Last Updated: November 2019 |
Main Topic | Sub Topic | Title | Author | Research Org | Pub Month | Pub Year |
---|---|---|---|---|---|---|
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | California’s New Gold Rush: Marketplace Enrollees Switch To Gold-Tier Plans In Response To Insurance Premium Changes [Journal Subscription Required] | Rasmussen, Petra W., Thomas Rice and Gerald F. Kominski | University of California Los Angeles | November | 2019 |
Enrollment into Coverage | Premium Subsidies/Publicly Funded Coverage/Favorable Tax Treatment/Publicly Funded Reinsurance | As Insurers Exit Affordable Care Act Marketplaces, So Do Consumers [Journal Subscription Required] | Crespin, Daniel and Thomas DeLeire | Office of the Assistant Secretary for Planning and Evaluation, Georgetown University | November | 2019 |
Health Outcomes | Quality of Care | Hospital-Acquired Condition Reduction Program Is Not Associated With Additional Patient Safety Improvement [Journal Subscription Required] | Sheetz, Kyle H., Justin B. Dimick, Michael J. Englesbe and Andrew M. Ryan | University of Michigan | November | 2019 |
Enrollment into Coverage | Eligibility Requirements | Medicaid Expansion Associated With Reductions In Preventable Hospitalizations [Journal Subscription Required] | Wen, Hefei, Kenton J. Johnston, Lindsay Allen and Theresa M. Waters | University of Kentucky, Saint Louis University, West Virginia University | November | 2019 |
Health Outcomes | Quality of Care | Did Hospital Readmissions Fall Because Per Capita Admission Rates Fell? [Journal Subscription Required] | McWilliams, J. Michael, Michael L. Barnett, Eric T. Roberts, Pasha Hamed and Ateev Mehrotra | Harvard, University of Pittsburgh | November | 2019 |
Enrollment into Coverage | Equity Considerations | Medicaid And Private Insurance Coverage For Low-Income Asian Americans, Native Hawaiians, And Pacific Islanders, 2010–16 [Journal Subscription Required] | Park, John J., Benjamin D. Sommers, Sarah Humble, Arnold M. Epstein, Graham A. Colditz and Howard K. Koh | Harvard, Washington University | November | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Changes In Physician Consolidation With The Spread Of Accountable Care Organizations [Journal Subscription Required] | Kanter, Genevieve P., Daniel Polsky and Rachel M. Werner | UPenn, Johns Hopkins University | November | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Waste in the US Health Care System: Estimated Costs and Potential for Savings [Journal Subscription Required] | Shrank, William H., Teresa L. Rogstad and Natasha Parekh | Humana Inc, University of Pittsburgh | October | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Toward Evidence-Based Policy Making to Reduce Wasteful Health Care Spending [Journal Subscription Required] | Maddox, Karen E. Joynt and Mark B. McClellan | Washington University, Duke Margolis Center for Health Policy | October | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Elusive Waste: The Fermi Paradox in US Health Care [Journal Subscription Required] | Berwick, Donald M. | Institute for Healthcare Improvement | October | 2019 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs that are Too High | Price Transparency in Health Care Has Been Disappointing, but It Doesn’t Have to Be [Journal Subscription Required] | Benavidez, Gilbert and Austin Frakt | Veterans Health Administration | October | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Disappointment in the Value-Based Era: Time for a Fresh Approach? [Journal Subscription Required] | Figueroa, Jose F., Kathryn E. Horneffer and Ashish K. Jha | Harvard | October | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Value-Based Purchasing and Physician Professionalism [Journal Subscription Required] | Casalino, Lawrence P. and Dhruv Khullar | Weill Cornell Medical College | September | 2019 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs that are Too High | What Is the Value of Market-Wide Health Care Price Transparency? [Journal Subscription Required] | Sinaiko, Anna D. | Harvard | September | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Will Increasing Primary Care Spending Alone Save Money? [Journal Subscription Required] | Song, Zirui and Suhas Gondi | Harvard, Massachusetts General Hospital | August | 2019 |
Enrollment into Coverage | Eligibility Requirements | Medicaid Expansion and Health: Assessing the Evidence After 5 Years [Journal Subscription Required] | Allen, Heidi and Benjamin D. Sommers | Columbia University, Harvard, Brigham & Women's Hospital | September | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Performance Measurement | Relative Value Units and the Measurement of Physician Performance [Journal Subscription Required] | Nurok, Michael and Bruce Gewertz | Cedars-Sinai Medical Center | August | 2019 |
Enrollment into Coverage | Who Are the Remaining Uninsured, and Why Do They Lack Coverage? Findings from the Commonwealth Fund Biennial Health Insurance Survey, 2018 [Link] | Gunja, Munira Z. and Sara R. Collins | Commonwealth Fund | August | 2019 | |
Affordability/ Sustainability of Coverage | Small-Business Owners’ Views on Health Coverage and Costs [Link] | Buttle, Rhett, Katie Vlietstra Wonnenberg and Angela Simaan | Public Private Strategies | September | 2019 | |
Affordability/ Sustainability of Coverage | Underlying Medical Costs that are Too High | States’ Role in Combatting High Health Care Prices [Link] | Gustafsson, Lovisa and Audrey McIntosh | Commonwealth Fund | September | 2019 |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Is There Potential for Public Plans to Reduce Premiums of Competing Insurers? [Link] | Blumberg, Linda J., John Holahan, Erik Wengle and Caroline Elmendorf | Urban Institute | October | 2019 |
Enrollment into Coverage | Eligibility Requirements | Child Care Challenges for Medicaid Work Requirements [Link] | Adams, Gina, Eva H. Allen, Anuj Gangopadhyaya and Genevieve M. Kenney | Urban Institute | September | 2019 |
Enrollment into Coverage | Comparing Federal Government Surveys That Count the Uninsured: 2019 [Link] | Au-Yeung, Caroline and Robert Hest | SHADAC | October | 2019 | |
Enrollment into Coverage | A Typology for Analyzing Coverage Gains by State: 2013-2017 [Link] | Holahan, John, Caroline Elmendorf, Linda Blumberg and Laura Skopec | Urban Institute | September | 2019 | |
Affordability/ Sustainability of Coverage | Underlying Medical Costs That Are Too High | It’s Still The Prices, Stupid: Why The US Spends So Much On Health Care, And A Tribute To Uwe Reinhardt [Journal Subscription Required] | Anderson, Gerard F., Peter Hussey and Varduhi Petrosyan | Johns Hopkins Bloomberg School of Public Health, RAND Corporation, American University of Armenia's Turpanjian School of Public Health | January | 2019 |
Health Outcomes | What’s Been The Bang For The Buck? Cost-Effectiveness Of Health Care Spending Across Selected Conditions In The US [Journal Subscription Required] | Wamble, David, Michael Ciarametaro, Katherine Houghton, Mayank Ajmera and Robert W. Dubois | RTI Health Solutions, National Pharmaceutical Council | January | 2019 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | National Representativeness Of Hospitals And Markets In Medicare’s Mandatory Bundled Payment Program [Journal Subscription Required] | Liao, Joshua M., Ezekiel J. Emanuel, Daniel E. Polsky, Qian Huang, Yash Shah, Jingsan Zhu, Zoe M. Lyon, Sarah E. Dykstra, Claire T. Dinh, Deborah S. Cousins and Amol S. Navathe | University of Pennsylvania | January | 2019 |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | Attitudes About Consumer Strategies Among Americans in High-deductible Health Plans [Journal Subscription Required] | Cliff, Betsy Q., Christopher Krenz, Brady T. West, Helen Levy, A. Mark Fendrick, Tyler Winkelman, Jonathan So, Angela Fagerlin and Jeffery T. Kullgren | January | 2019 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Attitudes About Consumer Strategies Among Americans in High-deductible Health Plans [Journal Subscription Required] | Two-Year Evaluation of Mandatory Bundled Payments for Joint Replacement | January | 2019 | |
Health Outcomes | Medicaid Expansion and Infant Mortality in the United States - [Link] | Bhatt, Chintan B. and Consuelo M. Beck-Sague | Florida International University | April | 2018 | |
Are Marketplace Premiums Higher in Rural Than in Urban Areas? - [Link] | Wengle, Erik, Linda J Blumberg and John Holahan | Urban Institute | November | 2018 | ||
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | 2018 Employer Health Benefits Survey - [Link] | Claxton, Gary, Matthew Rae, Michelle Long, Anthony Damico and Heidi Whitmore | Kaiser Family Foundation | October | 2018 |
Enrollment into Coverage | How Have Workers Fared Under the ACA? - [Link] | Gangopadhyaya, Anuj, Bowen Garrett and Stan Dorn | Urban Institute | November | 2018 | |
Enrollment into Coverage | Eligibility Requirements | The Politics of Policy: The Initial Mass Political Effects of Medicaid Expansion in the States [Journal Subscription Required] | Clinton, Joshua D. and Michael W. Sances | Vanderbilt University and the University of Memphis | November | 2017 |
Enrollment into Coverage | Eligibility Requirements | Expanding Medicaid, Expanding the Electorate: The Affordable Care Act's Short-Term Impact on Political Participation - [Link] | Haselswerdt, Jake | University of Missouri | August | 2017 |
Enrollment into Coverage | Eligibility Requirements | The Impact of Medicaid Expansion on Voter Participation: Evidence from the Oregon Health Insurance Experiment - [Link] | Baicker, Katherine and Amy Finkelstein | University of Chicago and MIT | November | 2018 |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Insurer Participation on ACA Marketplaces, 2014-2019 - [Link] | Fehr, Rachel, Cynthia Cox and Larry Levitt | Kaiser Family Foundation | November | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Credentialing | Nurse Practitioners: A Solution to America's Primary Care Crisis - [Link] | Peter Buerhaus | American Enterprise Institute | September | 2018 |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | Employer-Sponsored Health Insurance at the State Level, 2013-2017: Chartbook and State Fact Sheets - [Link] | SHADAC | October | 2018 | |
Regulatory Environment | Reinsurance | Assessing the Effectiveness of State-Based Reinsurance: Case Studies of Three States’ Efforts to Bolster Their Individual Markets - [Link] | Schwab, Rachel, Emily Curran and Sabrina Corlette | Georgetown University Health Policy Institute | November | 2018 |
Health Outcomes | Meal Delivery Programs Reduce The Use Of Costly Health Care In Dually Eligible Medicare And Medicaid Beneficiaries [Journal Subscription Required] | Berkowitz, Seth A., Jean Terranova, Caterina Hill, Toyin Ajayi, Todd Linsky, Lori W. Tishler, Darren A. DeWalt | April | 2018 | ||
