Thomas Miller

Dec 19, 2024 | tgandh.com | Thomas Miller

In August 2022, President Joe Biden signed into law the Inflation Reduction Act (IRA), a sweeping piece of legislation aimed at addressing climate change, reducing healthcare costs, and lowering energy prices. While its impacts are wide-ranging, one of the significant aspects of the IRA is its potential benefits for Native American tribes across the United States.

Jun 17, 2024 | aei.org | Thomas Miller |Lauren MacDonald

Health policy disrupters who hope to shift health care payments from third parties to first parties over rely on simplified adaptation of financial reform models like defined contributions. It holds special appeal to those seeking to solve imbalances between revenue and spending in public health coverage programs like Medicaid and Medicare.

Jan 29, 2024 | aei.org | Thomas Miller |J. Joel Alicea |Nat Malkus |Timothy Carney

Almost 14 years ago, President Barack Obama signed into law the Affordable Care Act (ACA). The law survived a series of legal and political challenges during its implementation, but they came at a cost to its initial ambitions. In a forthcoming study, “The Ghosts of the Affordable Care Act,” Miami University Law Professor Gabriel Scheffler examines the enactment-entrenchment trade-offs that limit the scope and durability of major social program legislation.

Jan 25, 2024 | aei.org | Thomas Miller |Julia Cataneo

In Part I, I recapped how much the latest iterations of the modern Chevron review process for agency rule making in the executive branch remains under substantial legal challenges and critiques. Will that be enough for the Supreme Court to overturn its 1984 precedent fully? Last week’s oral arguments in a pair of cases further confirmed that a Court majority is unhappy about how judicial review of federal agencies’ more ambitious forms of “policy” making is operating in lower federal courts.

Jan 8, 2024 | aei.org | Thomas Miller

Quality measurement in healthcare policy struggles with two particularly chronic pre‐​existing conditions in U.S. politics: aversion to the appearance of “discriminatory” decision making and resistance to accountability for overtly restricting marginally beneficial care. Most quality measures find it hard to reward doing less, not more. They are biased toward yielding above‐​average ratings (that is, producing the Lake Wobegon effect) for most healthcare providers.