Introduction

The Center for Health and Economy (H&E), a research initiative of the American Action Forum, is focused on providing accessible analysis on the outlook for the United States health care system. With the guidance of nationally recognized economic, budget, and public policy experts, H&E uses microsimulation models and health economics literature to evaluate the effects of current and proposed health policy legislation and administrative changes.

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Research

Creating a Health Coverage Cliff: Implications of Changes to Build Back Better’s Insurance Provision

Executive Summary  The Build Back Better “Framework”—released by the White House on October 28—would extend the American Rescue Plan Act of 2021’s enhanced premium tax credits (PTCs) for individual market coverage under the Affordable Care Act, while also providing subsidized individual…

Research

Cost and Coverage Implications of Build Back Better’s Health Insurance Provisions

Executive Summary Congressional Democrats and the Biden Administration are seeking to permanently extend the American Rescue Plan Act of 2021’s enhanced premium tax credits for individual market coverage under the Affordable Care Act while also closing the Medicaid coverage gap…

Research

Lowering the Medicare Age to 60: Cost and Coverage Outcomes

Executive Summary Lowering Medicare eligibility to age 60 would cost $380 billion over 10 years—even after accounting for Affordable Care Act savings from lower spending on subsidies and assuming that employers continue to offer health insurance to those newly eligible…

Research

Health and Economy Baseline Estimates

Entering the 2021 plan year, the insurance market continues to see increasing and unpredictable costs, large numbers of uninsured individuals, and inadequate access to care. The Center for Health and Economy (H&E) is dedicated to assessing the impact of proposed…

Research

Health and Economy Baseline Estimates

The following report details the most recent updates to the H&E baseline estimates of insurance coverage, federal budgetary impact, plan choice, and the premium landscape of health insurance for Americans under the age of 65. The Center for Health and…

Research

H.R. 1346 – The Medicare Buy-in and Health Care Stabilization Act of 2019

In recent months, several lawmakers have released various versions of a Medicare buy-in proposal. Nearly all of them include allowing people aged 50 to 64 to buy into Medicare. In the following report, the Center for Health and Economy (H&E)…

Research

Fully Implementing the Affordable Care Act

While enacted in 2010, the Affordable Care Act (ACA) has never been fully implemented. The Health Insurance Marketplaces and partial Medicaid expansion were implemented in 2014, but under the Obama Administration full implementation was prevented by states that were slow…

Research

Health and Economy Baseline Estimates

The following report details the most recent updates to the Center for Health and Economy’s (H&E) baseline estimates of insurance coverage, plan choice, and the premium landscape of health insurance for Americans under the age of 65, as well as…

Research

The Health Care Choices Proposal

In October, the Health Policy Consensus Group released a health care reform plan called “The Health Care Choices Proposal.”[1] The stated purpose of this plan, referred to in this report as the Proposal, is the expansion of choice, lowering of…

Research

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