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Fragmented Ambulatory Care and Subsequent Healthcare Utilization Among Medicare Beneficiaries - [Link] | Kern, Lisa M. , Joanna K. Seirup, Mangala Rajan, Rachel Jawahar, Susan S. Stuard | Weill Cornell Medical College | October | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Patient-Centered, Value-Based Health Care Is Incompatible With The Current Climate Of Excessive Regulation - [Link] | O'Shea, John | Heritage Foundation | October | 2018 |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Diminishing Insurance Choices In The Affordable Care Act Marketplaces: A County-Based Analysis [Journal Subscription Required] | Griffith, Kevin, David K. Jones, Benjamin D. Sommers | Boston University/Harvard T.H. Chan School of Public Health | October | 2018 |
Enrollment into Coverage | Equity Considerations | Medicaid Expansion Improved Health Insurance Coverage For Immigrants, But Disparities Persist [Journal Subscription Required] | Stimpson, Jim P., Fernando A. Wilson | Drexel University/University of Nebraska | October | 2018 |
The Affordable Care Act’s Impact on Small Business - [Link] | Chase, David, John Arensmeyer | Small Business Majority | October | 2018 | ||
Enrollment into Coverage | Losses of Private Non-Group Health Insurance a Key Driver Behind 2017 Increase in Uninsurance - [Link] | Skopec, Laura | Urban Institute | September | 2018 | |
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | Impacts of the Elimination of the ACA’s Individual Health Insurance Mandate Penalty on the Nongroup Market in New York State [Journal Subscription Required] | Rao, Preethi, Sarah Nowak, Christine Eibner | RAND Corporation | September | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Payment and Delivery-System Reform — The Next Phase - [Link] | Pham, Hoangmai, Paul B. Ginsburg | September | 2018 | |
Enrollment into Coverage | Changes in Health Insurance Coverage 2013-2016 - [Link] | Skopec, Laura, John Holahan, Caroline Elmendorf | Urban Institute | September | 2018 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Medicare Spending after 3 Years of the Medicare Shared Savings Program - [Link] | McWilliams, J. Michael, Laura A. Hatfield, Bruce E. Landon, Pasha Hamed, Michael E. Chernew | September | 2018 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | A Test of Supply-side Explanations of Geographic Variation in Health Care Use [Journal Subscription Required] | Callison, Kevin, Robert Kaestner, Jason Ward | Tulane/University of Illinois | September | 2018 |
Health Outcomes | Quality of Care | Crossing the Global Health Care Quality Chasm: A Key Component of Universal Health Coverage - [Link] | Berwick, Donald, Megan Snair, Sania Nishtar | August | 2018 | |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Paying more for less? Insurer competition and health plan generosity in the Medicare Advantage program - Do not have access to full version through EBSCOhost: [Link] | Pelech, Daria | Congressional Budget Office | September | 2018 |
Health Outcomes | Quality of Care | Defensive Medicine: Evidence from Military Immunity [Journal Subscription Required] | Frakes, Michael D., Jonathan Gruber | July | 2018 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Performance Measurement | Personalized Hospital Ratings — Transparency for the Internet Age [Journal Subscription Required] | Rumball‑Smith, Juliet, Jill Gurvey, Mark W. Friedberg | August | 2018 | |
Enrollment into Coverage | Eligibility Requirements | Mitigating the Risks of Medicaid Work Requirements [Journal Subscription Required] | Ayanian, John Z., Renuka Tipirneni, Susan D. Goold | Institute for Healthcare Policy and Innovation at the University of Michigan - Ann Arbor | August | 2018 |
Regulatory Environment | Non-Compliant ACA Products | Views From the Market: Insurance Brokers’ Perspectives on Changes to Individual Health Insurance - [Link] | Lucia, Kevin, Sabrina Corlette, Dania Palanker, Olivia Hoppe | Georgetown University Health Policy Institute | August | 2018 |
Enrollment into Coverage | Premium Subsidies/Publicly Funded Coverage/Favorable Tax Treatment/Publicly Funded Reinsurance | Expanding Enrollment Without the Individual Mandate: Options to Bring More People into the Individual Market - [Link] | Eibner, Christine, Jodi Liu | RAND Corporation | August | 2018 |
Affordability/ Sustainability of Coverage | Provider Network Considerations | An Analysis of Out-of-Network Claims in Large Employer Health Plans - [Link] | Claxton, Gary, Matthew Rae, Cynthia Cox, Larry Levitt | Kaiser Family Foundation | August | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Does Spending More Get More? Health Care Delivery and Fiscal Implications From a Medicare Fee Bump - [Link] | Chen, Alice J., Amy J. Graves, Matthew J. Resnick, Michael R. Richards | August | 2018 | |
Enrollment into Coverage | Eligibility Requirements | Work and Community Engagement Requirements in Medicaid: State Implementation Requirements and Considerations - [Link] | Boozang, Patricia, Allison Orris, Mindy Lipson, Deborah Bachrach | Manatt Health | August | 2018 |
Regulatory Environment | Non-Compliant ACA Products | Health Care Sharing Ministries: What Are the Risks to Consumers and Insurance Markets? - [Link] | Volk, JoAnn, Emily Curran, Justin Giovannelli | Georgetown University | August | 2018 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs That Are Too High | Consumer Responses to Price Transparency Alone Versus Price Transparency Combined With Reference Pricing - [Link] (see also: https://www.nihcm.org/categories/how-can-we-increase-patient-shopping-for-high-value-providers) | Whaley, Christopher et al. | RAND Corporation | August | 2018 |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | Do Larger Health Insurance Subsidies Benefit Patients or Producers? Evidence from Medicare Advantage [Journal Subscription Required] | Cabral, Marika, Michael Geruso, Neale Mahoney | August | 2018 | |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Health Insurance Marketplaces: Issuer Participation and Premium Trends in Rural Places, 2018 - [Link] | Barker, Abigail R., Lindsey Nienstedt, Leah M. Kemper, Timothy D. McBride, Keith J. Mueller | Rural Policy Research Institute | August | 2018 |
Affordability/ Sustainability of Coverage | Provider Network Considerations | Scope Of Primary Care Physicians’ Participation In The Health Insurance Marketplaces [Journal Subscription Required] | Polsky, Daniel, Molly K. Candon, Paula Chatterjee, Xinwei Chen | UPENN Leonard Davis Institute of Health Economics | August | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Safeguarding Financial Stability of Provider Risk-Bearing Organizations - [Link] | Bailit Health/Georgetown University Center on Health Insurance Reforms | August | 2018 | |
Regulatory Environment | Non-Compliant ACA Products | Updated Estimates of the Potential Impact of Short-Term, Limited Duration Policies - [Link] | Blumberg, Linda J., Matthew Buettgens, Robin Wang | Urban Institute | August | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | An Assessment of the New York Health Act: A Single-Payer Option for New York State - [Link] | Liu, Jodi L., Chapin White, Sarah A. Nowak, Asa Wilks, Jamie Ryan, Christine Eibner | RAND Corporation | August | 2018 |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | High-Deductible Health Plan Enrollment Increased From 2006 To 2016, Employer-Funded Accounts Grew In Largest Firms [Journal Subscription Required] | Miller, G. Edward, Jessica P. Vistnes, Frederick Rohde, Patricia S. Keenan | AHRQ | August | 2018 |
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | How Would State-Based Individual Mandates Affect Health Insurance Coverage and Premium Costs? - [Link] | Blumberg, Linda J., Matthew Buettgens, John Holahan | Urban Institute | July | 2018 |
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | How Would State-Based Individual Mandates Affect Health Insurance Coverage and Premium Costs? - [Link] | Blumberg, Linda J., Matthew Buettgens, John Holahan | Urban Institute | July | 2018 |
Tracking 2019 Premium Changes on ACA Exchanges - [Link] | Kamal, Rabah, Cynthia Cox, Michelle Long, Ashley Semanskee, Larry Levitt | Kaiser Family Foundation | July | 2018 | ||
The Inevitable Math behind Entitlement Reform [Journal Subscription Required] | Chernew, Michael E., Austin B. Frakt | July | 2018 | |||
Medicaid Waiver Tracker: Which States Have Approved and Pending Section 1115 Medicaid Waivers? - [Link] | Kaiser Family Foundation | July | 2018 | |||
Tracking Section 1332 State Innovation Waivers - [Link] | Kaiser Family Foundation | July | 2018 | |||
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Evaluation of Medicare’s Bundled Payments Initiative for Medical Conditions [Journal Subscription Required] | Joynt Maddox, Karen E., E. John Orav, Jie Zheng, Arnold M. Epstein | July | 2018 | |
Affordability/ Sustainability of Coverage | Benefit Design: Covered Benefits | Behavioral Health Coverage In The Individual Market Increased After ACA Parity Requirements [Journal Subscription Required] | Cowell, Alexander J., Shivaani Prakash, Emily Jones, Alan Barnosky, Brendan Wedehase | RTI International/George Washington University | July | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | No Association Found Between The Medicaid Primary Care Fee Bump And Physician-Reported Participation In Medicaid [Journal Subscription Required] | Decker, Sandra L. | AHRQ | July | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Medicaid’s Path to Value-Based Reform [Journal Subscription Required] | Liao, Joshua M., Benjamin D. Sommers, Amol S. Navathe | July | 2018 | |
Affordability/ Sustainability of Coverage | Underlying Medical Costs That Are Too High | Are Health Care Services Shoppable? Evidence from the Consumption of Lower-Limb MRI Scans - [Link][Journal subscription required] | Chernew, Michael, Zack Cooper, Eugene Larsen-Hallock, Fiona Scott Morton | July | 2018 | |
Health Outcomes | Medicaid and Social Determinants of Health: Adjusting Payment and Measuring Health Outcomes - [Link] | Breslin, Ellen, Anissa Lambertino | Health Management Associates | July | 2018 | |
Health Outcomes | Quality of Care | The Value of Medicaid: How Coverage Impacts the Care of Serious Chronic Health Conditions 2018 - [Link] | America's Health Insurance Plans | November | 2018 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | A Health Equity and Value Framework for Action: Delivery and Payment Transformation Policy Options to Reduce Health Disparities - [Link] | Hernández-Cancio, Sinsi, Ellen Albritton, Eliot Fishman, Sophia Tripoli, Andrea Callow | Families USA | July | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Reimbursement Rates for Primary Care Services: Evidence of Spillover Effects to Behavioral Health [Journal Subscription Required] | Maclean, Johanna Catherine, Chandler McClellan, Michael F. Pesko, Daniel Polsky | July | 2018 | |
Enrollment into Coverage | Insuring Rural America: Health Insurance Challenges and Opportunities - [Link] | Mueller, Keith J., Charlie Alfero, Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, Timothy D. McBride, Abigail Barker | Rural Policy Research Institute | July | 2018 | |
