We know how the House Republican bill could affect people who get insurance through the Affordable Care Act (ACA) marketplace and Medicaid. But what has been overlooked is how the bill, known as the American Health Care Act (AHCA), could affect the coverage people get through their jobs. In other words: The Republican bill could make everybody’s coverage worse.

Nothing about high-deductible plans makes health care more affordable for families. While the Republicans have yet to agree on how they propose to replace the Affordable Care Act (ACA), one thing is clear—whatever they pursue will push more families into high-deductible plans. Every single replacement plan put forth so far would very likely increase deductibles for millions of people.

Last week, the Center for Medicare & Medicaid Services released the final rule for the Quality Payment Program (also known as MACRA). This is the biggest change to how Medicare pays for services in decades and an important step in improving the quality and value of care. We’ll be digging into rule over the next couple of weeks, but here are our first impressions.