Putting Insurance Reform in the ACA's Rear-View Mirror

27 Pages Posted: 12 Jan 2014 Last revised: 5 May 2014

See all articles by William M. Sage

William M. Sage

University of Texas at Austin School of Law; University of Texas at Austin - Dell Medical School

Date Written: January 10, 2014

Abstract

In the continuing controversy over the expansions of health insurance coverage contained in the Patient Protection and Affordable Care Act of 2010 (ACA), it often escapes notice that the law also attempts to improve the efficiency of health care services and the underlying health of the population. This essay describes the ACA's goal of concurrent reform of health insurance, health care services and health as the law's "true breakthrough and its arguable overreach." The essay explains why the ACA's decision to double down on coverage even in the face of rising costs and declining health may have been a reasonable one. However, it cautions that the problems that have arisen with respect to insurance coverage -- the easiest part of health reform -- do not bode well for more difficult public conversations over health care and health that must follow.

Keywords: Health reform, Affordable Care Act, health insurance coverage, medical services, population health

JEL Classification: I18,H51

Suggested Citation

Sage, William Matthew, Putting Insurance Reform in the ACA's Rear-View Mirror (January 10, 2014). Houston Law Review, Forthcoming, U of Texas Law, Law and Econ Research Paper No. e551, U of Texas Law, Public Law Research Paper No. 551, Available at SSRN: https://ssrn.com/abstract=2377460

William Matthew Sage (Contact Author)

University of Texas at Austin School of Law ( email )

727 East Dean Keeton Street
Austin, TX 78705
United States

University of Texas at Austin - Dell Medical School ( email )

Austin, TX 78712

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