Regulatory Environment | Reinsurance | Stabilizing and strengthening the individual health insurance market: A view from ten states - [Link] | Hall, Mark | Wake Forest University | July | 2018 |
Enrollment into Coverage | Eligibility Requirements | Implications of a Medicaid Work Requirement: National Estimates of Potential Coverage Losses - [Link] | Garfield, Rachel, Robin Rudowitz, MaryBeth Musumeci | Kaiser Family Foundation | June | 2018 |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | Individual Insurance Market Performance in Early 2018 - [Link] | Semanskee, Ashley, Cynthia Cox, Larry Levitt | Kaiser Family Foundation | June | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Global Budgets in Maryland: Assessing Results to Date [Journal Subscription Required] | Sharfstein, Joshua M., Elizabeth A. Stuart, Joseph Antos | Johns Hopkins | June | 2018 |
Change in Number of Carriers Offering Off-Exchange Only Plans by County - [Link] | Hempstead, Katherine | RWJF | June | 2018 | ||
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | What Explains 2018's Marketplace Enrollment Rates? - [Link] | Burton, Rachel A., Rebecca A. Peters, Erik Wengle, Caroline Elmendorf, Joshua Aarons | Urban Institute | June | 2018 |
Enrollment into Coverage | Eligibility Requirements | Implications of Work Requirements in Medicaid: What Does the Data Say? - [Link] | Garfield, Rachel, Robin Rudowitz, MaryBeth Musumeci, Anthony Damico | Kaiser Family Foundation | June | 2018 |
Regulatory Environment | Non-Compliant ACA Products | What Is the Impact on Enrollment and Premiums if the Duration of Short-Term Health Insurance Plans Is Increased? - [Link] | Rao, Preethi, Sarah Nowak, Christine Eibner | RAND Corporation | June | 2018 |
Current Evidence on Health Behavior Incentives in the Medicaid Program - [Link] | Saunders, Rob, Madhu Vulimiri, Mark Japinga, William Bleser, Charlene Wong | Duke-Margolis Center for Health Policy | June | 2018 | ||
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | TV Advertising Volumes Were Associated With Insurance Marketplace Shopping And Enrollment In 2014 [Journal Subscription Required] | Gollust, Sarah E., Andrew Wilcock, Erika Franklin Fowler, Colleen L. Barry, Jeff Niederdeppe, Laura Baum, Pinar Karaca-Mandic | June | 2018 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | The Comprehensive Primary Care Initiative: Effects On Spending, Quality, Patients, And Physicians [Journal Subscription Required] | Peikes, Deborah, Stacy Dale, Arkadipta Ghosh, Erin Fries Taylor, Kaylyn Swankoski, Ann S. O’Malley, Timothy J. Day, Nancy Duda, Pragya Singh, Grace Anglin, Laura L. Sessums, Randall S. Brown | Mathematica | June | 2018 |
Enrollment into Coverage | Eligibility Requirements | The Effects Of Medicaid Expansion Under The ACA: A Systematic Review [Journal Subscription Required] | Mazurenko, Olena, Casey P. Balio, Rajender Agarwal, Aaron E. Carroll, Nir Menachemi | Indiana University Center for Health Reform | June | 2018 |
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | How Did the ACA’s Individual Mandate Affect Insurance Coverage? Evidence from Coverage Decisions by Higher-Income People - [Link] | Fiedler, Matthew | USC-Brookings Schaeffer Initiative for Health Policy | May | 2018 |
Enrollment into Coverage | Eligibility Requirements | Implications of the ACA Medicaid Expansion: A Look at the Data and Evidence - [Link] | Rudowitz, Robin, Larisa Antonisse | Kaiser Family Foundation | May | 2018 |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | Individual Insurance Market Performance in 2017 - [Link] | Semanskee, Ashley, Cynthia Cox, Larry Levitt | Kaiser Family Foundation | May | 2018 |
Enrollment into Coverage | Eligibility Requirements | The Implications of Medicaid Expansion in the Remaining States - [Link] | Buettgens, Matthew | Urban Institute | May | 2018 |
Regulatory Environment | Non-Compliant ACA Products | New Rules to Expand Association Health Plans - [Link] | Corlette, Sabrina, Josh Hammerquist and Pete Nakahata | Georgetown University Health Policy Institute | May | 2018 |
Enrollment into Coverage | Eligibility Requirements | Medicaid Buy-In: State Options, Design Considerations and Section 1332 Waiver Implications - [Link] | Manatt Health | May | 2018 | |
Regulatory Environment | Non-Compliant ACA Products | Proposals for Insurance Options That Don’t Comply with ACA Rules: Trade-offs In Cost and Regulation - [Link] | Pollitz, Karen, Gary Claxton | Kaiser Family Foundation | April | 2018 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs That Are Too High | Promise and Reality of Price Transparency [Journal Subscription Required] | Mehrotra, Ateev, Michael E. Chernew, Anna D. Sinaiko | April | 2018 | |
Enrollment into Coverage | Equity Considerations | How the Affordable Care Act Has Affected Health Coverage for Young Men with Higher Incomes - [Link] | Glied, Sherry, Ougni Chakraborty | New York University's Robert F. Wagner Graduate School of Public Service | April | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Changes In Hospital Utilization Three Years Into Maryland’s Global Budget Program For Rural Hospitals [Journal Subscription Required] | Roberts, Eric T., Laura A. Hatfield, J. Michael McWilliams, Michael E. Chernew, Nicolae Done, Sule Gerovich, Lauren Gilstrap, Ateev Mehrotra | April | 2018 | |
Health Outcomes | State Health Policy Highlights: Service Integration and Joint Accountability Across State Agencies and Programs - [Link] | Bailit Health | September | 2018 | ||
Enrollment into Coverage | Effects Of The ACA’s Health Insurance Marketplaces On The Previously Uninsured: A Quasi-Experimental Analysis [Journal Subscription Required] | Goldman, Anna L., Danny McCormick, Jennifer S. Haas, Benjamin D. Sommers | Harvard/Cambridge Health Alliance/Brigham & Women's | April | 2018 | |
Regulatory Environment | Non-Compliant ACA Products | State Regulation of Coverage Options Outside of the Affordable Care Act: Limiting the Risk to the Individual Market - [Link] | Lucia, Kevin, Justin Giovannelli, Sabrina Corlette, JoAnn Volk, Dania Palanker, Maanasa Kona, Emily Curran | Georgetown University Health Policy Institute | March | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | A Path to Sustain Rural Hospitals [Journal Subscription Required] | Murphy, Karen M., Lauren S. Hughes, Patrick Conway | March | 2018 | |
How Did State-Run Health Insurance Marketplaces Fare in 2017? - [Link] | Giovannelli, Justin, Emily Curran | Georgetown University Health Policy Institute | March | 2018 | ||
Changes in Marketplace Premiums, 2017 to 2018 - [Link] | Holahan, John, Linda J. Blumberg, Erik Wengle | Urban Institute | March | 2018 | ||
Enrollment into Coverage | Health Reform and Changes in Health Insurance Coverage in 2017 - [Link] | Sommers, Benjamin D., Kathryn L. Clark, Arnold M. Epstein | Harvard T. H. Chan School of Public Health | March | 2018 | |
Regulatory Environment | Non-Compliant ACA Products | Updated: The Potential Impact of Short-Term Limited-Duration Policies on Insurance Coverage, Premiums, and Federal Spending - [Link] | Blumberg, Linda J., Matthew Buettgens, Robin Wang | Urban Institute | March | 2018 |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Competition and Premium Costs in Single-Insurer Marketplaces: A Study of Five Rural States - [Link] | Gabel, Jon R., Heidi Whitmore, Matthew Green, Sam Stromberg | NORC at the University of Chicago | March | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Medicaid Payment and Delivery Reform: Insights from Managed Care Plan Leaders in Medicaid Expansion States - [Link] | Rosenbaum, Sara, Rachel Gunsalus, Maria Velasquez, Shyloe Jones, Sara Rothenberg, J. Zoë Beckerman | The George Washington University Milken Institute School of Public Health | March | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | To Fix the Hospital Readmissions Program, Prioritize What Matters [Journal Subscription Required] | Jha, Ashish K. | Harvard T. H. Chan School of Public Health | February | 2018 |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | New Risk-Adjustment Policies Reduce But Do Not Eliminate Special Enrollment Period Underpayment [Journal Subscription Required] | Dorn, Stan, Bowen Garrett, Marni Epstein | Urban Institute | February | 2018 |
Enrollment into Coverage | Eligibility Requirements | Medicaid Versus Marketplace Coverage For Near-Poor Adults: Effects On Out-Of-Pocket Spending And Coverage [Journal Subscription Required] | Blavin, Fredric, Michael Karpman, Genevieve M. Kenney, Benjamin D. Sommers | Urban Institute/Harvard T. H. Chan School of Public Health | January | 2018 |
Enrollment into Coverage | Eligibility Requirements | The Implications of a Medicaid Buy-In Proposal - [Link] | Holahan, John, Linda J. Blumberg | Urban Institute | January | 2018 |
Regulatory Environment | Non-Compliant ACA Products | State Options to Protect Consumers and Stabilize the Market: Responding to President Trump’s Executive Order on Association Health Plans - [Link] | Corlette, Sabrina | Georgetown University Health Policy Institute | January | 2018 |
Affordability/ Sustainability of Coverage | Presence/Absence of Provider Competition | Understanding The Relationship Between Medicaid Expansions And Hospital Closures [Journal Subscription Required] | Lindrooth, Richard C., Marcelo C. Perraillon, Rose Y. Hardy, Gregory J. Tung | University of Colorado | January | 2018 |
Enrollment into Coverage | Eligibility Requirements | Work Requirements in Social Safety Net Programs: A Status Report of Work Requirements in TANF, SNAP, Housing Assistance, and Medicaid - [Link] | Hahn, Heather, Eleanor Pratt, Eva H. Allen, Genevieve M. Kenney, Diane K. Levy, Elaine Waxman | Urban Institute | December | 2017 |
Enrollment into Coverage | What’s at Stake: States’ Progress on Health Coverage and Access to Care, 2013–2016 - [Link] | Hayes, Susan L., Sara R. Collins, David Radley, Douglas McCarthy | Commonwealth Fund | December | 2017 | |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | The Big Five Health Insurers’ Membership And Revenue Trends: Implications For Public Policy [Journal Subscription Required] | Schoen, Cathy | New York Academy of Medicine | December | 2017 |
Is the Affordable Care Act Helping Consumers Get Health Care? Findings from the Commonwealth Fund Affordable Care Act Tracking Survey, March–June 2017 - [Link] | Gunja, Munira Z., Sara R. Collins, Herman K. Bhupal | Commonwealth Fund | December | 2017 | ||
Enrollment into Coverage | Eligibility Requirements | Medicaid Expansion And Marketplace Eligibility Both Increased Coverage, With Trade-Offs In Access, Affordability [Journal Subscription Required] | Selden, Thomas M., Brandy J. Lipton, Sandra L. Decker | AHRQ | December | 2017 |
How Premiums Are Changing In 2018 - [Link] | Semanskee, Ashley, Gary Claxton, Larry Levitt | Kaiser Family Foundation | November | 2017 | ||
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Stepping into the Breach: How States and Insurers Worked Together to Prevent Bare Counties for 2018 - [Link] | Lucia, Kevin, Jack Hoadley, Sabrina Corlette, Dania Palanker, Olivia Hoppe | Georgetown University Health Policy Institute/Urban Institute | November | 2017 |
