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Obamacare Vital Signs Not Just Numbers

In his latest column, Kaiser President and CEO Drew Altman discusses the focus on first year metrics, especially enrollment projections, in the ACA debate.

Pulling It Together: Critical Path To Health Reform: Stage One

Will there be a big debate about health reform in the general election? If there is it will elevate the issue further, engage the public, and create momentum and a mandate for action by a new President and Congress. If, however, the debate about health is tepid or health is…

Pulling It Together: Critical Path To Health Reform: Stage Two

Will the new president make health a top early priority and exercise real leadership on the issue? One of the big lessons of the health reform debate of the early nineties is that the Congress needs to be fully engaged in the process early on. Nevertheless, for health reform legislation…

Pulling it Together: The Health Care Industry’s Second Voluntary Effort

The announcement that health care industry groups plan to put on the table voluntarily a package of proposals to shave $2 trillion off the rate of increase in health spending over the next ten years immediately conjures up the image of the Voluntary Effort or VE launched with similar fanfare…

Pulling it Together: The Experts vs. The Public on Health Reform

In repeated Kaiser polls, we see a divide between what experts believe and what the public believes about some of the key issues in health reform. They don’t disagree on everything; far from it. But there is a wide gulf on basic beliefs about what is behind the problems in…

Pulling it Together: Simple Arithmetic

This week we put out our annual benchmark survey of employer health coverage and costs. Two numbers jumped off the pages. The first number was the average cost of a family health insurance policy in 2009: $13,375. To put that number in context, if you are an employer, you can…

Pulling It Together: The Message from Massachusetts

The Massachusetts special election has roiled the political world and profoundly affected the prospects for health reform just when it looked like passage was a lock.  Efforts are underway to put health reform legislation back together again on Capitol Hill, but not since powerful Ways and Means Chair Wilbur Mills fell into…

Pulling it Together: Anticipating the Polls about Health

Tuesday, February 2nd marked a milestone of sorts in the health reform debate: there was no story on health reform in the New York Times (national edition).  I haven’t done a study, but as a professional New York Times (NYT) reader, I am virtually certain that this is the first…

Pulling It Together: Implementation Is Forever

Now that historic health reform legislation is law, everyone is rightfully focused on implementation. There are two very different ways to look at implementation. One is the more legalistic worm’s eye view, which sees implementation largely as the process of putting into effect what was written in the law. In…