Medicaid fosters constant tension between the federal government and the states, and that friction has been exacerbated by its expansion in the Patient Protection and Affordable Care Act of 2010 (PPACA). Medicaid was an under-theorized and underfunded continuation of existing programs that...

How can the states retain relevance in an era of federal statutory law? The persistence of the states and our enduring attachment to "federalism" in an increasingly national and global regulatory environment has occupied the minds of many scholars. For the most part, however, the U.S. Supreme...

The Patient Protection and Affordable Care Act of 2010 is considered the most comprehensive piece of healthcare legislation aimed at providing a universal coverage for the American people. Nonetheless, the controversy surrounding the implementation of this Act stems from the principles of...

This Policy Brief focuses on the medical loss ratio (“MLR” or “loss ratio”) provision in the Patient Protection and Affordable Care Act (“ACA,” or “Affordable Care Act”). As part of sweeping health care reform in 2010, Congress established MLR requirements for health insurance...