Obamacare has not done much to slow the growth of health care costs. Government actuaries project that health spending will grow 5.8% a year over the next decade — substantially faster than growth in the economy. Could Republican proposals to sell health insurance across state lines bend the cost curve and make premiums more...
State Issues
Selling Health Insurance Across State Lines––A Really Dumb Idea
Any candidate that suggests such a scheme only shows how unsophisticated he and his advisers are when it comes to understanding how the insurance markets really work––or could work. I gave a speech to 750 health insurance brokers and consultants in DC last week. When selling health insurance across state lines, something Trump and...
Are Certificate-of-Need Laws Barriers to Entry? How They Affect Access to MRI, CT, and PET Scans
Abstract Certificate of need (CON) laws in 21 states restrict acquisition of imaging equipment, including magnetic resonance imaging (MRI), computed tomography (CT), and positron emission tomography (PET) scans. We compare the effect of CON regulations for imaging services provided by hospitals and other providers to determine whether CON laws affect use of imaging services...
Proposed IRS Rule Would Place Undue Burden on Nonprofits, Discourage Donations
The Galen Institute has submitted comments about a proposed Internal Revenue Service regulation that would give nonprofits the option of asking donors for their Social Security numbers to substantiate donations of more than $250. We strongly oppose this rule that would provide a “voluntary” path to collect and report not only the Social Security...
Letter to Congress Re: Co-Ops
Joel C. White, president of the Council for Affordable Health Coverage, and Grace-Marie Turner, president of the Galen Institute, have written to members of Congress seeking oversight of the Consumer Operated and Oriented Plan (co-op) program. All but one of the 22 co-ops created under the Patient Protection and Affordable Care Act (ACA) have produced...
ObamaCare Co-ops: Cause Célèbre or Costly Conundrum?
Overview The Affordable Care Act created a new kind of “cooperative” health insurance arrangement heralded by supporters of health reform. The co-ops were founded on the idealistic belief that community members could band together to create health insurance companies that would be member-driven, service-oriented, and would not have to answer to shareholders or turn...