Analysis and Insight

Beyond daily news coverage, the American Health Line editorial team has taken in-depth looks at some of the more complex health care issues. Below you'll find several of these features.
  • The 3 key things to watch for in CBO's looming AHCA score

    May 24, 2017

    The Congressional Budget Office today is expected to release a new score of the House-approved American Health Care Act. American Health Line outlines the three key items we will be watching for when the score drops.

  • CHIP: The 3 looming questions about the soon-to-expire program

    May 18, 2017

    In the weeks since the House-passed the American Health Care Act, which would repeal and replace major provisions of the Affordable Care Act (ACA), industry stakeholders have voiced strong concerns about the bill's potential effects. American Health Line looks at a growing group of stakeholders who are raising concerns about how ACA repeal efforts could affect the future of CHIP—a health care program that covered an estimated 8.4 million U.S. children in 2015.

  • CBO—the health care bill 'scorekeeper'—explained

    May 4, 2017

    Following Thursday's House vote to approve the Republican plan to repeal and replace large portions of the Affordable Care Act, American Health Line breaks down what you need to know about the Congressional Budget Office—and the controversy around its House Republicans' decision to vote on the GOP bill without an updated "score."

  • The first 100 days: How Trump has tackled 5 key areas of health care

    April 28, 2017

    Saturday marks President Trump's 100th day in office and in that time his administration has taken several key actions that have roiled the health care industry. American Health Line takes a look back at Trump's health care agenda thus far and identifies the five key policy issues that have the biggest implications for providers.

  • Automation is threatening jobs in some industries. Is health care next?

    April 19, 2017

    Automation is often cited as a threat to jobs, but some experts say it could actually create new openings in health care. American Health Line takes a closer look at these trends and how automation is being used in the industry.

  • The transition to value-based payments 'can't come soon enough,' one doctor says

    April 11, 2017

    American Health Line Josh Zeitlin spoke with Asaf Bitton, an internist and assistant professor at Harvard Medical School and Brigham and Women's Hospital, about misconceptions about the primary care industry, the transition to value-based payment models, and more.

  • ACA is largely here to stay, Cleveland Clinic CEO says

    April 7, 2017

    Cleveland Clinic CEO Toby Cosgrove says he thinks the Affordable Care Act is largely here to stay—but that lawmakers and regulators can do more bring down health costs. American Health Line outlines the three key steps Cosgrove says policymakers could take to make the U.S. health care system more efficient and less costly.

  • The lawsuit that could sink the ACA, explained

    March 31, 2017

    Here's what you need to know about House v. Price, a lawsuit over Affordable Care Act subsidies that could be on track to collapse the law's exchanges—unless the Trump administration appeals the latest ruling in the case.

  • ACA myth busters: Breaking down the 5 biggest misconceptions

    March 23, 2017

    Is Congress really exempt from Obamacare? Has the Affordable Care Act (ACA) led the quality of U.S. care to plummet? And for that matter, are Obamacare and the ACA even the same thing? On the ACA's seventh anniversary—and as the House gears up to vote on a plan to repeal the law—American Health Line dives into the most enduring myths, misconceptions, and misinterpretations surrounding the law.

  • Could high-risk pools make a comeback post-ACA? Some experts are skeptical.

    March 10, 2017

    High-risk pools are back in the spotlight as a potential element of plans by Republican lawmakers and President Trump to repeal and replace the Affordable Care Act. American Health Line explores some of the lessons learned from past high-risk pools and ways in which Republicans might seek to address individuals with pre-existing conditions.

  • Can lawmakers cover pre-existing conditions without a mandate?

    February 22, 2017

    The Affordable Care Act's defenders say that keeping some of the law's most popular provisions—such as affordable coverage for people with pre-existing conditions—requires mandating that everyone have insurance. But some conservative lawmakers say the mandate is unnecessary. Who's right? American Health Line's Sam Bernstein examines the issue.

  • Are the ACA exchanges really in a death spiral?

    February 16, 2017

    Humana this week said it's exiting all Affordable Care Act exchanges in 2018, Molina Healthcare announced it might do the same—and Aetna's CEO declared that the exchanges are in a "death spiral." American Health Line spoke with experts to determine what's really going on.
  • Health policy wonks spread Valentine's Day love on Twitter

    February 14, 2017

    Health policy wonks are professing their love on Twitter for everything from bundled payments to antibiotic stewardship with #HealthPolicyValentines. American Health Line rounds up some of the smartest (and funniest) tweets from the annual social media tradition.

