Unbiased Analysis of Today's Healthcare Issues

Small business in limbo and other health care stories

The ACA is here…for now.  The AHCA is dead…for now.  Where will the health insurance market be 1 year from now, let alone in 5 or 10 years?  These questions have not yet been answered and the uncertainty is especially taxing for small businesses, especially as their premiums have risen. Marketplace has an interesting story […]

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Supply side health reform

Alex Tabarrok of Marginal Revolution notes that designing a health care system that focuses on benefits to consumers and is important, but one should not ignore how any health care system design affects the supply of health care, in particular incentives to create innovative goods and services. By greater spending on medical research, I mean not […]

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Why don’t people like the American Health Care Act?

There has been a lot of criticism of the Republican’s “repeal and replace” bill known as the American Health Care Act. The critiques are coming from both the left and the right. Let’s look at just one provision–the premium age bands–to better understand why both people on the left and right do not like the […]

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Trump Addresses Congress: The Healthcare Economist’s Take

Tonight, President Donald Trump delivered his first address to a joint session of Congress.  Although the speech touched on a number of topics, I give my line-by-line commentary on the portions of the speech related to health care. “Tonight, I am also calling on this Congress to repeal and replace Obamacare with reforms that expand choice, […]

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Single Payer vs. 300 million payer

Drug prices are in the spotlight of late.  From Pharma bro to EpiPen price hikes to Trump’s most recent press conference high drug prices are getting a lot of attention.  One solution is to have a single payer system whereby the government negotiates drug prices directly with pharmaceutical firms.  Michael Cannon proposes an alternative, the 300 […]

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Republican plans to replace Obamacare

From Aaron Carroll at the Incidental Economist:

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Health reform and health insurance churn

The Affordable Care Act provides a lifeline for individuals previously “too rich” for Medicaid, but who did not have access to employer-provided insurance.  First, making Medicaid eligibility rules more generous lead to more people just above the poverty line getting access to health insurance.  Second, the “Obamacare” health insurance exchanges offered community-rated, income-subsidized health insurance coverage for people […]

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Physician Access in California Obamacare Plans

Health plans in the health insurance marketplaces have been competing to keep prices low, while still offering all the services mandated under the Affordable Care Act. One way to do this is to restrict provider networks to lower cost providers.   For patients, restricting provider networks may be a good deal if (i) the quality of […]

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ACA decreased the number of uninsured Americans

This is according to a Urban Institute study by Karpman, Long and  Zuckerman (2016).  They look at changes in the uninsurance rate and in the rate of full-year insurance coverage for nonelderly adults (ages 18 to 64) overall and by state Medicaid expansion status.  They found that: The uninsurance rate for nonelderly adults fell from 17.6 percent in […]

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Reforming Medicare Provider Payment

With the ACA and now MARCA, Congress is moving full steam ahead with payment reform. An article by Paul Ginsburg and Gail Wilensky (2015) consider some of the implications of these reform efforts. This belief – that a set of metrics can be developed or delivery systems specified that could lead to the delivery of […]

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