Unbiased Analysis of Today's Healthcare Issues

Archive for the 'Health Reform' Category

Medicaid Expansion States

Which states have decided to receive additional federal funds to expand the share of people they cover under Medicaid?  The Kaiser Family Foundation has the answer. Alabama Not Moving Forward at this Time Alaska  Not Moving Forward at this Time Arizona Implementing the Medicaid Expansion  Arkansas Implementing the Medicaid Expansion California  Implementing the Medicaid Expansion Colorado Implementing the Medicaid Expansion […]

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Obamacare premium increases overstated?

Health insurance premiums appear will rise modestly or even decline for many Obamacare plans in state Health Insurance Exchanges.  A RWJ brief reports: Premium increases will be quite low between 2014 and 2015. In the rating areas we examine in the 17 states plus the District of Columbia, six states will have average premium reductions across the carriers’ […]

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Who will pay the Cadillac tax?

Beginning in 2018, many individuals will face the “Cadillac” tax. What is the Cadillac tax? The Cadillac tax is a tax on high-cost health insurance plans. According to a Truven report, it is calculated as “40 percent of the excess of total per employee per year (PEPY) healthcare costs above statutory threshold limits of $10,200 […]

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What does an ACO look like?

ACOs are all the rage, but what does a typical ACO look like ? A study by Shortell et al. (2014) attempts to answer this question using data from the National Survey of ACOs. This survey includes ACOs participating in Medicare, Medicaid, or commercial payer programs.  The authors consider eight attributes for creating an ACO taxonomy […]

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Will Obamacare Increase the share of Part-Time Workers?

The ACA requires large employers to provide coverage to all full-time workers. However, providing insurance is costly. Will employers avoid this requirement by hiring more part-time workers? An Urban Institute report claims that this is not the case. We find no evidence that the ACA had already started increasing part-time work before 2014. We find […]

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Health Insurance and ER Use

One of the big political selling points of the Affordable Care Act (ACA) was that by providing people with health insurance, they can get the primary care they need and avoid expensive ER visits. While the expansion of health insurance never claimed to be cost savings, did the ACA reduce ER visits? A paper by […]

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Why don’t payers adopt my technology?

Why don’t payers adopt innovative approaches to treat mental illness? For instance, crisis intervention programs, recovery-focused consumer education programs, telehealth programs, and on-line treatment programs have sometimes have had problems receiving reimbursement from payers. Monica Oss of OpenMinds takes the payers’ perspective: Often, the organization proposing the new program comes to the table with an […]

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Too much or too little regulation

Getting Obamacare subsidies may be too easy or too hard depending on your perspective. From MSN: In May 970,000 people had citizenship data errors in their Obamacare applications. As of August, 450,000 of those cases have been resolved, 210,000 are in progress and 60,000 new documents arrive every day. The 310,000 remaining applicants will receive […]

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How do states plan to control Obamacare premiums?

Obamacare mandates that individuals need to buy health insurance or else they will face a financial penalty. This threat, however, is not credible unless there are affordable health insurance options for most Americans. What are states doing to hold down health insurance rates in the ACA’s health insurance exchanges? A RWJF working paper provides some […]

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Is the US health care spending slowdown real?

Between 2000 and 2007 annual health expenditures in the US grew by 6.6% per year. Between 2008 and 2011, however, the growth rate was only 3.3 percent per year. Are structural changes (e.g., the ACA) helping cause the slowdown? According to Dranove et al. (2014), the answer is likely ‘no’. The authors use new data […]

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