Affordability/ Sustainability of Coverage | Provider Network Considerations | Exploring the Decline of Narrow Networks on the ACA Marketplaces in 2017 - [Link] | Polsky, Daniel, Janet Weiner, Yuehan Zhang | UPENN Leonard Davis Institute of Health Economics | November | 2017 |
How Have Providers Responded to the Increased Demand for Health Care Under the Affordable Care Act? - [Link] | Wishner, Jane B., Rachel A. Burton | Urban Institute | November | 2017 | ||
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Medicaid Payment and Delivery System Reform: Early Insights from 10 Medicaid Expansion States - [Link] | Rosenbaum, Sara, Sara Schmucker, Sara Rothenberg, Rachel Gunsalus, J. Zoë Beckerman | The George Washington University Milken Institute School of Public Health | October | 2017 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Assessing Changes to Medicaid Managed Care Regulations: Facilitating Integration of Physical and Behavioral Health Care - [Link] | Edwards, Elizabeth | National Health Law Program | October | 2017 |
Enrollment into Coverage | Premium Subsidies/Publicly Funded Coverage/Favorable Tax Treatment/Publicly Funded Reinsurance | Options to Expand Health Insurance Enrollment in the Individual Market - [Link] | Eibner, Christine, Jodi Liu | RAND Corporation | October | 2017 |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | How Well Does Insurance Coverage Protect Consumers from Health Care Costs? Findings from the Commonwealth Fund Biennial Health Insurance Survey, 2016 - [Link] | Collins, Sara R., Munira Z. Gunja, Michelle M. Doty | Commonwealth Fund | October | 2017 |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | How Have Health Insurers Performed Financially Under the ACA's Market Rules? - [Link] | McCue, Michael J., Mark A. Hall | October | 2017 | |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | High-Deductible Health Plans Reduce Health Care Cost And Utilization, Including Use Of Needed Preventive Services [Journal Subscription Required] | Agarwal, Rajender, Olena Mazurenko, Nir Menachemi | Indiana University Center for Health Reform | October | 2017 |
Enrollment into Coverage | Equity Considerations | Health Care In The Suburbs: An Analysis Of Suburban Poverty And Health Care Access [Journal Subscription Required] | Schnake-Mahl, Alina S., Benjamin D. Sommers | Harvard T. H. Chan School of Public Health | October | 2017 |
Stabilizing and Strengthening ACA Nongroup Markets - [Link] | Blumberg, Linda J., John Holahan | Urban Institute | September | 2017 | ||
Enrollment into Coverage | Following the ACA Repeal-and-Replace Effort, Where Does the U.S. Stand on Insurance Coverage? Findings from the Commonwealth Fund Affordable Care Act Tracking Survey, March–June 2017 - [Link] | Collins, Sara R., Munira Z. Gunja, Michelle M. Doty | Commonwealth Fund | September | 2017 | |
Affordability/ Sustainability of Coverage | Provider Network Considerations | Narrow Networks On The Health Insurance Marketplaces: Prevalence, Pricing, And The Cost Of Network Breadth [Journal Subscription Required] | Dafny, Leemore S., Igal Hendel, Victoria Marone, Christopher Ody | Harvard/Northwestern University | September | 2017 |
Affordability/ Sustainability of Coverage | Provider Network Considerations | Networks In ACA Marketplaces Are Narrower For Mental Health Care Than For Primary Care [Journal Subscription Required] | Zhu, Jane M., Yuehan Zhang, Daniel Polsky | UPENN Leonard Davis Institute of Health Economics | September | 2017 |
Affordability/ Sustainability of Coverage | Provider Network Considerations | A Better Approach to Regulating Provider Network Adequacy - [Link] | Hall, Mark A., Paul B. Ginsburg | USC-Brookings Schaeffer Initiative for Health Policy | September | 2017 |
Enrollment into Coverage | Sustained Gains In Coverage, Access, And Affordability Under The ACA: A 2017 Update [Journal Subscription Required] | Long, Sharon K., Lea Bart, Michael Karpman, Adele Shartzer, Stephen Zuckerman | Urban Institute | September | 2017 | |
Enrollment into Coverage | Medicaid Waivers Should Further Program Objectives, Not Impose Barriers to Coverage and Care - [Link] | Center on Budget and Policy Priorities | August | 2017 | ||
Enrollment into Coverage | Equity Considerations | Reducing Racial and Ethnic Disparities in Access to Care: Has the Affordable Care Act Made a Difference? - [Link] | Hayes, Susan L., Pamela Riley, David Radley, Douglas McCarthy | Commonwealth Fund | August | 2017 |
Proposed Medicaid Section 1115 Waivers in Maine and Wisconsin - [Link] | Kaiser Family Foundation | August | 2017 | |||
Affordability/ Sustainability of Coverage | Insurer Financial Performance | Pairing Risk Adjustment to Support State 1332 Waiver Activities --Lessons Learned from a Minnesota Legislative Study - [Link] | Milliman | August | 2017 | |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | The Risk and the Adjustment: Managing ACA Marketplace Selection Risk if Cost-Sharing Reductions Fall Short - [Link] | Milliman | August | 2017 | |
Enrollment into Coverage | Eligibility Requirements | How Medicaid Expansion Affected Out-of-Pocket Health Care Spending of Low-Income Families - [Link] | Commonwealth Fund | August | 2017 | |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | Individual Insurance Market Performance in Early 2017 - [Link] | Kaiser Family Foundation | July | 2017 | |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | An Early Look at 2018 Premium Changes and Insurer Participation on ACA Exchanges - [Link] | Kaiser Family Foundation | July | 2017 | |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | Stabilizing the Individual Market: Risk Adjustment and Risk Mitigation - [Link] | Urban Institute | June | 2017 | |
A Better Resolution to the Medicaid Expansion Divide - [Link] | Ameican Enterprise Institute | June | 2017 | |||
Regulatory Environment | Rate Setting/Rate Review | The State of the ACA Marketplaces: Making Sense of Individual Market Rate Filings - [Link] | Center on Budget and Policy Priorities | June | 2017 | |
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | Automatic Enrollment in Health Insurance Would Be Complex and Difficult to Administer - [Link] | Center on Budget and Policy Priorities | June | 2017 | |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | State Efforts to Lower Cost-Sharing Barriers to Health Care for the Privately Insured - [Link] | Urban Institute | June | 2017 | |
The basis for compromise on Medicaid reform and expansion - [Link] | Ameican Enterprise Institute | June | 2017 | |||
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | The Senate Should Build Automatic Enrollment Into Health Reform. Here's How. - [Link] | Capretta, Chen | June | 2017 | |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | The Effects of Premiums and Cost Sharing on Low-Income Populations: Updated Review of Research Findings - [Link] | Kaiser Family Foundation | June | 2017 | |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | Gaps in Coverage Among People With Pre-Existing Conditions - [Link] | Kaiser Family Foundation | June | 2017 | |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Insurer Participation on ACA Marketplaces, 2014-2017 - [Link] | Kaiser Family Foundation | June | 2017 | |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | Developing and Implementing Health Savings Accounts in Medicaid: Lessons from Pioneering States - [Link] | Vanderbilt University School of Medicine | June | 2017 | |
Regulatory Environment | New ways to fund Medicaid | Capping Medicaid: How Per Capita Caps Would Affect Long-Term Services & Supports and Home Care Jobs - [Link] | Center for Consumer Engagement in Health Innovation | June | 2017 | |
Cost Sharing, Payment Enforcement, and Healthy Behavior Programs in Medicaid: Lessons in Pioneering States - [Link] | Vanderbilt University School of Medicine | June | 2017 | |||
The Impact of the AHCA on Federal and State Medicaid Spending and Medicaid Coverage: An Update - [Link] | Urban Institute | June | 2017 | |||
Regulatory Environment | Risk Pooling Considerations | High-Risk Pools Under the AHCA: How Much Could Coverage Cost Enrollees and the Federal Government? - [Link] | Urban Institute | May | 2017 | |
Effect of the Affordable Care Act on Health Care Access - [Link] | NYU School of Public Service/DaVita Kidney Care/Village Health | May | 2017 | |||
How Arizona Medicaid Accelerated the Integration of Physical and Behavioral Health Services - [Link] | Manatt Health | May | 2017 | |||
Affordability/ Sustainability of Coverage | Insurer Financial Performance | Hospital networks: Perspective from three years of exchanges - [Link] | McKinsey | May | 2017 | |
Regulatory Environment | New ways to fund Medicaid | State Variation in Medicaid Per Enrollee Spending for Seniors and People with Disabilities - [Link] | Kaiser Family Foundation | May | 2017 | |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | Financial Performance of Health Insurers: State-Run Versus Federal-Run Exchanges - [Link] | Commonwealth Fund | May | 2017 | |
Enrollment into Coverage | Premium Subsidies/Publicly Funded Coverage/Favorable Tax Treatment/Publicly Funded Reinsurance | Premium Tax Credits Tied to Age Versus Income and Available Premiums: Differences by Age, Income, and Geography - [Link] | Urban Institute | May | 2017 | |
Health Outcomes | Quality of Care | Geographic Variation in Quality of Care for Commercially Insured Patients - [Link] | Harvard HealthCare Markets and Regulation Lab | May | 2017 | |
Regulatory Environment | New ways to fund Medicaid | EFFECTS OF THE MEDICAID PER CAPITA CAP INCLUDED IN THE HOUSE-PASSED AMERICAN HEALTH CARE ACT - [Link] | Brookings Institution | May | 2017 | |
Enrollment into Coverage | Eligibility Requirements | The Impact of the ACA's Medicaid Expansion on Hospitals' Uncompensated Care Burden and the Potential Effects of Repeal - [Link] | Commonwealth Fund | May | 2017 | |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | The Effects of Ending the Affordable Care Act’s Cost-Sharing Reduction Payments - [Link] | Kaiser Family Foundation | April | 2017 | |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | Insurer Financial Performance in the Early Years of the Affordable Care Act - [Link] | Kaiser Family Foundation | April | 2017 | |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | Insurer Financial Performance in the Early Years of the Affordable Care Act - [Link] | Cox, Cynthia, Larry Levitt, Gary Claxton | Kaiser Family Foundation | April | 2017 |
Regulatory Environment | Non-Compliant ACA Products | Milliman Provides One of My Holy Grails: Hard Off-Exchange Enrollment Data (Blog Post) - [Link] | Gaba, Charles | ACASignups.net | April | 2017 |
Summary of Individual Market Enrollment and Affordable Care Act Subsidies - [Link] | Milliman | April | 2017 | |||
Regulatory Environment | Reinsurance | Risk Adjustment, Reinsurance Improved Financial Outcomes For Individual Market Insurers With The Highest Claims - [Link] | Health Affairs (via AHRQ/CCIIO) | March | 2017 | |
