Unbiased Analysis of Today's Healthcare Issues

Archive for the 'Health Reform' Category

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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Healthcare.gov vs. Amazon.com

Which one is easier to use?  The answer to this is clear: Amazon.  Of course, health insurance is a much more difficult product for people to understand than most good at Amazon.  However, many policymakers may have underestimated the amount of customer service new enrollees in Healthcare.gov need.  The Washington Post reports: Just 13 percent of assistance […]

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How did the ACA affect Employer-Sponsored Insurance?

Most people think that the Affordable Care Act (ACA) has focused on decreasing uninsurance rates by creating health insurance exchanges, providing subsidies for health insurance premiums for these exchanges, and expanding Medicaid. The ACA also has affected a number of other segments of the health care industry. Less well known is that the ACA also affected […]

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Obamacare will Increase Use of Elective Surgeries

Expanding health insurance causes moral hazard.  Patients who bear a lower share of cost will inevitably use more health care serices.  On the one hand, this increases the cost of the health care system; on the other hand, the patients who receive the additional care likely have better health outcomes. However, which services will patients who are newly […]

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SCOTUS Obamacare Ruling

The Supreme Court of the United States (SCOTUS) recently ruled that family owned and other closely held companies can opt out of the Affordable Care Act’s provisions for no-cost prescription contraception in most health insurance if they have religious objections.  Is this a blow to Obamacare?  Yes and No.  The practical implications may be small but […]

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