Gop Faces Big Dilemma As Its Obamacare War Fizzles: What Next?

Obamacare Hater, Lover Harmonize on “Clinical Nuance” – Forbes

There is no replacement plan they can agree on. There are numerous GOP bills to reform certain parts of the health care system but nothing that comes close to an alternative that has sufficient Republican support. That’s not because they haven’t tried — it’s because the benefits of the Affordable Care Act are unsustainable without the unpopular components that finance them, like the individual mandate. And it is economically infeasible to broaden coverage and protect preexisting conditions without spending lots of money or imposing mandates, neither of which conservative lawmakers are willing to do. Dean Clancy, a health-policy expert and tea party activist, cautions that Republicans are unlikely to bridge their many intra-party divides on a health care replacement, suggesting that House Majority Leader Eric Cantor (R-VA) may be on a fool’s errand to attempt such a feat. “Maybe Republicans can navigate these treacherous waters.
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Unless you happen to be a health care actuary , its an eyelid-lowering label. But the concept is important, and if youre passionate about health policy a characteristic Black, Daschle and Dingell all share, despite political differences its also pretty exciting. (OK, I, too, am a wonk.) VBID emerged on the policy scene back in 2001, when an article in the American Journal of Managed Care put a new twist on what had been called fee for benefit . Lead author A. Mark Fendrick and colleagues suggested an alternative to standard health insurance that set the medication copayment based on the drugs cost. Instead, they said the copayment should vary depending upon how much the drug helped keep patients healthy. So, for instance, an allergy medication might have a higher copayment than a drug meant to prevent complications from diabetes.
For the original version including any supplementary images or video, visit http://www.forbes.com/sites/michaelmillenson/2014/05/08/obamacare-hater-lover-harmonize-on-clinical-nuance/

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