Regulatory Environment | New ways to fund Medicaid | Medicaid Restructuring Under the American Health Care Act and Implications for Behavioral Health in the US - [Link] | Kaiser Family Foundation | March | 2017 | |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | Impact of Cost Sharing Reductions on Deductibles and Out-Of-Pocket Limits - [Link] | Kaiser Family Foundation | March | 2017 | |
Health Insurance Premiums Under the ACA vs. AHCA: County-Level Data - [Link] | Kaiser Family Foundation | March | 2017 | |||
Affordability/ Sustainability of Coverage | Insurer Financial Performance | 2015 Commercial Health Insurance: Overview of Financial Results - [Link] | Milliman | March | 2017 | |
Regulatory Environment | Reinsurance | 2015 Commercial Health Insurance: Overview of Financial Results - [Link] | Milliman | March | 2017 | |
Regulatory Environment | New ways to fund Medicaid | The Impact of Per Capita Caps on Federal and State Medicaid Spending - [Link] | Urban Institute | March | 2017 | |
Affordability/ Sustainability of Coverage | Benefit Design: Covered Benefits | Are Essential Health Benefits Here to Stay? - [Link] | Milliman | March | 2017 | |
Regulatory Environment | New ways to fund Medicaid | How Will Repealing the ACA Affect Medicaid? Impact on Health Care Coverage, Delivery, and Payment - [Link] | The George Washington University Milken Institute School of Public Health | March | 2017 | |
Enrollment into Coverage | Insurance Coverage, Access to Care, and Medical Debt Since the ACA: A Look at California, Florida, New York, and Texas - [Link] | Commonwealth Fund | March | 2017 | ||
Enrollment into Coverage | Eligibility Requirements | Medicaid and Work Requirements - [Link] | Kaiser Family Foundation | March | 2017 | |
Enrollment into Coverage | Premium Subsidies/Publicly Funded Coverage/Favorable Tax Treatment/Publicly Funded Reinsurance | How Affordable Care Act Repeal and Replace Plans Might Shift Health Insurance Tax Credits - [Link] | Kaiser Family Foundation | March | 2017 | |
Regulatory Environment | Risk Pooling Considerations | Invisible High-Risk Pools: How Congress Can Lower Premiums And Deal With Pre-Existing Conditions - [Link] | Allumbaugh, Joel, Tarren Bragdon, Josh Achambault | March | 2017 | |
Key Themes in Section 1115 Medicaid Expansion Waivers - [Link] | Kaiser Family Foundation | March | 2017 | |||
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | Efforts to Support Consumer Enrollment Decisions Using Total Cost Estimators: Lessons from the Affordable Care Act’s Marketplaces - [Link] | Georgetown University | February | 2017 | |
Regulatory Environment | New ways to fund Medicaid | Medicaid Per Capita Cap Would Shift Costs and Risks to States and Harm Millions of Beneficiaries - [Link] | Center on Budget and Policy Priorities | February | 2017 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Building the Coverage Continuum: The Role of State Medicaid Directors and Insurance Commissioners - [Link] | Manatt Health | February | 2017 | |
Enrollment into Coverage | How the Affordable Care Act Has Improved Americans’ Ability to Buy Health Insurance on Their Own - [Link] | Commonwealth Fund | February | 2017 | ||
Evidence from the Private Option: The Arkansas Experience - [Link] | Harvard HealthCare Markets and Regulation Lab | February | 2017 | |||
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Implementing the Affordable Care Act: Promoting Competition in the Individual Marketplaces - [Link] | Georgetown University | February | 2017 | |
Affordability/ Sustainability of Coverage | Benefit Design: Covered Benefits | Mental Health Parity’s Limited Impact on Utilization and Access for Health Plan Beneficiaries - [Link] | UC Denver/Health Care Cost Institute/NASHP | February | 2017 | |
Affordability/ Sustainability of Coverage | Does Unrestricted Access to Physical Therapy Reduce Utilization and Health Spending? - [Link] | University of Washington/Health Care Cost Institute/NASHP | February | 2017 | ||
Affordability/ Sustainability of Coverage | Presence/Absence of Provider Competition | Does Independent Scope of Practice Affect Prescribing Outcomes, Healthcare Costs, and Utilization? - [Link] | UC San Francisco/Health Care Cost Institute/NASHP | February | 2017 | |
Affordability/ Sustainability of Coverage | Presence/Absence of Provider Competition | Medicaid Expansion Under the ACA - [Link] | UChicago/Health Care Cost Institute/NASHP | February | 2017 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Using Data to Lower Costs: California’s Reference-Based Payment Experience and Implications for Other States - [Link] | UC Berkeley/Health Care Cost Institute/NASHP | February | 2017 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | An Examination of Private Payer Reimbursements to Primary Care Providers for Healthcare Services Using Telehealth, United States 2009–2013 - [Link] | U Nebraska Medical Center/Health Care Cost Institute/NASHP | February | 2017 | |
Regulatory Environment | Non-Compliant ACA Products | Grandfathered, Grandmothered, And ACA-Compliant Health Plans Have Equivalent Premiums - [Link] | Commonwealth Fund | February | 2017 | |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | Impact of Changing ACA Age Rating Structure - [Link] | Milliman | January | 2017 | |
Enrollment into Coverage | Eligibility Requirements | ACA Medicaid Expansion Costs Falling, as Expected - [Link] | Center on Budget and Policy Priorities | January | 2017 | |
Regulatory Environment | Reinsurance | High Premiums in Nongroup Insurance Markets: Identifying Causes and Possible Remedies - [Link] | Urban Institute | January | 2017 | |
Affordability/ Sustainability of Coverage | Regulatory Uncertainty | Uncertain Future for Affordable Care Act Leads Insurers to Rethink Participation, Prices - [Link] | Center for Health Insurance Reforms | January | 2017 | |
An Evaluation of the Individual Health Insurance Market and Implications of Potential Changes - [Link] | American Academy of Actuaries | January | 2017 | |||
Current Flexibility in Medicaid: An Overview of Federal Standards and State Options - [Link] | Kaiser Family Foundation | January | 2017 | |||
Enrollment into Coverage | Eligibility Requirements | An Early Look at Medicaid Expansion Waiver in Michigan and Indiana - [Link] | Kaiser Family Foundation | January | 2017 | |
Enrollment into Coverage | A Long Way in a Short Time: States' Progress on Health Care Coverage and Access, 2013–2015 - [Link] | Commonwealth Fund | December | 2016 | ||
Enrollment into Coverage | How Much of a Factor Is the Affordable Care Act in the Declining Uninsured Rate? - [Link] | NYU School of Public Service/DaVita Kidney Care/NYC Health + Hospitals | December | 2016 | ||
Enrollment into Coverage | Eligibility Requirements | Pre-existing Conditions and Medical Underwriting in the Individual Insurance Market Prior to the ACA - [Link] | Kaiser Family Foundation | December | 2016 | |
State Expenditure Report Fiscal 2014 - 2016 - [Link] | National Association of State Budget Officers | November | 2016 | |||
Regulatory Environment | New ways to fund Medicaid | What Would Block Grants or Limits on Per Capita Spending Mean for Medicaid? - [Link] | The George Washington University Milken Institute School of Public Health | November | 2016 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Integrating Medicaid Supplemental Payments into Value-Based Purchasing - [Link] | Manatt Health | November | 2016 | |
Enrollment into Coverage | ObamaCare Expansion Enrollment is Shattering Projections - [Link] | Foundation for Government Accountability | November | 2016 | ||
Health Plan Choice and Premiums in the 2017 Health Insurance Marketplace - [Link] | ASPE | October | 2016 | |||
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | Solving Surprise Medical Bills - [Link] | Hall, Mark A., Paul B. Ginsburg, Steven M. Lieberman, Loren Adler, Caitlin Brandt, Margaret Darling | USC-Brookings Schaeffer Initiative for Health Policy | October | 2016 |
Regulatory Environment | New ways to fund Medicaid | Block Grants and per Capita Caps: The Problem of Funding Disparities among States - [Link] | Urban Institute | September | 2016 | |
Evidence is Mounting: The Affordable Care Act Has Worsened Medicaid's Structural Problems - [Link] | Mercatus Center | September | 2016 | |||
Regulatory Environment | Reinsurance | Explaining Health Care Reform: Risk Adjustment, Reinsurance, and Risk Corridors - [Link] | Kaiser Family Foundation | August | 2016 | |
Enrollment into Coverage | Eligibility Requirements | The Cost to States of Not Expanding Medicaid - [Link] | The Urban Institute | August | 2016 | |
Americans’ Experiences with ACA Marketplace Coverage: Affordability and Provider Network Satisfaction: Findings from the Commonwealth Fund Affordable Care Act Tracking Survey, February–April 2016 - [Link] | Commonwealth Fund | July | 2016 | |||
Indiana Healthy Indiana Plan 2.0: Interim Evaluation Report - [Link] | The Lewin Group | July | 2016 | |||
Enrollment into Coverage | Eligibility Requirements | What if More States Expanded Medicaid in 2017? Changes in Eligibility, Enrollment, and the Uninsured - [Link] | The Urban Institute | July | 2016 | |
Regulatory Environment | Non-Compliant ACA Products | Promoting Value for Consumers: Comparing Individual Health Insurance Markets Inside and Outside the ACA’s Exchanges - [Link] | McCue, Michael, Mark Hall | Virginia Commonwealth Univ./Wake Forest Univ. | June | 2016 |
Regulatory Environment | Non-Compliant ACA Products | The ACA and Risk Pools — Insurer Losses in the Setting of Noncompliant Plans - [Link] | Harvard HealthCare Markets and Regulation Lab | June | 2016 | |
Affordability/ Sustainability of Coverage | Underlying Medical Costs That Are Too High | Association Between Availability of a Price Transparency Tool and Outpatient Spending - [Link] | Harvard HealthCare Markets and Regulation Lab | May | 2016 | |
Regulatory Environment | Reinsurance | Tradeoffs in the Design of Health Plan Payment Systems: Fit, Power and Balance - [Link] | Harvard HealthCare Markets and Regulation Lab | May | 2016 | |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | Cost-Sharing Obligations, High-Deductible Health Plan Growth, and Shopping for Health Care: Enrollees With Skin in the Game - [Link] | Harvard HealthCare Markets and Regulation Lab | March | 2016 | |
Implementation in Michigan and Indiana - [Link] | University of Arkansas/Arkansas Center for Health Improvement (ACHI) | March | 2016 | |||
Health Behaviors Incentive Program Evaluation Interim Report - [Link] | University of Iowa Public Policy Center | March | 2016 | |||
Regulatory Environment | Non-Compliant ACA Products | How Many Grandfathered or Transitional Plans Are Still Around Anyway? (Blog Post) - [Link] | Gaba, Charles | ACASignups.net | February | 2016 |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | Implications of a Finding for the Plaintiffs in House v Burwell - [Link] | Urban Institute | January | 2016 | |
Health Outcomes | Improving Care for Medicaid Beneficiaries Experiencing Homelessness - [Link] | Wilkins, Carol | October | 2015 | ||
