18.03.2017 12.39 CDT

The Republican health care proposal leaves many key provisions the ACA intact and Republican acceptance of these provisions may be the real legacy of the Affordable Care act.

The Legacy of Obamacare

The Legacy of Obamacare

In the future, when the day-to-day battles have faded, this may be the legacy of the Affordable Care Act...

It is too soon to predict the fate of the American Health Care Act (AHCA) or, as we call it, TrumpRyanCare. But, the AHCA as currently proposed retains many key provisions of the Affordable Care Act. The apparent willingness of Republicans to retain these provisions represents a significant statement about the lasting effects of Obamacare.

07.03.2017 03.20 CST

Health Savings Accounts (HSAs) are promoted as a better way to pay for health care. However, there are limitations to what HSAs can really do.

401(k) Plans and Health Savings Accounts: A Questionable Comparison

401(k) Plans and Health Savings Accounts: A Questionable Comparison

Can you compare HSAs with 401(k) plans? In some ways they look alike, but...

Increased reliance on HSAs is going to be a key element of any TrumpRyanCare bill. Although it may be tempting to compare Health Savings Accounts and 401(k) plans, such comparisons underestimate the challenges of increasing individuals’ reliance on HSAs to finance health care.

05.03.2017 03.25 CST

People on Medicare should pay attention to the ongoing debate over a TrumpRyanCare proposal - your prescription drug costs could be affected.

ACA Repeal and Medicare Beneficiaries

ACA Repeal and Medicare Beneficiaries

People who have prescription drug coverage under Medicare may, once again, fall into the "donut hole" if Obamacare is repealed.

Efforts to replace and repeal the Affordable Care Act will have the greatest effect on those under 65 - but may also have a significant impact of people covered by Medicare. Specifically, if the AC is repealed your cost of prescription drugs may go up. Here how Medicare beneficiaries may be impacted by an ACA repeal.

02.03.2017 02.35 CST

Those promoting Trump/RyanCare will focus their message on accessibility rather than affordability. To the extent they discuss affordability, they will focus on the aspirational goal of making health care more affordable in the long term.

Access to Healthcare Under TrumpRyanCare

Access to Healthcare Under TrumpRyanCare

Those who rely on financial support under ACA are likely to find themselves entering new terrain.

The Affordable Care Act (ACA) sought to provide increased access to health insurance with two different sets of provisions – those impacting “market” access (“If I apply for a policy, can I get one?”) and others focused on “financial” access (“Can I afford a policy?”). This blog post will describe how Trump/RyanCare is likely to treat the market access provisions of ACA differently than the financial access provisions - and how different groups will be affected.