  • How a recent story on health system CEO pay misses the mark

    February 9, 2017

    Axios contributor Steven Brill this week published a ranking of the health system CEOs paid the most "for each day a patient spends in their hospital."  But while reasonable people can disagree about whether CEOs are paid appropriately, American Health Line's Josh Zeitlin argues that Brill's metric isn't very illuminating, for three big reasons.

  • How Trump's Supreme Court nominee Neil Gorsuch could affect health care policy

    February 1, 2017

    President Trump has nominated to the Supreme Court Neil Gorsuch—whom experts described as a constitutionalist who could play a role in pending health care cases. American Health Line spoke with experts to explore just how Gorsuch could affect pending and future health care cases.
  • The Trump effect: Experts predict how the president will change health care

    January 24, 2017

    A range of health care experts—including Uwe Reinhardt, Ashish Jha, and Thomas Miller—give their takes to American Health Line on how President Trump and the GOP-led Congress may change the industry.

  • A look back: 6 health care experts weigh in on how Obama changed health care

    January 19, 2017

    On President Obama's last full day in office, a range of health care experts—including Uwe Reinhardt, Ashish Jha, and Thomas Miller—give their takes to the American Health Line on how the president has changed the industry.
  • Inside the health care amendments from the Senate's 'vote-a-rama'

    January 12, 2017

    Senators had a late night last night, casting their final votes at around 1:30 a.m. to approve a budget resolution that sets the stage for Republicans to repeal the Affordable Care Act. But first, they had to get through a slew of amendments. American Health Line takes a closer look at the amendments and what they say about lawmakers' health care priorities this year.  

  • How researchers are advancing toward a vaccine against Zika

    January 6, 2017

    While the Zika virus is tapering off in the United States amid the cooler weather, researchers are working at full steam to create a safe and effective vaccine against the virus. American Health Line examines some of the vaccines that have shown the greatest potential in early trials.

  • Did you hear? The top 10 health policy quotations of 2016

    December 22, 2016

    What did stakeholders have to say about health care policy in 2016? As the year comes to a close, American Health Line's editorial team rounded up the standout quotations of 2016.

  • A closer look: The top five American Health Line Analyses & Insights of 2016

    December 21, 2016

    American Health Line's editors and writers covered some big topics this year, including the emergence of the Zika virus and the future of the meaningful use program under the Medicare Access and CHIP Reauthorization Act. We round up American Health Line's top five must-read Analysis & Insight pieces.

  • Top health care movers and shakers of 2016

    From new ways to pay physicians under Medicare to a long-discussed legislative package aimed at supporting U.S. medical innovations, 2016 brought major health care reform efforts that could shape the U.S. health system for years to come. American Health Line breaks down our picks for the top players who shook up the industry in 2016.

  • American Health Line's top 10 stories of 2016

    December 13, 2016

    From the 2016 presidential election's potential effect on health reform to the ongoing implementation of the Medicare Access and CHIP Reauthorization Act, American Health Line's coverage in 2016 focused on topics that would most affect U.S. residents and providers. Our editorial team rounds up American Health Line's top 10 stories of 2016, based on reader visits.

  • The GOP plans that could shape health care under Trump's administration

    December 9, 2016

    American Health Line takes a closer look at the Affordable Care Act replacement plans likely to serve as the foundation for health care reform under President-elect Donald Trump's administration.

  • The under-covered story of ACA 'repeal and delay': An immediate multi-billion-dollar tax cut?

    December 6, 2016

    The GOP's plan to repeal the Affordable Care Act (ACA) likely would keep the law's coverage expansions in place for several years—but immediately institute a tax cut worth more than $550 billion over 10 years, perhaps complicating efforts to fund any ACA replacement. American Health Line discusses the potential consequences of the GOP's plan with two experts.

  • Judge's overtime ruling creates uncertainty for hospitals

    November 30, 2016

    American Health Line explores how hospitals had prepared to comply with a federal overtime rule that was set to take effect Dec. 1, and the implementation questions raised after a federal judge temporarily halted the rule's implementation.

  • The fate of two insurer mega-mergers could rest on one key argument

    November 18, 2016

    American Health Line takes a look at why the fate of two mega mergers in the health insurance industry could rest on whether Cigna and Humana—the two companies that would be absorbed by Anthem and Aetna, respectively—are considered "innovative."

