Back in the Day – Lessons from Pre-reform Days: Death to the Death Spirals

While we’re struggling with Affordable Care Act (ACA) issues, there’s value in taking the time to look back and appreciate the impact of the ACA and other healthcare reforms implemented over the past few decades. To that end, CHIR faculty member and former Indiana Insurance Commissioner Sally McCarty is posting a series called “Back in the Day – Lessons from Pre-reform Days.” This installment looks at policies in a “death spiral.”

It’s enough to make you loopy: inside the Kafka-esque world of Medicaid “loopers”

Remember the Medicaid loopers? These are people who applied for coverage through the health insurance Marketplace, to be told they were initially assessed as Medicaid eligible, and to apply for coverage with their state’s Medicaid agency. If the Medicaid agency rejected their application, they were then bounced back to the Marketplace. In this blog post, Sabrina Corlette takes a look at one family’s efforts to get through a maze of bureaucracy to obtain coverage for their children.

Changes in Census Survey Data Generate Misguided Criticism – Larger Census Survey will Remain Unchanged

The U.S. Census Bureau is implementing changes to the questions they ask on their Current Population Survey (CPS). Many observers have expressed concern that the changes will inhibit accurate assessments of the Affordable Care Act’s impact on coverage levels. But Jon Peacock of the Wisconsin Budget Project, in a guest blog for Georgetown’s Center for Children and Families, argues that researchers will still have plenty of good Census data with which to understand the effects of the ACA.

Sebelius Will Be a Tough Act to Follow

Secretary Sebelius will soon be stepping down as head of the U.S. Department of Health and Human Services. She led the agency through an extraordinary time of health system transformation. One person who knew she would be up to the job – and who knows she’s a tough act to follow – is her former insurance commissioner colleague, Sally McCarty. In this post, Sally looks back at her two decades of working with Sebelius and celebrates the tenure of a remarkable Secretary.

The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.