Death by Regulation: How Bureaucrats Killed One of Obamacare's Promising Innovations

Author:   Peter L. Beilenson
Publisher:   Johns Hopkins University Press
ISBN:  

9781421432144


Pages:   192
Publication Date:   29 October 2019
Format:   Paperback
Availability:   To order   Availability explained
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Death by Regulation: How Bureaucrats Killed One of Obamacare's Promising Innovations


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Overview

"The story of a small healthcare startup and its fight for survival against the very federal agencies responsible for its launch as part of the ACA. In the contentious run-up to the passage of the Affordable Care Act, Congress passed a law to make nonprofit health insurance CO-OPs (formally known as Consumer Operated and Oriented Plans) a viable alternative to the public option. The idea was to create new competition in order to lower health insurance premiums and encourage innovation. Nearly two dozen such low-cost CO-OPs were launched in the wake of the ACA's passage; only four are in operation today. In Death by Regulation, Dr. Peter L. Beilenson tells the story of a group of Maryland-based public health professionals who launched the Evergreen Health Cooperative, only to discover that the ACA law encouraging CO-OPs was a ""plastic plant""—a piece of legislation created for optics but never intended to be functional. Over most of its four years of existence, Evergreen succeeded against all odds, prevailing over naysayers, big insurance companies, Congress, and its founders' naïveté. But in an ironic twist, it was bureaucratic hostility from the Centers for Medicare and Medicaid Services—the very Obama administration agency responsible for the CO-OPs—that led to their collective demise. Beilenson traces the huge impact of seemingly small policy decisions on the work of his team and the people their CO-OP was built to serve. He recounts the excitement and satisfaction of launching such a valuable healthcare company, as well as the damage done to scores of employees and tens of thousands of satisfied healthcare customers when bureaucrats ran amok. The only book about these idealistic Obamacare CO-OPs and the obstacles they all faced, Death by Regulation offers an insider view of health policy and the reality of starting an insurance company from scratch."

Full Product Details

Author:   Peter L. Beilenson
Publisher:   Johns Hopkins University Press
Imprint:   Johns Hopkins University Press
Dimensions:   Width: 15.20cm , Height: 1.20cm , Length: 22.90cm
Weight:   0.272kg
ISBN:  

9781421432144


ISBN 10:   1421432145
Pages:   192
Publication Date:   29 October 2019
Audience:   College/higher education ,  Tertiary & Higher Education
Format:   Paperback
Publisher's Status:   Active
Availability:   To order   Availability explained
Stock availability from the supplier is unknown. We will order it for you and ship this item to you once it is received by us.

Table of Contents

Prologue: Sacramento, California, 1970 Part One. A CO-OP Is Launched 1. Creating Evergreen: March 2010 to March 2013 2. A Rocky Start: April 2013 to March 2014 3. Gaining Experience: April 2014 to June 2015 4. The Obstacles Pile Up: Summer 2015 5. Improving Fortune: November 2015 to March 2016 Part Two. Fighting the Good Fight 6. Evergreen Fights Back: April to June 2016 7. Preparing to Go to Court: June 2016 8. Evergreen Health Cooperative v. United States of America: July 2016 9. The Pursuit of Investors Begins: July to October 2016 10. Staying Alive: October 2016 000 11. Think Globally, Act Locally: October 2016 to January 2017 12. Ten Frenzied Days: January 2017 13. Finale: January to August 2017 Conclusion. A Dozen Lessons Learned Epilogue Acknowledgments Index

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"Peter L. Beilenson, MD, MPH, is the director of Sacramento County's Department of Health Services. The former CEO and president of the Evergreen Health Cooperative, he served as the health officer of Howard County, Maryland, from 2007 to 2012 and the health commissioner of Baltimore City from 1992 to 2005. He is the coauthor of Tapping into ""The Wire"": The Real Urban Crisis."

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