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | The Affordable Care Act at 5 Years - [Link] | Commonwealth Fund | June | 2015 | |
Enrollment into Coverage | Eligibility Requirements | Medicaid Expansion, the Private Option, and Personal Responsibility Requirements: The Use of Section 1115 Waivers to Implement Medicaid Expansion Under the ACA - [Link] | Urban Institute | May | 2015 | |
Regulatory Environment | Non-Compliant ACA Products | Short-term, Limited-duration Insurance and Excepted Benefits - [Link] | Center for Health Insurance Reforms | January | 2015 | |
State Innovation Models (SIM) Initiative Evaluation - [Link] | RTI International/Urban Institute/NASHP | July | 2014 | |||
Enrollment into Coverage | Eligibility Requirements | Medicaid Expansion under the ACA: Dollars and Sense? - [Link] | Ameican Enterprise Institute | April | 2014 | |
Change in Average Marketplace Premiums by Metal Tier - [Link] | Kaiser Family Foundation | 2018 | ||||
Affordability/ Sustainability of Coverage | Insurer Financial Performance | 2016 Actuarial Report On the Financial Outlook for Medicaid - [Link] | Department of Health and Human Services | 2017 | ||
Regulatory Environment | Reinsurance | Risk Corridors and Reinsurance in Health Insurance Marketplaces: Insurance for Insurers - [Link] | Harvard HealthCare Markets and Regulation Lab | 2016 | ||
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Population Health in Medicaid Delivery System Reforms - [Link] | CHCS/Northeastern University | 2015 | ||
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Medicaid Managed Care Market Tracker - [Link] | Kaiser Family Foundation | |||
Affordability/ Sustainability of Coverage | What is "Affordable" Healthcare? A Review of Concepts to Guide Policymakers [Link] | Weiner, Janet and Aaron Glickman | UPENN Leonard Davis Institute of Health Economics/ United States of Care | November | 2018 | |
Affordability/ Sustainability of Coverage | Benefit Design: Covered Benefits | How Would Americans’ Out-of-Pocket Costs Change If Insurance Plans Were Allowed to Exclude Coverage of Preexisting Conditions? [Link] | Glied, Sherry A. and Adlan Jackson | New York University's Robert F. Wagner Graduate School of Public Service | November | 2018 |
Affordability/ Sustainability of Coverage | Benefit Design: Covered Benefits | The Health of the Small-Group Insurance Market [Link] | Hall, Mark A. and Michael J. McCue | Wake Forest University/ Virginia Commonwealth University | October | 2018 |
Enrollment into Coverage | Eligibility Requirements | Medicaid Work Requirements: Will They Help the Unemployed Gain Jobs or Improve Health? [Link] | Ku, Leighton, Erin Brantley, Erika Steinmetz, Brian Bruen and Drishti Pillai | George Washington University | November | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Physician Practices Joining Early ACOs Were Large and Capable, but Performance Was Modest [Link] | Shortell, Stephen M. and Lawrence P. Casalino | University of California, Berkeley, School of Public Health/ Weill Cornell Medical College | October | 2018 |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Why Are the Health Insurance Marketplaces Thriving in Some States but Struggling in Others? [Link] | Gabel, Jon R., Heidi Whitmore, Sam Stromberg and Matthew Green | NORC at the University of Chicago | November | 2018 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs That Are Too High | Firm Responses to Targeted Consumer Incentives: Evidence from Reference Pricing for Surgical Services [Journal subscription required] | Whaley, Christopher M. and Timothy T. Brown | RAND Corporation/ University of California, Berkeley, School of Public Health | September | 2018 |
Enrollment into Coverage | Equity Considerations | Who Entered and Exited the Individual Health Insurance Market Before and After the Affordable Care Act? Evidence from the Medical [Link] | Glied, Sherry A. and Adlan Jackson | New York University's Robert F. Wagner Graduate School of Public Service | November | 2018 |
Affordability/ Sustainability of Coverage | Provider Network Considerations | To Infinity and Beyond: Exposure to Out-of-Network Bills Is High and Rising in the Individual and Small Group Markets [Link] | Hempstead, Katherine | RWJF | October | 2018 |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Win, Lose, or Draw: Not all ACA Enrollees Gain From Increased Competition [Link] | Hempstead, Katherine | RWJF | November | 2018 |
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | A Path to Incremental Health Care Reform: Improving Affordability, Expanding Coverage, and Containing Costs [Link] | Blumberg, Linda J., John Holahan, Matthew Buettgens and Robin Wang | RWJF | December | 2018 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs That Are Too High | The Cost of Employer Insurance Is a Growing Burden for Middle-Income Families [Link] | Collins, Sara R. and David C. Radley | The Commonwealth Fund | December | 2018 |
Enrollment into Coverage | Eligibility Requirements | Will Evaluations of Medicaid 1115 Demonstrations That Restrict Eligibility Tell Policymakers What They Need to Know? [Link] | Rosenbaum, Sara, Maria Velasquez, Rachel Gunsalus, Rebecca Morris and Alexander Somodevilla | The George Washington University Milken Institute School of Public Health | December | 2018 |
Enrollment into Coverage | Eligibility Requirements | Status of Medicaid Expansion and Work Requirement Waivers [Link] | The Commonwealth Fund | December | 2018 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Reduced Cost Of Specialty Care Using Electronic Consultations For Medicaid Patients [Journal Subscription Required] | Anderson, Daren, Victor G. Villagra, Emil Coman, Tamim Ahmed, Anthony Porto, Nicole Jepeal, Giuseppe Maci and Bridget Teevan | Weitzman Institute, Community Health Center Inc., University of Connecticut Health Center, Health Analytics LLC | December | 2018 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | The Current State Of Telehealth Evidence: A Rapid Review [Journal Subscription Required] | Shigekawa, Erin, Margaret Fix, Garen Corbett, Dylan H. Roby and Janet Coffman | University of California | December | 2018 |
Health Outcomes | Quality of Care | Expansion Of Telestroke Services Improves Quality Of Care Provided In Super Rural Areas [Journal Subscription Required] | Zhang, Donglan, Guijing Wang, Weiming Zhu, Janani R. Thapa, Jeffrey A. Switzer, David C. Hess, Matthew L. Smith and Matthew D. Ritchey | December | 2018 | |
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | Potential Effects Of Eliminating The Individual Mandate Penalty In California [Journal Subscription Required] | Fung, Vicki, Catherine Y. Liang, Julie Shi, Veri Seo, Lindsay Overhage, William H. Dow, Alan M. Zaslavsky, Bruce Fireman, Stephen F. Derose, Michael E. Chernew, Joseph P. Newhouse and John Hsu | Massachusetts General Hospital Mongan Institute Health Policy Center and others | December | 2018 |
Affordability/ Sustainability of Coverage | Variations in Growth of Health Costs at Employer-Sponsored Plans [Link] | Cooper, Zack, Stuart Craig, Charles Gray, Martin Gaynor and John Van Reenen | Yale University, University of Pennsylvania Wharton, Carnegie Mellon University, Massachusetts Institute of Technology | February | 2019 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | To Achieve Value-Based Payment, Fix the Medicare Physician Fee Schedule [Link] | Berenson, Robert A. and Paul B. Ginsburg | Urban Institute, USC-Brookings Schaeffer Initiative for Health Policy | February | 2019 |
Enrollment into Coverage | Health Insurance Coverage Eight Years After the ACA: Fewer Uninsured Americans and Shorter Coverage Gaps, But More Underinsured [Link] | Collins, Sara R., Herman K. Bhupal and Michelle M. Doty | The Commonwealth Fund | February | 2019 | |
Affordability/ Sustainability of Coverage | Provider Network Considerations | Reducing Unfair Out-of-Network Billing — Integrated Approaches to Protecting Patients [Link] | Hall, Mark A., Loren Adler, Paul B. Ginsburg and Erin Trish | Wake Forest School of Medicine, USC-Brookings Schaeffer Initiative for Health Policy, Sol Price School of Public Policy, University of Southern California - Los Angeles | February | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | A Step toward Protecting Payments for Primary Care [Link] | Bruce E. Landon | Harvard Medical School | February | 2019 |
Enrollment into Coverage | Benefit Design Simplification and Other Techniques to Reduce Consumer Enrollment Burden | Machine-based Expert Recommendations and Insurance Choices among Medicare Part D Enrollees [Journal subscription required] | Bundorf, M. Kate, Maria Polyakova, Cheryl Stults, Amy Meehan, Roman Klimke, Ting Pun, Albert Solomon Chan and Ming Tai-Seale | Stanford University, Palo Alto Medical Foundation Research Institute, Harvard, Sutter Health, University of California San Diego | March | 2019 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs that are Too High | National Expenditure Projections, 2018-27: Economic and Demographic Trends Drive Spending and Enrollment Growth [Journal subscription required] | Sisko, Andrea M., Sean P. Keehan, John A. Poisal, Gigi A. Cuckler, Sheila D. Smith, Andrew J. Madison, Kathryn E. Rennie and James C. Hardesty | Centers for Medicare and Medicaid Services | March | 2019 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs that are Too High | Hospital Prices Grew Substantially Faster then Physician Prices for Hospital-based Care in 2007-2014 [Journal subscription required] | Cooper, Zack, Stuart Craig, Martin Gaynor, Nir J. Harish, Harlan M. Krumholz and John Van Reenen | Yale University, University of Pennsylvania Wharton, Carnegie Mellon University, Massachusetts Institute of Technology | February | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Performance of Safety-Net Hospitals in Year 1 of the Comprehensive Care for Joint Replacement Model [Journal subscription required] | Thirukumaran, Caroline P., Laurent G. Glance, Xueya Cai, Rishi Balkissoon, Addisu Mesfin and Yue Li | University of Rochester | February | 2019 |
Enrollment into Coverage | Benefit Design Simplification and Other Techniques to Reduce Consumer Enrollment Burden | The Roles of Assisters and Automated Decision Support Tools in Consumers' Marketplace Choices: Room for Improvement [Journal subscription required] | Wong, Charlene A., Eric Ellsworth, Farrah Madanay, Dave Chandrasekaran, Megan Moore, Daniel Polsky and Peter A. Ubel | Duke University, Consumers’ Checkbook/Center for the Study of Services, UPENN Leonard Davis Institute of Health Economics | March | 2019 |
Enrollment into Coverage | Benefit Design Simplification and Other Techniques to Reduce Consumer Enrollment Burden | Decision-making Experiences of Consumers Choosing Individual-market Health Insurance Plans [Journal subscription required] | Hero, Joachim O., Anna D. Sinaiko, Jon Kingsdale, Rachel S. Gruver and Alison A. Galbraith | Harvard, Boston University, Columbia University | March | 2019 |
