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  • Another high-stakes challenge to the ACA is headed to the Supreme Court, and this time it’s a question of statutory interpretation: does the law as written permit tax credits to be issued in states that aren’t running their own exchanges?

  • We are pleased to announce a call for entries for the 21st Annual NIHCM Awards. Our awards program recognizes the critical role of researchers, journalists and bloggers in improving the health care system by rewarding outstanding work in these fields.

  • Washington, DC – December 11, 2014 – NIHCM Foundation is introducing a new Health Care Digital Media Award, which will recognize excellence in digital media that improves understanding of health care through analysis grounded in empirical evidence.

  • In a provocative recent essay for The Atlantic, Dr. Ezekiel Emanuel, an architect of the Affordable Care Act and a leading national expert on health policy, offered a deeply personal explanation for “Why I Hope to Die at 75.” 

  • One percent of the U.S. population accounts for nearly 23 percent of overall health care spending, and 5 percent are responsible for a full 50 percent of spending. In stark contrast, the lowest-spending half of the population generates less than 3 percent of total spending—or only about $234 per person, per year.

  • Improving health outcomes for our nation’s children requires coordinated care that promotes recommended health services, prevents unnecessary hospitalizations and bridges across the multiple systems serving children and families.

NIHCM

Expert Voices: Scoring Health Legislation

Paul N. Van de Water, PhD, Senior Fellow, Center on Budget and Policy Priorities
 

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April 2009

The fate of legislative proposals in the U.S. Congress often hinges on how much they are estimated to increase or decrease the federal budget deficit. Currently, the Congressional Budget Office is responsible for developing these estimates – or “scores” – for all pending legislation, following rules and procedures established by Congress and the Administration. Yet these rules and their impact on the resulting budget estimates are often poorly understood. In this essay, Dr. Van de Water describes the basic elements of budget scoring, provides some cautionary comments on how the estimates should be used, and looks at the scoring issues likely to arise as health reform legislation is advanced and debated.

Other recent Expert Voices essays include:

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