  • 10 charts that explain the health care landscape facing a Trump White House

    November 15, 2016

    Donald Trump's election could result in profound changes in health policy—especially as his fellow Republicans have retained control of both the House and the Senate. As Trump continues to scope out his health policy agenda, American Health Line examines how recent trends in health care could affect the next administration's approach to the industry.
  • Who needs Congress? Clinton or Trump could make major health policy changes without changing law.

    November 2, 2016

    While the next president will have to work with Congress to implement many reforms, American Health Line explores the health policy changes the next president could make without Congress' approval.
  • The Obama administration is making its final ACA enrollment push. Will it be enough?

    October 26, 2016

    With less than a week before the 2017 open enrollment period begins, the Obama administration is making one last marketing push to balance the Affordable Care Act's risk pool by boosting exchange enrollment among young adults. But some experts tell American Health Line that more substantial changes are needed to entice that key demographic to enroll.

  • The five key challenges for providers expanding ambulatory care

    October 19, 2016

    Ambulatory care has been growing for nearly a decade—but its growth is posing major problems for providers, including a higher frequency of diagnostic errors and a shortage of data on care quality. American Health Line sat down with the experts to identify five key challenges providers should know.
  • What 10 health care experts would ask Clinton and Trump about health care

    October 11, 2016

    Health care accounts for nearly a fifth of the U.S. economy—but so far in the presidential and vice presidential debates, the candidates running to lead the United States have discussed their health care policies only briefly. American Health Line's Josh Zeitlin asked several health experts to share the top questions they'd ask the candidates.

  • Experts urge Congress to consider health implications in school meals debate

    October 4, 2016

    Lawmakers in the House have proposed tightening eligibility for a free school meals program, saying the revision ultimately helps direct resources to students who need them the most. However, experts tell American Health Line that tightening eligibility could lead to public health consequences.

  • The health care topics missing from the presidential debate

    September 27, 2016

    Last night, Democratic presidential nominee Hillary Clinton and Republican presidential nominee Donald Trump squared off in the first presidential debate, but health care was missing from the discussion. American Health Line looks at the biggest health care issues affecting the United States and where the candidates stand.

  • States are opening the door to telehealth payments

    September 20, 2016

    Several states that traditionally have been rated poorly for their telehealth services are considering and passing legislation to facilitate greater access and coverage. One expert tells American Health Line that "it's a long time coming."

  • CBO issues grave warning to hospitals. Here is what experts have to say.

    September 14, 2016

    A recent Congressional Budget Office analysis finds most acute care hospitals will have negative profit margins in 2025 unless they improve productivity or otherwise reduce cost growth. American Health Line speaks with the experts to determine what hospitals and policymakers can do to improve hospitals' financial futures.

  • Could a public option health plan replace the ACA's faltering co-ops?

    September 8, 2016

    Sixteen of the 23 cooperative (co-op) health plans established under the Affordable Care Act have shut down, prompting some policymakers to renew calls for a public option health plan to take the co-ops' place. American Health Line asked the experts whether a public option could achieve the co-ops' goals of lowering prices and providing a check on large insurers.

  • What the latest insurer exits mean for the ACA exchanges

    August 23, 2016

    In the past few months, three of the country's biggest insurers have announced they will dramatically reduce their exchange offerings for the upcoming open enrollment period. American Health Line examines what those changes could mean for exchange competition—and possible solutions to restore stability. 

  • The 2017 state ballots that could reshape health care delivery

    August 16, 2016

    The country's biggest health care debates are increasingly held at the state level, with ballot initiatives—such as one in Colorado to create a statewide single-payer health system—acting as the battlegrounds. American Health Line looks at the health care-related ballots state residents will vote on this fall.
  • Expert questions study on ACA premium rate increases

    August 9, 2016

    A recent Health Affairs study finds the Affordable Care Act's health insurance exchanges have tempered overall premium rate increases, but one expert says the findings could be too good to be true. American Health Line details the contrasting arguments.

  • How clinical decision support can help providers adapt to new bundled payment models

    August 3, 2016

    American Health Line's Aly Seidel sat down with John Kontor, executive vice president of Advisory Board's Clinovations, and Stanson Health CMO Jeremy Orr for a Q&A on how hospitals can use clinical decision support to help providers adapt to new payment models .

