Our Monopoly Economy

Via The Atlantic: Four airlines control 69% of domestic air travel Amazon sells 27% of consumer books in the U.S.; Barnes & Noble sells 16% Walmart sells 57% of Americans’ groceries Universal Music Group controls 38% of the global market for recorded music Anheuser-Busch InBev sells 39% of beer in the U.S.; Miller-Coors sells 26%…

Do hospitals cost shift?

Many health policy experts claim that hospitals engage in cost shifting. Cost shifting assumes that hospitals have some target profitability level and can demand is fairly inelastic.  Thus, if public programs (i.e., Medicare or Medicaid) cut prices, hospitals ‘cost shift’ by raising prices to the privately insured in order to reach their target profitability level.…

Health Insurance Exchanges: Lessons from Switzerland and the Netherlands

Health reforms in Switzerland and the Netherlands in 1996 and 2006, respectively, created managed competition in the countries’ health insurance markets.  These insurance markets are somewhat similar to what is being proposed through the ACA’s health insurance exchnages.  Ewout van Ginneken, Katherine Swartz, and Philip Van der Wees (2013) suggest that these implemenations offer 5 key lessons…

Long Term Care in the 13th Century

There have been a number of recent efforts to finance long-term care for the elderly. The health reform law, as amended by the Health Care and Education Reconciliation Act of 2010, created a national, voluntary insurance program for purchasing community living services and supports known as the Community Living Assistance Services and Supports program (CLASS…

Weekend Reading

America’s health-care prices are ludicrous. Who will enroll in Medicaid after the ACA expansion? ACA leads to 32% rise in premiums. How doctors die. Infographic. Financial implications of Medicaid expansion. How to improve your golf game.