The Congressional Budget Office’s most recent missive on health reform (available here) discusses the budgetary treatment of health care reform proposals. The underlying issue seems to be under what circumstances the expenses and revenues related to various reform options would be included in the federal budget as receipts, expenses or expense offsets. The CBO looks at mandates, a public plan, insurance exchanges, and pay or play options, giving a preliminary opinion on the extent to which each might affect the federal budget. The interesting question is why are they doing this now–what sparked the issuance of this report? The answer is possibly found on page 6, where it is noted that depending on what gets included in the budget, its total size could be significantly larger or smaller, which makes it look like a bigger or smaller part of the overall economy and, as the CBO put it, a larger budget might be taken as “indicating a greater scope of sovereign governmental activity.” It sounds like the philosophical and political arguments about large or small government may have been at work in generating the request that CBO perform the analysis.
✅ Subscribe via Email
About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
Healthy Skeptic Podcast
This is an outstanding report on total global drug spending and trends, with projections out to 2025. It helps you understand this important area of health care, which does much...
June 1, 2021
MedPAC 2019 Report to Congress
June 18, 2019
More money pouring into young health care companies as Dispatch Health gains $330 million in new capital to deliver high acuity health care in a patient’s home, rather than a...
November 30, 2022
A lot of money is invested in health care startups and growth companies, since health care is 20% of the economy, but the returns aren’t always good. Here is another...
November 1, 2022
HealthJoy delights investors by garnering $60 million in mindless new capital to support its benefits navigation tool. Another sign of too much capital still floating around out there.
November 1, 2022
Access ACO Care Management Chronic Disease Comparative Effectiveness Consumer Directed Health Consumers Devices Disease Management Drugs EHRs Elder Care End-of-Life Care FDA Financings Genomics Government Health Care Costs Health Care Quality Health Care Reform Health Insurance Health Insurance Exchange HIT HomeCare Hospital Hospital Readmissions Legislation M&A Malpractice Meaningful Use Medicaid Medical Care Medicare Medicare Advantage Mobile Pay For Performance Pharmaceutical Physicians Providers Regulation Repealing Reform Telehealth Telemedicine Wellness and Prevention Workplace