  • How Democratic presidential nominee Clinton might expand upon Obama's health policy legacy

    July 29, 2016

    Former Secretary of State Hillary Clinton on Thursday officially accepted the Democratic nomination for president. American Health Line outlines where her health care policy agenda aligns and diverges from those put in motion by President Obama.

  • Rx drug monitoring programs work. Why doesn't Congress mandate their use?

    July 26, 2016

    Research shows that prescription drug monitoring programs can limit overprescribing and reduce opioid-related overdose deaths. American Health Line investigates why Congress has yet to mandate their use, despite an ongoing effort to combat prescription opioid misuse.

  • Where GOP presidential nominee Trump aligns with his party on health care

    July 20, 2016

    The delegates at the Republican National Convention on Tuesday officially nominated Donald Trump for president. American Health Line outlines where his health care policy agenda aligns and diverges from other top Republicans.

  • The health care bills Congress left in limbo

    July 19, 2016

    Congress has officially closed up shop for its seven-week summer recess. American Health Line takes a look at the biggest health care bills left in limbo until lawmakers reconvene in September. 

  • MACRA's a big deal for providers. But what does it mean for patients?

    July 13, 2016

    Most health care providers and policy wonks are familiar with the Medicare Access and CHIP Reauthorization Act—but what will the legislation mean for patients? American Health Line attended a recent briefing where experts suggested patients could see better care coordination, improved end-of-life care, and more.

  • The Medicare trustees say IPAB is coming. Really?

    July 6, 2016

    The Medicare Board of Trustees' latest annual report projects that a controversial Affordable Care Act provision—the Independent Payment Advisory Board (IPAB)—will be triggered in 2017. American Health Line checks in with experts to examine how likely that outcome truly is and what it would mean for Medicare. 

  • How Brexit could affect the health care industry

    June 28, 2016

    United Kingdom voters' decision to exit the European Union, known as "Brexit," is causing waves in the health care industry, both inside the U.K. and abroad. American Health Line explores how the decision will affect FDA, drugmakers, medical device makers and health care researchers.

  • Is a popular ACA provision straining the exchange markets?

    June 21, 2016

    Some experts say the Affordable Care Act's (ACA) exchange population is too old and too sick to form a stable market, and one analyst suggests a popular ACA provision could be to blame. American Health Line examines how the law influences young adult enrollment and whether or not there's cause for concern.
  • Amid horror in Orlando, a renewed focus on FDA blood donation rules

    June 14, 2016

    As lawmakers expressed horror and resolve following this weekend's mass shooting at a gay nightclub in Orlando, some also called attention to a little-known FDA blood donation restriction. American Health Line details the discussion and events that took place following the tragic event -- including how one hospital scrambled to respond.

  • Here's how you can stay sun-safe this summer

    June 7, 2016

    Summer is just around the corner and with it comes prominent sunscreen displays in retail stores, but not all of the sunscreen on display is created equal -- and some experts say regulatory hurdles are partly to blame. American Health Line dives into the debate and uncovers how consumers can protect themselves from the sun while waiting for regulators to act.

  • Zika is coming to the US. Don't panic; become an expert.

    May 31, 2016

    American Health Line tells you everything you need to know about the Zika virus, including the latest information on Zika, how it could affect U.S. residents, what can be done to curb a U.S. Zika outbreak and whether the United States is prepared for Zika's arrival.
  • Experts lambast study on medical error-related deaths

    May 24, 2016

    Some experts are questioning a BMJ study that made headlines earlier this month with its conclusion that medical errors are the third-leading cause of death in the United States. American Health Line highlights the arguments challenging the study and whether the researchers in fact buried their own "key argument."

  • What MACRA means for meaningful use

    May 18, 2016

    CMS' recent release of a proposed rule that would implement value-based payment programs under the Medicare Access and CHIP Reauthorization Act (HR 2) has raised a lot of questions. American Health Line speaks with stakeholders to shed some light on how the proposed rule will affect the future of the meaningful use program.
  • State legislatures take action to improve health care price transparency

    May 11, 2016

    Across the country, more states are taking steps to mandate price transparency among health care providers. American Health Line examines some of the latest health care price transparency laws and ways providers are preparing to comply.

  • Does Medicaid expansion improve financial well-being? Study suggests it does.

