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Entries in Josiah Bartlett Center (136)

Sunday
Feb232014

Josiah Bartlett Center - Behind the Curtain on Medicaid Expansion 

Weekly Update from the
Josiah Bartlett Center


Keeping you up to date on our latest research
on the issues impacting New Hampshire


Senate Medicaid Expansion Plan Not Quite As Advertised

The Senate Medicaid Expansion Plan was released this week so we could all see the details and find out that the spin and the reality of the program are not quite the same.

Let’s start by dismissing the assertion that this program is somehow a unique New Hampshire approach. That just isn’t so. Iowa passed this same Medicaid expansion plan last May and a few states have had similar ideas in the interim. The New Hampshire version differs in slight ways, none of which make it better....Click here to keep reading

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Medicaid Expansion is Bad Medicine for New Hampshire

The recently announced deal in the New Hampshire Senate of a “framework” to expand Medicaid is a bad deal for our state’s future. The fundamental problem is not just that the plan implements a key component of Obamacare here, but it continues to build on a profoundly flawed Medicaid program desperately in need of reform.

Medicaid, in its current form, is a bulky, inefficient program that hasn’t kept up with the times. It was created in 1964 and, like most government programs, simply hasn’t evolved as proficiently as other market-driven products. Other than Corvettes, pretty much everything we buy today is better and less expensive than the 1964 counterparts, but Medicaid’s basic identity hasn’t changed, and that’s a real problem...Click here to keep reading

Sunday
Feb162014

Josiah Bartlett Center - The Medicaid Compromise That Isn't 

Weekly Update from the
Josiah Bartlett Center


Keeping you up to date on our latest research
on the issues impacting New Hampshire

The Medicaid Compromise That Isn't

This week Republican Senate leadership announced a plan to significantly expand the state’s Medicaid program. While the deal was announced, the details are not yet available. Evaluating whether the deal involves any significant element of compromise or is just a slight variant of a dramatic expansion of the state’s Medicaid system depends on the details but early reports are not promising.

The federal health reform popularly known as ObamaCare or the ACA rests on three major components: individual and employer mandates to buy insurance, a regulatory and purchasing structure called an exchange (or sometimes confusingly referred to as a “marketplace”), and a roughly trillion dollar expansion of Medicaid. 

One of the primary metrics to consider in any potential expansion plan is what the effect be on total Medicaid enrollment. Today Medicaid is not a program for all low income citizens. Instead Medicaid covers people only within certain categories (like children, certain disabled populations, pregnant women or women with breast or cervical cancer). Other low income categories of people, most notably single childless adults, are not covered at all....
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Saturday
Feb082014

Josiah Bartlett Center - Minimum Wage Hike Will Hurt Entry Level Workers Most 

Weekly Update from the
Josiah Bartlett Center


Keeping you up to date on our latest research
on the issues impacting New Hampshire

Minimum Wage Hike Will Hurt Entry Level Workers the Most

Proposals at the state and national level to increase the minimum wage will hurt the job market, decrease the number of jobs available, and hurt the people advocates are trying to help. Specifically, the higher wage will make it more expensive to hire entry level workers and reduce opportunities for lower skill workers trying to build job experience.

The current federal and state minimum wage is $7.25 per hour. It is a minimum that affects few employees. Nationally, only 2.7% of all wage and salary workers earn the minimum or less (1.2% of workers are at the minimum while 1.5% have jobs that can legally pay less than the minimum like golf caddies, outside sales, or farm labor).

Economists are paraded about by both sides to advocate for and against and to discuss the effects. A 2007 National Bureau of Economic Research paper reviewing the literature found “a lack of consensus about the overall effects on low-wage employment.” But lest you think the research is completely up in the air, the authors noted “the studies that focus on the least-skilled groups provide relatively overwhelming evidence of stronger disemployment effects for these groups.”....Click here to keep reading

Saturday
Feb012014

Josiah Bartlett Center - Stagnant New Hampshire and Obamacare Enrollment

Weekly Update from the
Josiah Bartlett Center


Keeping you up to date on our latest research
on the issues impacting New Hampshire


Are we Doomed to Be a Stagnant State?
New Hampshire is complacent. As a state we seem to have accepted stagnation as a way of life and are just trying to figure out how to adapt to it. The vision of New Hampshire as an island of prosperity is receding as policymakers increasingly decide they must adopt rather than fight economic mediocrity.

In the not too distant past, New Hampshire was a beacon of economic growth and opportunity. We spent decades as one of the fastest growing states in the country. More people and more jobs went hand in hand....
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A Obamacare Enrollments Top 11,000
and a First Look at the Pool

According to the US Department of Health and Human Services, a total of 11,446 New Hampshire residents have selected a health insurance plan through the Federal Exchange. This represents a net increase of 9,877 in the month of December. Of course, this is still well short of the 22,000 who will lose coverage due to the passage of the new healthcare law.

Since open enrollment began, the federal exchange has received 19,441 applications from Granite Staters for insurance coverage for 30,204 individuals. Of these thirty some odd thousand, 26,621 were ruled eligible to get policies on the exchange, with just over half (13,516 to be exact) qualifying for subsidies...
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Friday
Jan242014

Josiah Bartlett Center - We Need to Insist on More Boring Stories 

Weekly Update from the
Josiah Bartlett Center


Keeping you up to date on our latest research
on the issues impacting New Hampshire

The most sensational stories make the news but the most important work of the legislature is too boring for anyone much to care. The sensational stories will have little or no impact on New Hampshire. The boring stories have a long lasting but not sensational impact for years to come. That fundamental conflict is the long term struggle good public policy faces and it will be on display this year.

Some issues are more fun than others. The state’s House of Representatives passed a law legalizing marijuana last week. Certainly the debate raises interesting issues about changing societal attitudes, whether a prohibition structure is effective, the government’s legitimate role in drawing a line between legal and illegal substances. But the media response to the issue is all out of proportion to the issue’s relevance to current affairs....Click here to keep reading