Beyond Repeal and Replace Series

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.

 

 

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.

 

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.

 

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

 

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

 

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

 

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

 

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

 

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

 

Medicaid

Taking Medicaid off steroids, by Thomas P. Miller, Chapter 4 of Pioneer Institute’s "The Great Experiment," March 2012

 

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

 

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

 

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

 

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

 

Related Events

Beyond "Repeal and Replace": Ideas for Real Health Reform, December 8, 2010

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Please join AEI for a conversation among several contributors to the new volume “Teacher Quality 2.0: Toward a New Era in Education Reform” (Harvard Education Press, 2014), edited by Frederick M. Hess and Michael Q. McShane. Panelists will discuss the intersection of teacher-quality policy and innovation, exploring roadblocks and possibilities.

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