    May 3, 2016

    American Health Line delves deeper into a new study that finds the Affordable Care Act's Medicaid expansion helped reduce individuals' collected debt and improved their financial well-being. But while some experts say the findings support a growing body of research, others say the study did not ask the right questions.

  • Q&A: Why Medicare's new primary care payment model is a big deal.

    April 26, 2016

    American Health Line's Sam Bernstein sat down with Rivka Friedman, a practice manager at The Advisory Board Company, to discuss Comprehensive Primary Care Plus -- CMS' new alternative payment model.

  • How the House, Senate diverge on patient safety in Cures bills

    April 19, 2016

    Nine months have elapsed since the House passed the 21st Century Cures Act, a bill aimed at boosting medical innovation. American Health Line looks at the latest Senate action on a companion proposal and the prospects for a final bill.
  • Rx drug prices are climbing. Could health care 'mortgages' help patients pay?

    April 12, 2016

    What is the best way to address rising drug costs? Some industry experts have called for more transparency or new payment models, while others propose creating mortgage-like loans to help patients bear the cost. American Health Line takes a closer look.

  • What a 'backdoor' to encrypted devices would mean for health data security

    April 5, 2016

    American Health Line takes an exclusive look at the surprising outcome of the legal battle between FBI and Apple and the implications for the security of individuals' health data on their smartphones.

  • Health care industry stakeholders sound the alarm on FCC's wireless auction

    March 29, 2016

    As the FCC today plans to auction of large swaths of little-used wireless spectrum, American Health Line explores concerns from the American Hospital Association and other health care stakeholders about the effect opening the spectrum will have on wireless channels dedicated to health monitoring devices.

  • Achieving transparency in health care prices -- experts say the goal is within reach

    March 22, 2016

    Despite recent efforts to improve health care price transparency, research suggests patients continue to face obstacles in determining the cost of care. American Health Line explores the new research and talks with experts about ways the industry can refocus those efforts.

  • Only half of US residents use preventive care. How can that change?

    March 15, 2016

    American Health Line dives into a new report that reveals disparities in access to care among different demographics throughout the United States and talks to the experts about what can be done.

  • Are employer wellness programs effective? Depends who you ask.

    March 8, 2016

    As companies increasingly turn to wellness programs to keep employee health care costs down, some experts say there is little evidence proving the effectiveness of such programs. American Health Line explores the wellness program debate.

  • The Obama administration likely won't see Medicaid expansion in all 50 states. Will the next administration?

    March 1, 2016

    Experts tell American Health Line there's "a zero percent chance" that Congress will enact President Obama's latest proposal to ease Medicaid expansion in holdout states and the best hope for Medicaid expansion might be a new president. Here's why.

  • Why Silicon Valley Innovators Struggle in Health Care

    February 23, 2016

    Some health care startups have pushed regulatory bounds, raising questions about whether technology innovators can flourish in the highly regulated health care industry. American Health Line takes a closer look at some startups' recent regulatory missteps.

  • Where New Hampshire Primary Winners Trump, Sanders Align on Health Care

    February 16, 2016


    American Health Line
    examines the health care positions of New Hampshire primary winners Donald Trump and Vermont Sen. Bernie Sanders (I).

  • What Could the Iowa Caucus Results Mean for Health Care?

    February 2, 2016

    American Health Line compares health care proposals from the top three candidates currently running for president, according to the results of yesterday's Iowa caucus.

  • Medicaid Expansion Map

    The U.S. Supreme Court's 2012 ruling on the Affordable Care Act (ACA) allowed states to opt out of the law's Medicaid expansion, leaving each state's decision to participate in the hands of the nation's governors and state leaders.
  • Top Health Care Movers and Shakers of 2015

    December 22, 2015

    From the affirmation of another major provision of the Affordable Care Act to the potential consolidation of the health insurance market, it's been a big year for health care. Here are the top players who shook up the industry in 2015.

  • Did You Hear? The Top 15 Health Policy Quotations of 2015

    December 17, 2015

    What did people have to say about health care policy in 2015? As the year comes to a close, American Health Line looked back and rounded up the standout quotations of 2015. Which comments made our list? Read below to find out.

  • Top Five Must-Read American Health Line Analysis & Insight of 2015

    December 16, 2015

    American Health Line rounds up analysis of some of the biggest health care issues the U.S. faced this year.