Affordability/ Sustainability of Coverage | Benefit Design: Covered Benefits | Consumers' Perceptions and Choices Related to Three Value-based Insurance Design Approaches [Journal subscription required] | Perez, Susan L., Melissa Gosdin, Jessie Kemmick Pintor and Patrick S. Romano | California State University, UC Davis | March | 2019 |
Affordability/ Sustainability of Coverage | Provider Network Considerations | Consumers Responses to Surprise Medical Bills in Elective Situations [Journal subscription required] | Chartock, Benjamin, Christopher Garmon and Sarah Schutz | UPENN Leonard Davis Institute of Health Economics, University of Missouri Kansas City | March | 2019 |
Affordability/ Sustainability of Coverage | Benefit Design: Cost Sharing | Vulnerable and Less Vulnerable Women in High-Deductible Health Plans Experienced Delayed Breast Cancer Care [Journal subscription required] | Wharam, J. Frank, Fang Zhang, Jamie Wallace, Christine Lu, Craig Earle, Stephen B. Soumerai, Larissa Nekhlyudov and Dennis Ross-Degnan | Harvard, IC/ES, Dana-Farber Cancer Institute | March | 2019 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs that are Too High | Medicare Advantage and Commercial Prices for Mental Health Services [Journal subscription required] | Pelech, Daria and Tamara Hayford | Congressional Budget Office | February | 2019 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs that are Too High | Explaining the Slowdown in Medical Spending Growth Among the Elderly, 1999-2012 [Journal subscription required] | Cutler, David M., Kaushik Ghosh, Kassandra L. Messer, Trivellore E. Raghunathan, Susan T. Stewart and Allison B. Rosen | Harvard, National Bureau of Economic Research, University of Michigan, University of Massachusetts | February | 2019 |
Regulatory Environment | Rate Setting /Rate Review | Health Care Spending Slowed After Rhode Island Applied Affordability Standards to Commercial Insurers [Journal subscription required] | Baum, Aaron, Zirui Song, Bruce E. Landon, Russell S. Phillips, Asaf Bitton and Sanjay Basu | Arnhold Institute for Global Health, Harvard Medical School, Stanford University School of Medicine | February | 2019 |
Enrollment into Coverage | Private Health Insurance: Enrollment Remains Concentrated among Few Issuers, including in Exchanges | Dicken, John E. | Government Accountability Office | March | 2019 | |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | What's Behind 2018 and 2019 Marketplace Insurer Participation and Pricing Decisions? [Link] | Holahan, John, Linda J.ÊBlumberg,ÊErik Wengle and Caroline Elmendorf | Urban Institute | January | 2019 |
Regulatory Environment | Non-ACA Compliant Products | The Marketing of Short-Term Health Plans: An Assessment of Industry Practices and State Regulatory Responses [Link] |
Corlette Sabrina, Kevin Lucia, Dania Palanker and Olivia Hoppe | Georgetown University Health Policy Institute | January | 2019 |
Enrollment into Coverage | Eligibility Requirements | How Will Medicaid Work Requirements Affect Hospitals' Finances? [Link] | Haught, Randy, Allen Dobson and Phap-Hoa Luu | Dobson | DaVanzo | March | 2019 |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Making Choice and Competition Work in Individual Insurance in Health Reform Proposals [Link] | Frank, Richard G. | Harvard Medical School | January | 2019 |
Affordability/ Sustainability of Coverage | Benefit Design: Cost Sharing | Plan Choice And Affordability In The Individual And Small-Group Markets: Policy And Performance--Past And Present [journal subscription required] |
Abraham, Jean M., Anne B. Royalty and Coleman Drake | University of MinnesotaÐTwin Cities, Indiana UniversityÐPurdue University Indianapolis, University of Pittsburgh | April | 2019 |
Affordability/ Sustainability of Coverage | Presence/ Absence of Provider Competition | The Association Between Hospital Concentration And Insurance Premiums In ACA Marketplaces [journal subscription required] | Boozary, Andrew S., Yevgeniy Feyman, Uwe E. Reinhardt and Ashish K. Jha | Harvard T. H. Chan School of Public Health, Boston University, Princeton University | April | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Patient Readmission Rates For All Insurance Types After Implementation Of The Hospital Readmissions Reduction Program [journal subscription required] | Ferro, Enrico G., Eric A. Secemsky, Rishi K. Wadhera, Eunhee Choi, Jordan B. Strom, Jason H. Wasfy, Yun Wang, Changyu Shen and Robert W. Yeh | Beth Israel Deaconess Medical Center, Massachusetts General Hospital, Harvard T. H. Chan School of Public Health | April | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Maryland's Experiment With Capitated Payments For Rural Hospitals: Large Reductions In Hospital-Based Care | Pines, Jesse M., Sonal Vats, Mark S. Zocchi and Bernard Black | George Washington University | April | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Medicare's Bundled Payments For Care Improvement Initiative Maintained Quality Of Care For Vulnerable Patients [journal subscription required] | Maughan, Brandon C., Daver C. Kahvecioglu, Grecia Marrufo, Gina M. Gerding, Syvart Dennen, Jaclyn K. Marshall, Daniel M. Cooper, Colleen M. Kummet and Laura A. Dummit | Lewin Group | April | 2019 |
Enrollment into Coverage | Eligibility Requirements | Behavioral And Other Chronic Conditions Among Adult Medicaid Enrollees: Implications For Work Requirements [journal subscription required] | Wen, Hefei, Brendan Saloner and Janet R. Cummings | University of Kentucky, Johns Hopkins Bloomberg School of Public Health, Emory University | April | 2019 |
Enrollment into Coverage | Eligibility Requirements | Antipoverty Impact Of Medicaid Growing With State Expansions Over Time [journal subscription required] | Zewde, Naomi and Christopher Wimer | Columbia University | January | 2019 |
Enrollment into Coverage | Building on the ACA to Achieve Universal Coverage [Link] | Fiedler, Matthew, Henry J. Aaron, Loren Adler, Paul B. Ginsburg and Christen L. Young | Brookings Institution, USCÐBrookings Schaeffer Initiative for Health Policy, Schaeffer Center for Health Policy and Economics | March | 2019 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Independent Evaluation of Comprehensive Primary Care Plus (CPC+): First Annual Report [Link] | Peikes, Deborah, Grace Anglin, Mary Harrington, Arkadipta Ghosh, Kristin Geonnotti, Ann O'Malley, Stacy Dale, Sheia Hoag, Dana Petersen, Pragya Singh, Ha Tu, Laura Blue, Sean Orzol, Rosalind Keith, Anne Mutti, Genna Cohen, Tricia Higgins, Laurie Felland, Linda Barterian, Victoria Peebles, Amanda Lechner, Nikkilyn Morrison, Melanie Au, Jessica Laird, Grace Oh, Rachel Machta, Jasmine Little and Randall Brown | Mathematica | April | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Repeal and Replace, Part II: Improving Pay-for-Performance in Medicare [Link] | Ballou, Jeffrey | Mathematica | December | 2018 |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | What Characterizes the Marketplaces with One or Two Insurers? An Update [Link] | Holahan, John, Erik Wengle and Linda J. Blumberg | Urban Institute | March | 2019 |
Regulatory Environment | Rate Setting /Rate Review | Health Care Spending Slowed After Rhode Island Applied Affordability Standards to Commercial Insurers [journal subscription required] | Baum, Aaron, Zirui Song, Bruce E. Landon, Russell S. Phillips, Asaf Bitton and Sanjay Basu | Arnhold Institute for Global Health, Harvard Medical School, Stanford University School of Medicine | February | 2019 |
Affordability/ Sustainability of Coverage | Presence/ Absence of Insurer Competition | Why Don't More Medicaid Insurers Sell Plans in ACA Marketplaces? [Link] | Burton, Rachel A., Erik Wengle and Caroline Elmendorf | Urban Institute | April | 2019 |
Regulatory Environment | Consumer Assistance | New York's 2014 Law to Protect Consumers from Surprise Out-of-Network Bills Mostly Working as Intended: Results of a Case Study [Link] | Corlette, Sabrina and Olivia Hoppe | Georgetown University Health Policy Institute | May | 2019 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs that are Too HighÊ | Health Sector Trend Report, April 2019 [Link] | Turner, Ani | Altarum | May | 2019 |
Enrollment into Coverage | Eligibility Requirements | State Medicaid Buy-Ins: Key Questions to Consider [Link] | Manatt Health | April | 2019 | |
Enrollment into Coverage | Survey Mode Effects and Insurance Coverage Estimates in the Redesigned Gallup Well_being Index [Link] | Sommers, Benjamin D., Anna L. Goldman, Dennis Lee and Arnold M. Epstein | Harvard T. H. Chan School of Public Health | April | 2019 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment/ Delivery Reform | The Hospital Readmissions Reduction Program - Time for a Reboot [journal subscription required] | Wadhera, Rishi K., Robert W. Yeh and Karen E. Joynt Maddox | Harvard Medical School, Washington University School of Medicine in St. Louis | May | 2019 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs that are Too HighÊ | Prices Paid to Hospitals by Private Health Plans Are High Relative to Medicare and Vary Widely: Findings from an Employer-Led Transparency Initiative [Link] | White, Chapin and Christopher Whaley | RAND Corporation | 2019 | |
Affordability/ Sustainability of Coverage | Insurer Financial Performance | Individual Insurance Market Performance in 2018 [Link] | Cox, Cynthia, Rachel Fehr and Larry Levitt | Kaiser Family Foundation | May | 2019 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs that are Too HighÊ | Cost-Reducing Health Policies: A Response to Chairman Alexander and the Senate Committee on Health, Education, Labor, and Pensions [not publicly available] | Aaron, Henry, Joseph Antos, Loren Adler, James Capretta, Matthew Fiedler, Paul Ginsburg, Benedic Ippolito, Alice Rivlin | Brookings Institution, The American Enterprise Institute | March | 2019 |
Affordability/Sustainability of Coverage | Benefit Design: Cost-Sharing | Silver Linings For Silver Loading [Link] | Dorn, Stan | Families USA | June | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Introduction: State Innovation Models [Link] | Sharfstein, Joshua M. | Johns Hopkins | April | 2019 |
Enrollment into Coverage | Eligibility Requirements | Many Adults Targeted by Medicaid Work Requirements Face Barriers to Sustained Employment [Link] | Karpman, Michael | Urban Institute | May | 2019 |
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | State-by-State Estimates of the Coverage and Funding Consequences of Full Repeal of the ACA [Link] | Blumberg, Linda J., Matthew Buettgens, John Holahan and Clare Wang Pan | Urban Institute | March | 2019 |
Enrollment into Coverage | Eligibility Requirements | Medicaid Work Requirements — Results from the First Year in Arkansas [Journal Subscription Required] | Sommers, Benjamin D., Anna L. Goldman, Robert J. Blendon, E. John Orav and Arnold M. Epstein | Harvard T.H. Chan School of Public Health, Brigham and Women’s Hospital, Cambridge Health Alliance | June | 2019 |
