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The Beyond Repeal and Replace series is an AEI project that aims to provide a deeper, more fundamental foundation for policymakers considering a different path to real health reform. As the Affordable Care Act awaits its first year of full implementation in 2014 and further questions about its feasibility and sustainability, health policy analysts and academics present their distinct and detailed proposals to remedy old problems and undo newer ones. Among the proposals discussed are defined contribution financing, informed competition, health insurance regulation, a medical banking model for health information technology, and competition policy reform.
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Beyond Repeal and Replace Series Concentration in Health Care Markets: Chronic Problems and Better Solutions, by Barak D. Richman, June 13, 2012 Health care providers with market power enjoy substantially more pricing freedom than monopolists in other markets, for a reason not generally recognized: US-style health insurance. The unusual costliness of monopoly power in health care markets demands far more policy attention than it has received. The Defined Contribution Route to Health Care Choice, by James C. Capretta and Thomas P. Miller, December 8, 2010 Placing limits on the taxpayer subsidies provided to health care purchasers through defined contribution payments will set in motion dynamic competition to deliver better health care at a lower cost and yield benefits across the entire health care system. Regime Change for Health Insurance Regulation: Rethinking Rate Review, Medical Loss Ratios, and Informed Competition, by Scott E. Harrington, December 8, 2010 This study finds that the new health law prescribes various mandates for covered benefits, imposes tighter restrictions on insurance premiums, sets limits on how premium dollars are spent, and exerts much greater political and bureaucratic control over private health insurance. A market-based alternative would promote informed competition and consumer choice within a more decentralized framework of regulation and disclosure. Harnessing Health Information in Real Time: Back to the Future for a More Practical and Effective Infrastructure, by Stephen T. Parente, December 8, 2010 This study questions whether the Obama administration and Congress's recent health IT implementation strategy is likely to overcome longstanding economic disincentives to the adoption and use of interoperable electronic health records, particularly in physicians' private practices. |
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A Policymaker’s Guide to Reform Throughout this latest health care debate, AEI’s health policy experts introduced and examined proposals related to a variety of subjects in health policy (in order): health policy reforms, individual mandate, constitutional challenges to the Affordable Care Act, high-risk pools, insurance markets, health care transparency and performance measurement, Medicaid, health benefits exchanges, uncompensated care and cost shifting, politics of health reform and the uninsured. |
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Health Policy Reforms Health care: Real reform, not phony federalism, by Thomas P. Miller, RealClearPolicy, May 9, 2012 Why the (un)Affordable Care Act should be repealed and replaced, Thomas P. Miller, Grace-Marie Turner, James C. Capretta, The American Journal of Medicine, April 25, 2012 Choice and competition in health care, by Thomas P. Miller, Chapter 3 of Pioneer Institute’s "The Great Experiment," March 2012 Confronting pre-existing condition problems (real and imagined), by Thomas P. Miller, Chapter 2 of Pioneer Institute’s "The Great Experiment," March 2012 The case for competition, choice, and a healthy federalism, by Thomas P. Miller, Chapter 1 of Pioneer Institute’s "The Great Experiment," March 2012 Repeal to replace: starting this year, by Thomas P. Miller, National Journal, February 6, 2012 A new “definition” for health care reform, by Thomas P. Miller and James C. Capretta, Kaiser Health News, January 14, 2011 The defined contribution route to health care choice, by Thomas P. Miller and James C. Capretta, Beyond Repeal and Replace, December 7, 2010 Beyond repeal and replace, by Thomas P. Miller, Forbes.com, November 3, 2010 A better prescription, by Joseph Antos and Thomas P. Miller, AEI Online, February 23, 2010 Taking health policy ideas seriously, by Thomas P. Miller, NationalJournal.com, February 21, 2010 Health reform summitry’s limbo rock, by Thomas P. Miller, NationalJournal.com, February 11, 2010 What role for government in health care?, by Thomas P. Miller, Grand Valley State University, January 28, 2010 The last detail(s), by Thomas P. Miller, American Enterprise Institute, January 4, 2009 |
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Individual Mandate The individual mandate: ineffective, overreaching, unsustainable, unconstitutional and unnecessary, by Thomas P. Miller, American Enterprise Institute, March 23, 2012 Taking the individual mandate off life support, by Thomas P. Miller, The Weekly Standard, May 13, 2011 One year in, Americans want a divorce from Obamacare, by Thomas P. Miller, RealClearMarkets, March 23, 2011 New scrutiny for insurance mandate after repeal, by Thomas P. Miller, Kaiser Health News, January 19, 2011 Connecting an individual mandate to a budget, by Thomas P. Miller, NationalJournal.com, June 12, 2009 False hopes, empty illusions, by Thomas P. Miller, USA Today, June 10, 2009 An individual mandate for health insurance?, by Thomas P. Miller, Georgetown Law Center, April 27, 2009 |