  • American Health Line's Top 10 Stories of 2015

    December 15, 2015

    From Supreme Court cases challenging the Affordable Care Act to the ongoing saga of Medicare's two-midnight rule, American Health Line's coverage in 2015 focused on issues that would most affect U.S. residents and providers. What were the most popular stories among our readers? Look below for American Health Line's top 10 stories of 2015, based on clicks.

  • Rising Rx Drug Prices: What's on the Table Now

    December 9, 2015

    American Health Line outlines current proposals to address prescription drug access issues from presidential hopefuls and state and federal lawmakers

  • A Look Back: Policymakers' Prescriptions for Drug Access

    December 8, 2015

    American Health Line takes a look at major federal efforts to target prescription drug accessibility.

  • Is There an End in Sight to Rising Prescription Drug Prices?

    November 13, 2015

    American Health Line talks with Truveris CEO Bryan Birch to find out whether high prescription drug prices are here to stay and strategies consumers can employ to deal with pricey medications.
  • Inside Prescription Drug Pricing

    November 12, 2015

    How do drugmakers come up with their prices? Is research and development really that expensive? American Health Line talked with Truveris CEO Bryan Birch to get some insight.
  • ICD-10: An Illustrated Classification of Diseases

    November 5, 2015

    Here's a short look at the long road to ICD-10, how the U.S. adapted the World Health Organization's standards, what we see on the horizon with ICD-11 -- and illustrations of some of the American Health Line team's favorite new codes.

  • What You Need To Know About the Five Areas HHS Is Targeting This Open Enrollment Season

    November 3, 2015

    During the third open enrollment period for the Affordable Care Act, HHS hopes to have 10 million people sign up for health insurance through the exchanges and Medicaid.

  • Substance Use Disorders: Just Talking Points, or an Opportunity for Real Reform?

    With substance use disorders becoming an increasingly pressing issue, potential presidential candidates have begun to weigh in on the matter. Where do the candidates stand?

  • The 21st Century Cures Act Is Incredibly Popular. So Why Might it Die in Congress?

    August 13, 2015

    Will the 21st Century Cures Act, which is intended to boost biomedical research and access to treatment, continue to receive widespread support from lawmakers, or could criticism of it result in its downfall?

  • Experts: All 50 States Expected To Expand Medicaid Eventually

    July 26, 2015

    Medicaid expansion continues to be one of the most contentious and followed issues surrounding the Affordable Care Act. While many states have chosen to expand their programs, a number of Republican-led states continue to oppose expansion for various reasons ranging from ideology to cost. Will those states come around?

  • King v. Burwell: Everything You Need To Know

    June 24, 2015

    The Supreme Court is poised to rule in King v. Burwell, which challenges the Affordable Care Act's subsidies to help U.S. residents purchase coverage through the federal exchange. American Health Line rounds up all you need to know about the case ahead of the ruling, from the facts of the case to potential solutions if the subsidies are invalidated.
  • What Lawmakers Are Doing About Health Care Cybersecurity

    June 4, 2015

    Security and privacy experts seemed prescient in predicting that health care data breaches would significantly increase this year. So what are lawmakers doing about it?

  • Medicare 'Doc Fix' Affects Non-Doctor Providers, Too

    May 27, 2015

    The replacement for Medicare's sustainable growth rate formula affects not just physicians, but also nurse practitioners, physician assistants, psychologists and other types of providers.

  • Uncovering Who's Not Covered After the ACA's Second Open Enrollment Period

    May 5, 2015

    Millions of U.S. residents have gained coverage under the Affordable Care Act. And yet millions still remain uninsured, according to HHS data. Who are those millions? And what do we know about why they are still uninsured? American Health Line looked at the data and spoke with experts to find out.
  • Q&A: What Has the U.S. Learned From the Ebola Outbreak?

    March 19, 2015

    The Obama administration has stated that the Ebola outbreak is starting to wind down, although much work remains. In this edition of Expert Explanations, American Health Line sits down with Johns Hopkins University's William John Moss to assess the U.S.' initial response to the outbreak and what we can learn going forward.

  • Questions vs. Quiet: Reading the Swing Votes in King v. Burwell

    March 4, 2015

    Whether more than eight million individuals in the 34 states that use the federal exchange have insurance in 2016 could hinge on the justices' final ruling, which will come by the end of June.

  • 'Four Potentially Ambiguous Words' - A Look at the Arguments in King v. Burwell

    March 2, 2015

    Experts agree that while King v. Burwell is an extremely important case -- the fate of subsidies millions of U.S. residents have used to purchase coverage through the federal exchange hinges on the outcome -- it isn't a particularly novel legal matter. Where they disagree is on the strength of the parties' arguments.