Affordability/ Sustainability of Coverage | Provider Network Considerations | Insurance-Based Disparities In Access, Utilization, And Financial Strain For Adults With Psychological Distress [Journal Subscription Required] | McKenna, Ryan M., Jessie Kemmick Pintor and Mir M. Ali | Drexel University Dornsife School of Public Health, Office of the Assistant Secretary for Planning and Evaluation, Department of Health and Human Services | May | 2019 |
Affordability/ Sustainability of Coverage | Affordability/ Sustainability of Coverage | Zero-Premium Health Insurance Plans Became More Prevalent In Federal Marketplaces In 2018 [Journal Subscription Required] | Branham, Douglas Keith and Thomas DeLeire | Department of Health and Human Services, Georgetown University | May | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Why Do Accountable Care Organizations Leave The Medicare Shared Savings Program? [Journal Subscription Required] | Bleser, William K., Robert S. Saunders, David B. Muhlestein and Mark McClellan | Duke-Margolis Center for Health Policy, Leavitt Partners | May | 2019 |
Regulatory Environment | Consumer Assistance | Limited Medigap Consumer Protections Are Associated With Higher Reenrollment In Medicare Advantage Plans [Journal Subscription Required] | Meyers, David J., Amal N. Trivedi and Vincent Mor | Brown University School of Public Health | May | 2019 |
Enrollment into Coverage | The Affordable Care Act’s Effects on Patients, Providers and the Economy: What We’ve Learned So Far [Journal Subscription Required] | Gruber, Jonathan and Benjamin D. Sommers | MIT, Harvard T.H. Chan School of Public Health | June | 2019 | |
Enrollment into Coverage | Societal Consequences of a Large Uninsured Population | Insurance Coverage Saves Lives [Link] | Seervai, Shanoor and David Blumenthal | The Commonwealth Fund | August | 2019 |
Enrollment into Coverage | Eligibility Requirements | Medicaid and Mortality: New Evidence from Linked Survey and Administrative Data [Link] | Miller, Sarah, Sean Altekruse, Norman Johnson and Laura R. Wherry | July | 2019 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Early Effects of an Accountable Care Organization Model for Underserved Areas [Journal Subscription Required] | Trombley, Matthew J., Betty Fout, Sasha Brodsky, J. Michael McWilliams, David J. Nyweide and Brant Morefield | Abt Associates, Harvard Medical School, Brigham and Women’s Hospital, the Center for Medicare and Medicaid Innovation and L&M Policy Research | August | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | “Meaningful Use” of Cost-Measurement Systems — Incentives for Health Care Providers [Journal Subscription Required] | Merle Ederhof and Paul B. Ginsburg | Stanford University, USC–Brookings Schaeffer Initiative for Health Policy | July | 2019 |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | A Unified Cost-Sharing Design for Medicare: Effects on Beneficiary and Program Spending [Link] | Garrett, Bowen, Anuj Gangopadhyaya, Adele Shartzer and Diane Arnos | Urban Institute | July | 2019 |
Affordability/ Sustainability of Coverage | Provider Network Considerations | Successfully Splitting The Baby: Design Considerations For Federal Balance Billing Legislation [Link] | Corlette, Sabrina, Jack Hoadley and Kevin Lucia | Georgetown University Health Policy Institute | July | 2019 |
Affordability/ Sustainability of Coverage | Underlying Medical Costs that are Too High | A Targeted Affordability Improvement Proposal: The Potential Effects of Two Nongroup Insurance Reforms Designed to Increase Affordability and Reduce Costs [Link] | Blumberg, Linda J., Michael Simpson and Matthew Buettgens | Urban Institute | July | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Impact Of Medicare Readmissions Penalties On Targeted Surgical Conditions [Journal Subscription Required] | Chhabra, Karan R., Andrew M. Ibrahim, Jyothi R. Thumma, Andrew M. Ryan and Justin B. Dimick | University of Michigan | July | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Health Care Spending, Utilization, and Quality 8 Years into Global Payment [Journal Subscription Required] | Song, Zirui, Yunan Ji, Dana G. Safran and Michael E. Chernew | Harvard University, Tufts University School of Medicine | July | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | ACO Contracts With Downside Financial Risk Growing, But Still In The Minority [Journal Subscription Required] | Peck, Kristen A., Benjamin Usadi, Alexander J. Mainor, Elliott S. Fisher, Carrie H. Colla | Dartmouth Institute for Health Policy and Clinical Practice | July | 2019 |
Enrollment into Coverage | Building on the ACA to Achieve Universal Coverage [Journal Subscription Required] | Fiedler, Matthew, Henry J. Aaron, Loren Adler, Paul B. Ginsburg and Christen L. Young | Brookings Institution, USC–Brookings Schaeffer Initiative for Health Policy, Schaeffer Center for Health Policy and Economics | May | 2019 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Getting More Savings from ACOs — Can the Pace Be Pushed? [Journal Subscription Required] | McWilliams, J. Michael, Bruce E. Landon, Vinay K. Rathi and Michael E. Chernew | June | 2019 | |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | The Hospital Readmissions Reduction Program — Time for a Reboot [Journal Subscription Required] | Wadhera, Rishi K., Robert W. Yeh and Karen E. Joynt Maddox | Beth Israel Deaconess Medical Center, Harvard Medical School, Brigham and Women’s Hospital, Washington University School of Medicine | June | 2019 |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | Effects of Alternative Insurer Responses to Discontinued Federal Cost-Sharing Reduction Payments [Link] | Rao, Preethi and Sarah A. Nowak | RAND Corporation | June | 2019 |
Enrollment into Coverage | Blue-Collar Workers Had Greatest Insurance Gains After ACA Implementation [Journal Subscription Required] | Agarwal, Sumit D., Anna L. Goldman and Benjamin D. Sommers | T. H. Chan School of Public Health | July | 2019 | |
Enrollment into Coverage | Association Of State Policies With Medicaid Disenrollment Among Low-Income Medicare Beneficiaries [Journal Subscription Required] | Roberts, Eric T., Jacqueline Hayley Welsh, Julie M. Donohue and Lindsay M. Sabik | University of Pittsburgh | July | 2019 | |
Enrollment into Coverage | Use of Defaults and Other Environmental Nudges | Association Between Having an Automatic Reenrollment Option and Reenrollment in the Health Insurance Marketplaces [Journal Subscription Required] | Drake, Coleman and David M. Anderson | University of Pittsburgh, Duke-Margolis Center for Health Policy | September | 2019 |
Enrollment into Coverage | Changes in Hospital Service Demand, Cost and Patient Illness Severity Following Health Reform [Journal Subscription Required] | Pickens, Gary, Zeynal Karaca, Teresa B. Gibson, Eli Cutler, Michael Dworsky, Brian Moore and Herbert S. Wong | IBM Watson Health, Department of Health & Human Services, RAND Corporation | August | 2019 | |
Enrollment into Coverage | Eligibility Requirements | How Will Medicaid Work Requirements Affect Hospitals’ Finances? [Link] | Haught, Randy, Allen Dobson and Joan DaVanzo | September | 2019 | |
Enrollment into Coverage | Eligibility Requirements | Medicaid Work Requirements — Results from the First Year in Arkansas [Journal Subscription Required] | Sommers, Benjamin D., Anna L. Goldman, Robert J. Blendon, E. John Orav and Arnold M. Epstein | Harvard T.H. Chan School of Public Health, Brigham and Women’s Hospital, Cambridge Health Alliance | September | 2019 |
Enrollment into Coverage | Equity Considerations | Regional Differences In Coverage Among American Indians And Alaska Natives Before And After The ACA [Journal Subscription Required] | Frerichs, Leah, Ronny Bell, Kristen Hassmiller Lich, Daniel Reuland and Donald Warne | University of North Carolina, East Carolina University, University of North Dakota | September | 2019 |
Enrollment into Coverage | Eligibility Requirements | Can Medicaid Expansion Prevent Housing Evictions? [Journal Subscription Required] | Allen, Heidi L., Erica Eliason, Naomi Zewde and Tal Gross | Columbia University, Boston University | September | 2019 |
Affordability/ Sustainability of Coverage | Did Medicare Advantage Payment Cuts Affect Beneficiary Access and Affordability? [Link] | Laura Skopec, Joshua Aarons and Stephen Zuckerman | Urban Institute | August | 2019 | |
Enrollment into Coverage | Eligibility Requirements | Child Care Challenges for Medicaid Work Requirements [Link] | Adams, Gina, Eva H. Allen, Anuj Gangopadhyaya and Genevieve M. Kenney | Urban Institute | September | 2019 |
Enrollment into Coverage | A Typology for Analyzing Coverage Gains by State: 2013-2017 [Link] | Holahan, John, Caroline Elmendorf, Linda Blumberg and Laura Skopec | Urban Institute | September | 2019 | |
Enrollment into Coverage | Equity Considerations | Did the Affordable Care Act Reduce Racial and Ethnic Disparities in Health Insurance Coverage? [Link] | Chaudry, Ajay, Adlan Jackson and Sherry A. Glied | New York University's Robert F. Wagner Graduate School of Public Service | August | 2019 |
Targeting Providers to Affect Access/ Outcomes/ Save Money | Provider Payment and Delivery Reform | Characteristics of Hospitals That Did and Did Not Join the Bundled Payments for Care Improvement–Advanced Program [Journal Subscription Required] | Joynt Maddox, Karen E., E. John Orav, Jie Zheng and Arnold M. Epstein | Washington University, Brigham and Women’s Hospital, Harvard T. H. Chan School of Public Health | July | 2019 |
Regulatory Environment | State Efforts to Lower Health Care Prices Paid by Private Insurers [Journal Subscription Required] | Sen, Aditi P., Amber Willink and Gerard F. Anderson | Johns Hopkins | June | 2019 | |
Affordability/ Sustainability of Coverage | Benefit Design: Cost-Sharing | A Unified Cost-Sharing Design for Medicare: Effects on Beneficiary and Program Spending [Link] | Garrett, Bowen, Anuj Gangopadhyaya, Adele Shartzer and Diane Arnos | Urban Institute | July | 2019 |
Enrollment into Coverage | Eligibility Requirements | The Effects of Medicaid Expansion under the ACA: Updated Findings from a Literature Review [Link] | Antonisse, Larisa, Rachel Garfield, Robin Rudowitz and Madeline Guth | Kaiser Family Foundation | August | 2019 |
Affordability/ Sustainability of Coverage | Provider Network Considerations | Influence of Out-of-Network Payment Standards on Insurer–Provider Bargaining: California’s Experience [Link] | Duffy, Erin L. | RAND Corporation | August | 2019 |
Regulatory Environment | Non-ACA Compliant Products | Short-term Health Plans Spend Little on Medical Care [Link] | National Association of Insurance Commissioners | August | 2019 | |
Enrollment into Coverage | Equity Considerations | Racial Disparities in Uninsurance among New Mothers Following the Affordable Care Act [Link] | Johnston, Emily M., Stacey McMorrow, Tyler Thomas and Genevieve M. Kenney | Urban Institute | July | 2019 |
Enrollment into Coverage | Eligibility Requirements | Health Insurance Coverage Declined for Nonelderly Americans between 2016 and 2017, Primarily in States That Did Not Expand Medicaid [Link] | Skopec, Laura, John Holahan and Caroline Elmendorf | Urban Institute | August | 2019 |
Last Updated : November 2019