The Cadillac Tax — A Crucial Tool for Delivery-System Reform

Furman, Jason; Fiedler, Matthew

doi:10.1056/nejmp1514970

Cited by 7 publications

(4 citation statements)

References 1 publication

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“…It should be preserved. 64 In addition, Congress should not advance legislation that undermines the Independent Payment Advisory Board, which will provide a valuable backstop if rapid cost growth returns to Medicare.…”

mentioning

confidence: 99%

United States Health Care Reform Progress to Date and Next Steps

Obama

2016

Obstetrical &Amp; Gynecological Survey

193

283

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(Abstracted from JAMA 2016;316(5):525–532) The economy, federal budgets, and the financial well-being of American families are all impacted by health care costs. To combat the issues of the rapid rise in health care costs as well as to address the issue of a significant proportion of the population being uninsured, the Affordable Care Act (ACA) was the most important health care legislation enacted in the United States since the creation of Medicare and Medicaid in 1965.

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mentioning

confidence: 99%

United States Health Care Reform Progress to Date and Next Steps

Obama

2016

Obstetrical &Amp; Gynecological Survey

193

283

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“…To correct for the inefficiency created by moral hazard and excessively generous insurance, the Cadillac Tax imposes a 40% excise tax on health coverage that costs in excess of $29,000 for family coverage, $10,700 for individual coverage. 32 The Cadillac Tax is unpopular particularly among unions and employee groups subject to the tax, but also because its indexing formula will apply the tax to a broader swath of less-generous health benefits over time. 33 As a result, Congress has twice delayed implementation of the Cadillac Tax, first from 2018 to 2020, 34 and then until 2022.…”

Section: Quadrant B -Utilization In the Private Marketmentioning

confidence: 99%

Health Reform and Theories of Cost Control

Brown¹

2018

J. Law. Med. Ethics

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Health care costs and affordability are critical issues to consumers. Just as we assess the coverage impacts of a health reform proposal, we should be able to evaluate how the plan will constrain health care costs: its theory of cost control. This essay provides a framework to assess health reform plans on their theories of cost control, identifying the key policy tools to constrain health care costs organized in a two-by-two matrix across the following dimensions: price vs. utilization and public vs. private payers. It then applies the framework to the Affordable Care Act (ACA) and the Republican's 2017 legislative efforts to repeal and replace the ACA to identify their general theories of cost control, revealing on the plans' strengths, blind spots, and incoherence.

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“…This tax, focused on very high-cost employerbased insurance, levies a 40% tax on plans that cost in excess of roughly $29,000 per year for families and $10,700 per year for individuals. These are thresholds well above the cost of the plans of most workers and therefore target the most expensive, least cost-effective plans (Furman & Fiedler, 2016). This provision of the ACA has not been popular with employers (Herman, 2016a).…”

Section: The Acamentioning

confidence: 99%

What’s at Stake in U.S. Health Reform: A Guide to the Affordable Care Act and Value-Based Care

Rambur

2017

Policy, Politics, & Nursing Practice

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The U.S. presidential election of 2016 accentuated the divided perspectives on the Patient Protection and Affordable Care Act of 2010, commonly known as Obamacare. The perspectives included a pledge from then candidate Donald J. Trump to "repeal and replace on day one"; Republican congressional leaders' more temperate suggestions in the first weeks of the Trump administration to "repair" the Affordable Care Act (ACA); and President Trump's February 5, 2017 statement-16 days after inauguration-that a Republican replacement for the ACA may not be ready until late 2017 or 2018. The swirling rhetoric, media attention, and the dizzying rate of U.S. health and payment reforms both within and outside of the ACA makes it difficult for nurses, both United States and globally, to discern which health policy issues are grounded in the ACA and which aspects reflect payer-driven "volume to value" reimbursement changes. Moreover, popular and controversial elements of the ACA-for example, the clause that prohibits insurance carriers to deny coverage to those with preexisting health conditions and the more controversial individual mandate that bears Supreme Court support as a constitutional provision-are paired in ways that might be unclear to those unfamiliar with nuances of insurance rate determination. To support nurses' capacity to maximize their impact on health policy, this overview distills the 906-page ACA into major themes and describes payment reform legislation and initiatives that are external to the ACA. Understanding the political and societal forces that affect health care policy and delivery is necessary for nurses to effectively lead and advocate for the best interests of their patients.

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The Cadillac Tax — A Crucial Tool for Delivery-System Reform

Cited by 7 publications

References 1 publication

United States Health Care Reform Progress to Date and Next Steps

United States Health Care Reform Progress to Date and Next Steps

Health Reform and Theories of Cost Control

What’s at Stake in U.S. Health Reform: A Guide to the Affordable Care Act and Value-Based Care

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