  • ACA Round Two: A Look at the Numbers

    February 25, 2015

    Ultimately, the Affordable Care Act's second open enrollment period will be evaluated by several metrics, including lowering the uninsured rate, decreasing the cost of care and providing a smooth sign-up process. By the most basic measure -- total sign-ups -- the second open enrollment period was a success, at least by the Obama administration's standards.
  • CHIP Funding Likely, But Timing Issues, Other Pitfalls Loom

    February 9, 2015

    Funding for CHIP, the Children's Health Insurance Program, expires Sept. 30, 2015. With new coverage options available via the Affordable Care Act, and the typically contentious politics of today, some stakeholders are wondering whether CHIP funding will be reauthorized.

  • Measuring Quality: Promising, Needs More Progress

    December 16, 2014

    The U.S. spends about $2.8 trillion annually on health care, but as a country we aren't particularly sure how well that money is being spent. What we do know is that the U.S. spends far more than any other country but generally does not have better outcomes. So how do we measure quality? And how can we do it better?

  • Tracking the ACA's Second-Round Progress

    December 9, 2014

    American Health Line wanted to check in on how the exchanges are doing. To keep track of what is happening among the federal and state exchanges, this following list of need-to-know information includes last year's statistics, changes made to the exchanges and their progress during the second round.
  • The Fate of Medicaid Coverage for 2M People Could Hinge on the Outcomes of the Midterm Election

    October 29, 2014

    Political races in several states could determine whether those states end up expanding Medicaid. Here's a look at those races and what's at stake.

  • More to the Story: A Look at ACOs Under the ACA

    October 13, 2014

    Recent headlines about the Pioneer ACO program have been less than positive. However, there is more to the story. To understand ACOs under the ACA, American Health Line dug deeper.
  • A Look Back: The Demise of HillaryCare

    September 30, 2014

    Twenty years ago this month, HillaryCare -- the health reform proposal led by then first lady Hillary Rodham Clinton -- was declared dead. Here's a look back at Clinton's attempts to pass reform and the plan's ultimate demise.

  • Is the Administrative Fix Increasing Premiums?

    August 26, 2014

    The Obama administration responded to the controversy over millions of U.S. residents receiving cancellation notices for 2014 policies with an administrative fix -- optional for states to accept -- that first allowed individuals to keep their coverage through plan year 2015 and has since been extended into 2016 and 2017. Now the fix might be causing a whole new controversy: some insurers say it's causing them to increase 2015 premium rates for plans sold through the ACA's exchanges.
  • Context is Key: Understanding Exchange Premium Rates

    August 14, 2014

    Premiums for health plans sold through the health insurance exchanges are set to increase by 7.5% on average next year across the 27 states -- plus Washington, D.C. -- that have publicly released proposed rates, according to a report by PricewaterhouseCoopers' Health Research Institute. 

  • Exchange Demographics: What We Do, and Don't, Know About Enrollees

    May 9, 2014

    The Obama administration last week revealed new data on the demographics of enrollment in the Affordable Care Act's health insurance exchanges. The numbers were met with great fanfare because they showed several new things that we didn't know previously. However, there still are several things that we don't yet know about the enrollees.
  • How Delays Have Altered the ACA Timeline

    April 8, 2014

    A breakdown the biggest timeline changes to the ACA, outlining when certain components were supposed to start (or end) and how the dates have been revised.
  • Behind the Numbers: Enrollment in the ACA's Insurance Exchanges

    March 20, 2014

    There's a lot riding on the outcome of the first open enrollment period for the Affordable Care Act's insurance exchanges, but does the final enrollment number on March 31 matter?
  • What Can We Learn From the Massachusetts Report on Wasteful Spending?

    January 15, 2014

    Does Massachusetts' recent report on wasteful health spending tell us anything new about efforts to control spending? Will it change how Massachusetts and other states approach cost-containment efforts?
  • Why 'HillaryCare' Failed and 'ObamaCare' Succeeded

    March 30, 2012

    Since March 30, 1992, when American Health Line first launched, there have been two major efforts to reform the country's health care system. This feature compares and contrasts health reform undertakings by former first lady Hillary Rodham Clinton and President Obama.
  • Analysis & Insight