Browsing Archive: June, 2014

Here is something about the response to the Health Reform (the Affordable Care Act) I don't get...

Posted by Timothy McBride on Saturday, June 28, 2014, In : ACA 
So here is something that has perplexed me for a long time, watching the (largely successful) rollout of health reform (the Affordable Care Act).

For months now, many very bright people (pundits, reporters, Legislators) have been fixated on one part of the Affordable Care Act (ACA)'s rollout and using it as a ruler to measure the law's success: the number of people enrolled in the MARKETPLACES -- whether the law would reach the target of roughly 8 million people enrolled in the "Marketplaces" ...
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UPDATE: Layoffs continue in Missouri-near 1,000 layoffs in health sector since April 2013?

Posted by Timothy McBride on Friday, June 27, 2014, In : ACA 
In an earlier post, I laid out data I have been accumulating from press reports on job layoffs in the health care sector, mostly affecting hospitals and health systems.  Today (6/27), 60 more layoffs were announced in Springfield (MO) by Ozarks Community Hospital.  

Thus I am updating the table I presented earlier (attached here), which shows almost 1,000 jobs affected in Missouri 
(including layoffs, jobs eliminated that are vacant but will not be refilled, and jobs where hours will be reduced...
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Does the new GDP report pass the smell test?

Posted by Timothy McBride on Thursday, June 26, 2014, In : ACA 
After sleeping on it, I have to wonder whether the third revision of the 1st Quarter GDP report actually passes the smell test any more than the first one did.  When the first one came out -- and it said that health utilization grew by 9.9% at an annual rate (even when GDP was growing just 0.1%) many of us did not believe this passed the smell test.  We subsequently learned that the Commerce department did not have real use numbers to back this up, but it was based on projections.  And even i...
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Understanding what is driving the downward trends in GDP in 2014 and what is going on in the health sector

Posted by Timothy McBride on Wednesday, June 25, 2014, In : ACA 
Today the third revision of the first quarter GDP report was released and it shows a rather remarkable downward slide in the health care sector's share of GDP, according to the Commerce Department that counts this up.  As I discussed in my previous blog report and is shown here in a good post on the Council of Economic Advisors web site, the revision has overall health utilization down -1.4% (on an annual rate), prices up only a very slow 0.5% (on an annual rate), so overall health care fell ...
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Is the Health Care Cost Curve Being Bent? Third Revision of GDP

Posted by Timothy McBride on Wednesday, June 25, 2014, In : ACA 
As I discussed earlier, I did not believe the first report for the first quarter quarter of 2014 for GDP, which showed a whopping increase of 9.9% annual growth in health use, attributed all to the ACA (see my previous blog posts on that).  We later learned that this was all based on projections and not on any real data.  Most of my health economics friends expected this to be revised downward.

Well it has been, twice.  The third revision of the GDP was announced today (June 25, 2014), and it ...
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Job Layoffs in Health Care Sector Continue to Plague Missouri

Posted by Timothy McBride on Sunday, June 22, 2014, In : ACA 
Missouri continues to be plagued by job layoffs in the health care sector.  Though it is admittedly hard to track these job layoffs specifically without exact details (reports I have on these are based on press reports which are notoriously lacking in detail, for good reasons) -- and it could be that some of the job layoffs have not been reported at all publicly, this post will be based on what I have been able to find in the news over the period April 2013 to June 2014.

Over that period as th...
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Missouri's Medicaid eligibility determinations continue to drop, April 2014

Posted by Timothy McBride on Thursday, June 5, 2014, In : Missouri 

A new report out from CMS indicates that applications for Medicaid in Missouri continued to drop in April, relative to March, from 829,585 to 806,639, a drop of -2.8%.  This means Missouri remains an outlier, with a drop of -4.7% in Medicaid determinations since before the open enrollment period started for the Affordable Care Act (ACA) as the report shows -- the drop in Missouri is the second lowest in the country, second only to Wyoming since before the open enrollment period.

As I reported ...

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Missouri's Medicaid Enrollment Dropping, And Unemployment Declines do not Explain the Drop

Posted by Timothy McBride on Sunday, June 1, 2014, In : Missouri 

A recent release from the Center on Medicare and Medicaid Services shows that across the U.S. Medicaid enrollment grew by 5.8 million from right before the open enrollment period (July-September 2013) to March 2014, a growth rate of almost 10%.  However, as would be expected most of this growth occurred in states that chose to expand Medicaid coverage.  Nevertheless, even the remaining states have experienced growth of over 640 thousand (or about 2.6%).

However, the report highlights a perplex...


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About Me


Timothy McBride Timothy D. McBride, Ph.D. is a Professor at the Brown School, Washington University in St. Louis. Here you can find musings on health policy and other issues. Opinions are my own, and not those of my employer. Contact: mcbridetd@gmail.com