Description
Book SynopsisThe 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 planta piece of legislation created for optics but never intended to be functional. Over most of its four years of existence, Evergreen succeeded agains
Table of ContentsPrologue: 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