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Constitutional Challenges to the Affordable Care Act Going over the constitutional speed limit? Or is timing everything on the regulatory radar gun? (Part III), by Thomas P. Miller, The Enterprise Blog, April 3, 2012 The individual mandate: Going over the limit? Or is timing everything? (Part II), by Thomas P. Miller, The Enterprise Blog, April 2, 2012 Obamacare’s individual mandate: Going over the limit? Or is timing everything? (Part I), by Thomas P. Miller, The Enterprise Blog, April 2, 2012 Supreme Court Health Care Discussion, Part I, by Thomas P. Miller, The Defense Education Forum (DEF) of the Reserve Officers Association (ROA), March 28, 2012 Supreme Court Health Care Discussion, Part II, by Thomas P. Miller, The Defense Education Forum (DEF) of the Reserve Officers Association (ROA), March 28, 2012 Myths about healthcare myths, by Thomas P. Miller, The Enterprise Blog, March 28, 2012 Obamacare goes to court, part three: We won’t have the Anti-Injunction Act to kick around in this case anymore, by Thomas P. Miller, The Enterprise Blog, March 27, 2012 Obamacare goes to court, part two: Are we talking about a penalty or a tax?, by Thomas P. Miller, The Enterprise Blog, March 26, 2012 Obamacare goes to court, part one: Can we even consider this case?, by Thomas P. Miller, The Enterprise Blog, March 26, 2012 Obamacare: up for grabs at Supreme Court, by Thomas P. Miller, Human Events, March 26, 2012 Obamacare in Court: What’s Really Being Decided, by Thomas P. Miller and Michael S. Greve, AEI Online Video, March 23, 2012 Handicapping ObamaCare’s day in court, by Thomas P. Miller, The American, November 21, 2011 It’s okay to spike the football but get ready for the next kickoff in higher courts, by Thomas P. Miller, National Review Online, February 2, 2011 |
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High-Risk Pools Changing the name – but not the political game, by Thomas P. Miller and James C. Capretta, Health Affairs Blog, July 30, 2010 Plugging the risks in high-risk pools, by Thomas P. Miller, The Enterprise Blog, July 1, 2010 How to cover preexisting conditions, by Thomas P. Miller and James C. Capretta, National Affairs, June 21, 2010 The insurance fix, by Thomas P. Miller and James C. Capretta, National Review, November 2, 2009 |
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Insurance Markets Dueling forces in today's health care markets, by Thomas P. Miller, RealClearMarkets, June 6, 2012 Does health insurance and seeing the doctor keep you out of the hospital?, by Robert Kaestner, and Anthony Lo Sasso, American Enterprise Institute, September 13, 2011 More correlation than causation, by Thomas P. Miller, NationalJournal.com, March 15, 2010 Numbers that border on “udder” nonsense but are milked for all they are worth, by Thomas P. Miller, NationalJournal.com, March 12, 2010 Why a public plan is unnecessary to stimulate competition, by Christopher J. Conover and Thomas P. Miller, AEI Working Paper #162, January 26, 2010 |
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Health Care Transparency and Performance Measurement “Value-based” repeal and replace, by Thomas P. Miller, National Center for Policy Analysis, January 19, 2011 How can we make more progress in measuring physicians’ performance to improve the value of care, by Thomas P. Miller, Troyen A. Brennan and Arnold Milstein, Health Affairs, September 9, 2009 Transparency in health care, by Thomas P. Miller, Heritage Foundation, October 5, 2006 |
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Medicaid Taking Medicaid off steroids, by Thomas P. Miller, Chapter 4 of Pioneer Institute’s "The Great Experiment," March 2012 |
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Health Benefits Exchanges How to reform Obamacare starting now, by Thomas P. Miller and Scott Gottlieb, WSJ, October 14, 2010 Health Exchanges, by Thomas P. Miller, Health Affairs Blog, September 4, 2009 |
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Uncompensated Care and Cost Shifting Healthcare dreams, healthcare realities, by Thomas P. Miller, The American, July 16, 2009 Covering the uninsured, by Thomas P. Miller. Health Affairs Blog, September 4, 2008 |
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Politics of Health Reform How will the 2012 elections impact the U.S. health care system?, by Thomas P. Miller, Annual Meeting of the American College of Physicians, April 20, 2012 Airing grievances with Obamacare, by Thomas P. Miller, National Press Club, March 25, 2011 Health reform’s late-term delivery: Struggling with political birth defects, by Thomas P. Miller, Health Affairs Briefing, June 8, 2010 The morning after: Waking up with a coyote ugly health bill, by Thomas P. Miller, The American, March 23, 2010 Death of a sales job, by Thomas P. Miller, Health Affairs Blog, March 5, 2010 No straw man left behind, by Thomas P. Miller, The Enterprise Blog, February 26, 2010 Disconnection and reconnection, by Thomas P. Miller, NationalJournal.com, January 20, 2010 The triumph and tragedy of health politics, by Thomas P. Miller, The Enterprise Blog, December 22, 2009 Health care reform on the hill, by Thomas P. Miller, Blue Skies and Brickwork Summit, September 23, 2009 What the health care reform plans get wrong, by Thomas P. Miller and Michelle Andrews, MoneyWatch.com, August 17, 2009 Promises, promises, A healthcare scorecard update, by Thomas P. Miller, The Enterprise Blog, May 18, 2009 The immaculate misconception, by Thomas P. Miller, The Enterprise Blog, May 12, 2009 Obama healthcare 2.0, by Thomas P. Miller, The American, April 2, 2009 |
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The Uninsured How what we think we know about the uninsured really adds up, by Thomas P. Miller, Joint Economic Committee, September 10, 2009 What DO we know about the uninsured?, by Thomas P. Miller, The American, July/August 2008 |
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Related Events Beyond "Repeal and Replace": Ideas for Real Health Reform, December 8, 2010 |
