D.C. Health Benefit Exchange Authority Executive Director Mila Kofman said the law already has a natural cap. Creating an additional limit could threaten the exchange's ability to be certified as a state-based marketplace by the federal government.
Speaking at a panel last year, Anthony P. Carnevale, director of the Georgetown University Center on Education and the Workforce, described a growing disconnect between our education system and our economy. Citing the fervor after the 1983 “Nation at Risk” report to overhaul our schools, Carnevale said, “We made great progress on that. It has been a good thing. We are at the point where it may be too much of a good thing.”
Joan Alker, executive director of the Georgetown University Center for Children and Families, called the Indiana plan “enormously complicated” and questioned the fairness of withholding dental and vision coverage from those who cannot come up with premium payments.
Remember too that there is still a “public” in public-private partnerships. These projects and private involvement will happen only when and where a government wants them. Governments still specify the project’s service and safety standards and will usually hold final say over pricing.
“If I was a donor, I would certainly raise an eyebrow” about such perks, said Kathy Postel Kretman, director of Georgetown University’s Center for Public & Nonprofit Leadership. “In a public charity, the work is mission-driven, and it is not a private business, so with that comes a certain sense of accountability to the public — and these, to me, are beyond reasonable.”
The death of CoOportunity and the pressure surrounding Community Health Alliance demonstrate the difficulties new insurers face attempting to enter a marketplace that has traditionally been dominated by household names, said Sabrina Corlette, a lawyer and senior research fellow at Georgetown University’s Center on Health Insurance Reforms. The challenge is a major one for co-ops, which were created and funded by the Patient Protection and Affordable Care Act.
“It’s not for the faint of heart,” Corlette said.
District of Columbia exchange head Mila Kofman didn’t mince words about the upcoming challenges, saying Thursday, “We’re preparing for a lot of confusion, and we’re very worried.” The IRS needs to do more to educate people about the individual mandate and Obamacare tax credits, she said, questioning whether the agency has the resources it needs.
The truth is that agencies can accomplish a great deal in the next 24 months, according to Edward Montgomery, dean of the McCourt School of Public Policy at Georgetown University. Montgomery was a former official in the Clinton and Obama administrations, and part of the faculty for the Partnership for Public Service’s “Ready to Govern” political appointee leadership program.
The findings are good news as “the goal of the Affordable Care Act was to move away from a paper-driven process,” Tricia Brooks, co-author of the report and a researcher at Georgetown University's Center for Children and Families, said Tuesday during a Kaiser webinar on the annual survey.