Publications

Medicaid

If Health Spending is Increasing Slower, Why Are Premiums Rising Faster?

Key Points: The rate of increase in private health spending has dropped significantly since the financial crisis hit in 2008, although government programs like Medicare and Medicaid have continued along their unsustainable path. However, administrative costs and private premiums began to increase immediately upon President Obama’s enacting the Patient Protection ...
Health Care

The Pipes Plan: The Top Ten Ways to Dismantle and Replace ObamaCare

The devastation and economic destruction caused by Obamacare has begun. The devastation and economic destruction caused by Obamacare has begun. When President Obama laid out his grand plan for health care reform, he promised expansive coverage and cheaper costs for all. These two promises have already been broken as studies ...
Health Care

Over Regulation Reduces Choice in Health Insurance: An Update Health Policy Prescription

Key Points: Obamacare, signed in March 2010, has not reduced the rate of growth of health-insurance premiums, which increased by 20 percent in the small group market between 2008 and 2010. Obamacare subsidizes states to increase political control of health-insurance premiums, although there continues to be no evidence that such ...
California

Short-Circuited: The Challenges Facing the Online Learning Revolution in California

This PRI video documentary examines the online learning movement in education in California.
Health Care

The Medicare Auction Design and Incentives for Research and Development

Key Points: Government has incentives to focus far more heavily upon budget outlays than patient wellbeing in the operation of its health programs. So as to obtain medical devices and equipment for the beneficiaries of Medicare and Medicaid, the federal government uses auctions that are poorly designed, resulting in prices ...
Government Spending

Rick Perry’s Texas: It’s Better to Create More Jobs Than More Medicaid Dependents

Key Points: Texas has a significantly higher rate of uninsured residents, and a somewhat less expensive Medicaid program, than the national average. These conditions have not resulted in poor outcomes: In both health-system outputs and causes of mortality, Texas generally performs as well as other states. Therefore, throwing more money ...
Health Care

Why Health Exchanges Don’t Work

Key Points: The Utah Health Exchange is failing to meet its goals. It is almost certainly true that the administrative costs of operating an exchange are greater than the administrative costs of the traditional small-group market. Any exchange that offers unsubsidized, voluntary coverage will likely have the same poor results ...
Health Care

Why the Utah Health Exchange is No Model for Health Reform

The Utah Health Exchange is the model some conservatives believe can be used to push back against Obamacare. Witness the Wall Street Journal (July 16) soundly rejecting regulatory guidance on what the Administration is now calling “Affordable Insurance Exchanges,” but encouraging governors to get on the exchange bandwagon, in the ...
Health Care

Health Insurance Exchanges: What If They Issued 347 Pages of Regulations and Nobody Cared?

The U.S. Department of Health and Human Services has issued regulations governing Health Benefits Exchanges and Small-Business Health Options Exchanges under the Patient Protection and Affordable Care Act (PPACA). • These regulations are poorly defined, confirming that the exchanges will empower state functionaries to reduce choice and competition in health ...
California

It’s Time to Neuter California’s Legislature

In June, several California legislators complained about having their pay cut by state Controller John Chiang because the budget they submitted by the June 15 constitutional deadline — the only deadline they seem to care about — was unbalanced. This latest budget drama shows why California needs a part-time legislature. ...
Medicaid

If Health Spending is Increasing Slower, Why Are Premiums Rising Faster?

Key Points: The rate of increase in private health spending has dropped significantly since the financial crisis hit in 2008, although government programs like Medicare and Medicaid have continued along their unsustainable path. However, administrative costs and private premiums began to increase immediately upon President Obama’s enacting the Patient Protection ...
Health Care

The Pipes Plan: The Top Ten Ways to Dismantle and Replace ObamaCare

The devastation and economic destruction caused by Obamacare has begun. The devastation and economic destruction caused by Obamacare has begun. When President Obama laid out his grand plan for health care reform, he promised expansive coverage and cheaper costs for all. These two promises have already been broken as studies ...
Health Care

Over Regulation Reduces Choice in Health Insurance: An Update Health Policy Prescription

Key Points: Obamacare, signed in March 2010, has not reduced the rate of growth of health-insurance premiums, which increased by 20 percent in the small group market between 2008 and 2010. Obamacare subsidizes states to increase political control of health-insurance premiums, although there continues to be no evidence that such ...
California

Short-Circuited: The Challenges Facing the Online Learning Revolution in California

This PRI video documentary examines the online learning movement in education in California.
Health Care

The Medicare Auction Design and Incentives for Research and Development

Key Points: Government has incentives to focus far more heavily upon budget outlays than patient wellbeing in the operation of its health programs. So as to obtain medical devices and equipment for the beneficiaries of Medicare and Medicaid, the federal government uses auctions that are poorly designed, resulting in prices ...
Government Spending

Rick Perry’s Texas: It’s Better to Create More Jobs Than More Medicaid Dependents

Key Points: Texas has a significantly higher rate of uninsured residents, and a somewhat less expensive Medicaid program, than the national average. These conditions have not resulted in poor outcomes: In both health-system outputs and causes of mortality, Texas generally performs as well as other states. Therefore, throwing more money ...
Health Care

Why Health Exchanges Don’t Work

Key Points: The Utah Health Exchange is failing to meet its goals. It is almost certainly true that the administrative costs of operating an exchange are greater than the administrative costs of the traditional small-group market. Any exchange that offers unsubsidized, voluntary coverage will likely have the same poor results ...
Health Care

Why the Utah Health Exchange is No Model for Health Reform

The Utah Health Exchange is the model some conservatives believe can be used to push back against Obamacare. Witness the Wall Street Journal (July 16) soundly rejecting regulatory guidance on what the Administration is now calling “Affordable Insurance Exchanges,” but encouraging governors to get on the exchange bandwagon, in the ...
Health Care

Health Insurance Exchanges: What If They Issued 347 Pages of Regulations and Nobody Cared?

The U.S. Department of Health and Human Services has issued regulations governing Health Benefits Exchanges and Small-Business Health Options Exchanges under the Patient Protection and Affordable Care Act (PPACA). • These regulations are poorly defined, confirming that the exchanges will empower state functionaries to reduce choice and competition in health ...
California

It’s Time to Neuter California’s Legislature

In June, several California legislators complained about having their pay cut by state Controller John Chiang because the budget they submitted by the June 15 constitutional deadline — the only deadline they seem to care about — was unbalanced. This latest budget drama shows why California needs a part-time legislature. ...
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