HORIZON GOVERNMENT AFFAIRS offers its clients timely analysis and prospective advice on current events. These documents offer a high level view of opportunities and threats we know our clients need to be aware of. Below you will find previous analyses that we have done for our clients. Documents are made available on our website three days after they are delivered to our clients and coalitions.


As the 115th Congress begins committee markups of legislation to repeal and replace the Affordable Care Act (ACA), Horizon’s Council for Affordable Health Coverage has prepared a summary table comparing the various Republican proposals. Click here to view the table

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The Horizon-managed Council for Affordable Health Coverage released a white paper advocating for competition and consumer choice amidst ACA repeal and replace efforts. “The Affordable Care Act corrected market imbalances and reduced the number of uninsured Americans to historic lows- but its tendency toward overregulation led to double-digit premium hikes.” said CAHC President and HGA CEO Joel White. “Despite the fact that health costs rose four times faster than wages under President Obama, health care costs and their effect on the American family are often absent from reform dialogue. They can’t be. Proactively coupling ACA replacement efforts with policies that…

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Today, the last day of the Affordable Care Act’s 2017 open enrollment period, the HGA-managed Clear Choices Campaign issued its second annual report card for the 12 state-based health insurance exchange websites and HealthCare.gov. A multi-stakeholder advocacy campaign, representing patients, providers, insurers, employers, and life science companies, Clear Choices is dedicated to improving health care transparency. DC Health Link topped the list scoring 92 out of 100. The average exchange website scored 66 out of a possible 100. “Some exchanges are delivering a high-quality online comparison-shopping experience that allows consumers to evaluate key health plan details, such as provider networks…

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As 2017 Open Enrollment begins, policymakers and stakeholders are intently watching the ACA’s insurance exchanges to assess the marketplace’s health and sustainability. Recent reports indicate that premiums for 2017 exchange plans are expected to increase significantly, while insurer choice is expected to decline. For content on these developments, Horizon Government Affairs offers this November 2016 Dashboard, providing a visual overview of the current landscape of the ACA marketplace.

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Following the 2016 Open Enrollment, policymakers are intently watching the ACA’s insurance exchanges to assess the marketplace’s health and sustainability. House Republicans are also intently working on proposals for comprehensive health care reform, as well as smaller modifications to the ACA that address known problems. To provide context for these developments, Horizon Government Affairs offers this March 2016 ACA Dashboard, providing a visual overview of the current landscape of the ACA marketplace.

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Last week, the Obama Administration released the last budget of his presidency, accompanied by a near universal declaration the document was “DOA.” But is it? Included in the thousands of arcane budget pages were Medicare savings totaling half a trillion dollars. Most of the savings – 32 percent – come from prescription drugs, like imposing Medicaid style rebates on drug manufacturers. Another 27 percent of the savings came from “rich” beneficiaries in the form of higher premiums, taxes and cost-sharing, with another 15 percent from cuts to Medicare Advantage. So what are those proposals and whose ox could be gored?…

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Those anticipating a quiet year in health policy could be in for a surprise. While many analysts contend that election-year headwinds will prevent legislative progress on a broad range of issues, this year’s Horizon’s Health Policy Outlook offers a contrarian view. We believe the first half of 2016 could be the most productive legislative session since 1996, when several major laws were enacted just months before a presidential election. Behind the harsh rhetoric of the primary season, lawmakers have quietly been working toward consensus on a range of key issues. At the same time, presidential election years typically feature a…

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As we enter the fall, Congress is considering a number of bills modifying and repealing certain provisions of the ACA. In addition, open enrollment for the 2016 plan year begins on November 1, 2015, running through January 31, 2016. To help set the stage for these upcoming developments, Horizon Government Affairs offers this October 2015 ACA Dashboard, providing a visual and concise update of the current landscape of the ACA marketplace.

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Joel White, President of Horizon Government Affairs, joined Ed Howard and the folks from Alliance for Health Reform for a panel discussion on the new realities of health care coverage for consumers. The panel explored transparency, affordability, choices and policy solutions. It was a great discussion and we encourage you to take the time to watch. Click here to view Joel’s presentation

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Over the past few months, we’ve seen a number of reports about proposed premiums for 2016 health plans available through the Affordable Care Act’s insurance exchanges. We’re concerned there is still misinformation about how much premiums are expected to change and why. To address this, Horizon’s coalition, the Council for Affordable Health Coverage (CAHC), has produced this Factsheet on 2016 ACA Premiums, providing: Background on 2016 ACA exchange rate filings; Explanation of why premiums are increasing; Key factors to keep in mind when examining proposed premiums; and Recommended policy considerations for this issue.

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