Our simulations show that a primary driver of long-term fiscal challenges for the state and local government sector continues to be the growth in health-related costs. Specifically, state and local Medicaid expenditures and the cost of health care compensation for state and local government employees and retirees generally grow at a rate that exceeds GDP.7 The model’s simulations suggest that the sector’s health-related costs will be about 4.1 percent of GDP in 2016 and 6.3 percent of GDP in 2065. From 2016 through 2065, Medicaid expenditures are expected to increase on average by 0.5 percentage points more than GDP—referred to as excess cost growth. Other health related receipts and expenditures, including health care compensation for state and local government employees and retirees, are expected to increase on average by 0.9 percentage points more than GDP each year from 2016 to 2023, and then begin to decline, reaching 0.7 percentage points in 2065.
Affordable Care Act. The ACA’s expansion of Medicaid and its health care exchanges embody a comprehensive cartel regime, financed through federal transfer payments and subsidies. Competitive states opposed the ACA in NFIB v. Sebelius (2012); cartel states supported the act.
Wake Forest University’s Health Law and Policy Program will be releasing a report: “Medicaid Reform Options for North Carolina | Bioethics at WFUMay 5, 2015
“Medicaid Reform Options for North Carolina
POSTED ON THURSDAY, APRIL 30, 2015, 11:16 AM | BACK TO NEWS & ANNOUNCEMENTS
Edwin Shoaf, Health Law and Policy Research Associate and Mark A. Hall, Professor of Law & Public Health, both of Wake Forest University’s School of Law released this report 4/30.
As this Reuters graphic shows, since 2010, Affordable Care Act (ACA) grants have doled out varying amounts to states, from less than $10 million to over $500 million. Some of those grants have gone to some surprising places: A Reuters exclusive from Andy Sullivan reveals that Governors Scott Walker of Wisconsin, Chris Christie of New Jersey, Bobby Jindal of Louisiana and former Texas Governor Rick Perry collectively applied for and won at least $352 million in ACA grants.
Where’s the Money? Vermont Auditor Reports Jonathan Gruber Overbilled State by At Least $48,000, Calls in Attorney General – BreitbartFebruary 23, 2015
If all the payments made by Gruber to his research assistant were totally dedicated to work on the Vermont contract, Gruber himself apparently pocketed at least $48,000 of the $80,000 the state of Vermont has already paid him for work he says was performed by his research assistants.
To make matters worse for Gruber, he has submitted outstanding bills requesting an additional $50,000 of payment for work performed by his sole research assistant on the Vermont contract. Adding that to the $20,000 previously billed but not yet paid, Gruber is asking to be paid an additional $70,000 for work he says was performed by his research assistants.
The findings reported in Hoffer’s memo appear to support comments made in January by Darcie Johnston, head of Vermonters for Health Care Freedom, who noted that Gruber’s failure to “provide any evidence that the $80,000 he’s been paid by the State of Vermont for 800 hours of work performed by unidentified research assistants” may have been “phantom billing.”
We have expressed our disappointment in Gov. Gary Herbert (R-UT) for his decision to pursue expanding Obamacare in Utah. Herbert has spent months negotiating an Obamacare expansion plan with the federal government, despite the lack of legal authority to commit the state to any “deal” he strikes with the Obama administration. His drive to expand is seemingly out of character, as he has been solid in the past expressing concerns about the insidious federal strings that come with Obamacare.
Around and after the time that the Affordable Care Act was enacted, many analysts identified problems with claims being made about the law, and we offered explanations of its likely actual effects. Too often these were brushed aside amid efforts to promote the ACA in the face of growing public opposition. But four years into the ACA, it is remarkable how well our predictions have been borne out.Below I will resurrect but five of my own specific predictions about the ACA, contrast them with what many advocates had said, and review what subsequent events have shown.