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If the Trump administration’s goal is to lower federal healthcare spending, discontinuing cost-sharing reduction subsidies, or CSRs, to insurers under the Affordable Care Act (ACA) could backfire, according to an analysis from the Kaiser Family Foundation.

CMS released the 2018 Medicare Inpatient Prospective Payment System (IPPS) proposed rule on April 14, promising “transparency, flexibility, program simplification and innovation to transform the Medicare program” in the first IPPS rule under a new CMS and HHS administration.

CMS has issued its final rule aimed at stabilizing the Affordable Care Act (ACA) health insurance exchanges, checking many items off insurers’ wish lists while leaving the most pressing issue—whether cost-sharing reduction subsidies will be funded—unsettled as insurers decided whether to participate in the individual market next year.

Stephen Parente, PhD, MPH, MS, brings a long resume as a health economist and policy expert. He’s spent the last 17 years at the University of Minnesota, currently holding the title of Minnesota Insurance Industry Chair of Health Finance in the Carlson School of Management and director of the school’s Medical Industry Leadership Institute.

The average monthly premium for a benchmark silver-level plan on the Affordable Care Act (ACA) insurance marketplace would need to be increased by 19 percent to compensate for lost cost-sharing subsides if the program isn’t funded by the Republican-controlled Congress for 2018.


Recent Headlines

Q&A: Archway CEO Terry on bundles, how value-based care may thrive under Trump’s HHS

With a presidential transition bringing in a HHS Secretary opposed to mandatory bundled payment programs and other demonstrations at the agency, providers may be tempted to think the transition to value-based care may grind to a halt in the coming years. Not so, according to Archway Health CEO Dave Terry. 

5 strategic priorities for AHA from today to 2020

The American Hospital Association (AHA) has released its strategic plan for the next three years, a time which will be filled “opportunities and challenges” that are “amplified in light of a new presidential administration and shifts in legislative activity.”

Trump: ACA replacement details coming once his HHS Secretary confirmed

In his first press conference since July 2016, President-elect Donald Trump confirmed he favored an “essentially simultaneous” repeal-and-replace of the Affordable Care Act (ACA) and said his nominee to take over HHS, U.S. Rep. Tom Price, MD, R-Georgia, will be introducing details of the plan after he’s confirmed. 

Burwell’s final speech as HHS Secretary: ‘In healthcare, there is no free lunch’

In what was billed as HHS Secretary Sylvia Burwell’s farewell speech, she criticized several proposals to replace the Affordable Care Act (ACA), while challenging the Republican majorities to introduce a replacement plan if they plan to quick repeal the law.

Obama calls ACA repeal plan ‘reckless’ in NEJM article

President Barack Obama warned against repealing the Affordable Care Act (ACA) in a New England Journal of Medicine article, saying without a replacement ready to take its place, the result “could slowly bleed the healthcare system that all of us depend on.”

Specialty drugs tripled Part D catastrophic coverage spending in 5 years

Between 2010 and 2015, payments for Medicare Part D catastrophic coverage tripled to $33 billion, thanks to increased prices for drugs, according to a report from HHS’s Office of the Inspector General (OIG).

Major med groups to Congress: Don’t roll back ACA protections

Five major medical organizations have written to congressional leaders warning a repeal of the Affordable Care Act (ACA) would have significant consequences on uninsured rates, coverage for low-income Americans and the affordability of health coverage. 

Yes man? Trump’s HHS Secretary pick may face tricky confirmation

President-elect Donald Trump’s selection to run HHS is on a list of Cabinet appointees Senate Democrats plan to delay for months, according to the Washington Post.  

ACA repeal battle: Dems plan rallies, Trump calls law ‘lousy healthcare’

Democratic leaders in Congress are encouraging their members to hold rallies against Republican plans for eliminating the Affordable Care Act (ACA) under President-elect Donald Trump on the final weekend before his inauguration. sets enrollment record despite repeal threat

400,000 more people bought health plans through the Affordable Care Act’s insurance marketplace in 2016 than 2015, according to the final open enrollment figures released by HHS for coverage beginning Jan. 1, 2017.