made a staggering resurgence, particularly in southern states. Young adults account for nearly half of all newly reported STI cases. Introduction The Centers for Disease Control and Prevention (CDC) … Continue reading
ICHRAs: An Alternative to Traditional Employer-Sponsored Coverage
Executive Summary In 2019, the Trump administration authorized all employers the option to offer individual-coverage health reimbursement arrangements (ICHRAs) instead of a traditional health plan. ICRHAs are a tax-free contribution that employees use to purchase their own plan on the Affordable Care Act marketplace (or toward premiums for traditional Medicare or Medicare Advantage). Although the … Continue reading
Retail Health Clinics: What are they? Who are they for?
Sometimes it may feel like there are very few things everyone can agree on – but one universal truth is that healthcare in the United States is unique and constantly evolving. The system has a dynamic history of morphing delivery mechanisms to fit the capabilities and needs of a changing population, from the emergence of … Continue reading
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