Editor's Note.
Published in Journal of health politics, policy and law
Why Did the ACA Co-Op Program Fail? Lessons for the Health Reform Debate.
Published in Journal of health politics, policy and law
The ACA created a new type of nonprofit health insurance entity, the "Consumer Operated and Oriented Plan" ("co-op"). Most of the newly created co-ops soon lost money, and only 4 of the original 23 remain. We interviewed key stakeholders and conducted in-depth case studies of 3 of these co-ops. We discovered that politicians and regulators made it ...
The Affordable Care Act's Missing Consensus: Values, Attitudes, and Experiences Associated with Competing Health Reform ...
Published in Journal of health politics, policy and law
Ten years after its enactment, public support for the Affordable Care Act (ACA) still only reaches a scant majority. Candidates for the presidency-and the sitting president-have endorsed health reforms that would radically transition US health care away from the current system upon which the ACA was built. Few opinion surveys to date have captured ...
An Economic Perspective on the Affordable Care Act: Expectations and Reality.
Published in Journal of health politics, policy and law
The Affordable Care Act (ACA) was enacted in 2010 to address both high uninsured rates and rising health care spending through insurance expansion reforms and efforts to reduce waste. It was expected to have a variety of impacts in areas within the purview of economics, including effects on health care coverage, access to care, financial security, ...
A Look Under the Hood: Regulatory Policy Making and the Affordable Care Act.
Published in Journal of health politics, policy and law
The Affordable Care Act (ACA) was signed into law a decade ago. Partisanship has limited the number of statutory changes, leaving the law mostly unchanged across the past 10 years. However, the ACA delegated vast powers to the executive branch, which opened the door for significant regulatory policy-making activities (also called "rulemaking"). We ...
How Workers Fared under the ACA.
Published in Journal of health politics, policy and law
Many politicians, policy makers, and analysts have debated whether the Affordable Care Act (ACA) would have negative effects on the labor market, such as reducing employment, earnings, or hours worked. Building on the existing literature, we investigated how workers' coverage changed under the ACA and whether coverage gains were associated with cha...
Costs versus Coverage, Then and Now.
Published in Journal of health politics, policy and law
To expand coverage to those without it, Democrats in 2010 sacrificed cost control methods that might have helped those already insured. The law therefore did not offer most Americans what they wanted most. President Obama and those who thought like him convinced themselves the legislation would control costs by reforming how health care is organize...
Ten Years of Messaging about the Affordable Care Act in Advertising and News Media: Lessons for Policy and Politics.
Published in Journal of health politics, policy and law
Messaging about the Affordable Care Act (ACA) has seemingly produced a variety of outcomes: millions of Americans gained access to health insurance, yet much of the US public remains confused about major components of the law, and there remain stark and persistent political divides in support of the law. Our analysis of the volume and content of AC...
Stepping into the Breach of Federal Inaction: Reforming the Financing of Long-Term Services and Supports in the Post-CLA...
Published in Journal of health politics, policy and law
The growing need for long-term services and supports (LTSS) poses significant challenges to both individuals and government. This article documents the continuing failure to tackle this problem at the national level-a failure that was most recently seen in the fallout from the Affordable Care Act (ACA), which included the single piece of national l...
Diminishing Democracy in Health Policy: Partisanship, the Courts, and the End of Health Politics as We Knew It.
Published in Journal of health politics, policy and law
Despite unprecedented partisanship, the Affordable Care Act (ACA) traced a familiar political arc: a loud debate full of dramatic symbols, a messy legislative process, clashes over implementation, a slow rise in popularity, entrenchment as part of the health care system, and growing support that blocked Congress from repealing. The politics of the ...
