The Out-of-Network Benefit
December 1, 2012 | Journal Article
Consumers may be exposed to significant unexpected and unreasonable out-of-pocket costs due to lack of accurate information on network participation and cost transparency.
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Findings from Massachusetts Health Reform: Lessons for Other States
December 1, 2012 | Journal Article
This paper analyzes the effect of the Massachusetts health care reform on reported health care utilization and outcomes by both synthesizing the existing research and providing new evidence using the National Health Interview Survey.
Aspects of Health Reform
June 1, 2009 | Journal Article
For its last act, the Economic Research Initiative on the Uninsured (ERIU) commissioned four papers to highlight the core economic principles that policy-makers should understand as they grapple with health care reform.
Mandates and the Affordability of Health Care
June 1, 2009 | Journal Article
This article examines the "affordability" standard with regard to consumption patterns for health coverage and services. The author explores crucial differences between health care consumption and the consumption of other merit goods (i.e., food and housing).
Risk Selection and Risk Adjustment
June 1, 2009 | Journal Article
This article describes underlying problems in the markets for small group and individual insurance appraises current methods of subsidizing insurance for high-risk individuals and discusses how risk adjustment addresses conflicts between the group and individual insurance markets.
Beneficial Moral Hazard and the Theory of the Second Best
June 1, 2009 | Journal Article
Various factors, including the mechanism for setting prices, contribute to distortions and inefficiencies in health insurance markets. This paper reviews analyses of how moral hazard compensates for inefficiencies and increases economic benefits of insurance markets.
Employer-Sponsored Health Insurance and the Promise of Health Insurance Reform
June 1, 2009 | Journal Article
Employee-sponsored insurance (ESI) accounts for over 90 percent of private health insurance in the United States. This article explores how reforms to the broader health care system might affect ESI.
Medicare Fees and the Volume of Physicians' Services
January 1, 2009 | Journal Article
Most of the recent growth in health care costs is due to the increasing volume of services offered by physicians to their Medicare patients. This paper considers whether changes in Medicare fees that negatively affect physicians? incomes also affect service volume.
Nursing Home Use by Dual-Eligible Beneficiaries in the Last Year of Life
April 1, 2007 | Journal Article
The prevalence of Medicaid nursing home use in the last year ranged from 23 percent for those aged 74 and younger to 60 percent for those aged 85 and older.
Effects of Community Factors on Access to Ambulatory Care for Lower-Income Adults in Large Urban Communities
March 1, 2004 | Journal Article
This study examines the effect of community factors and individual factors on access to ambulatory care for low income adults in 54 metropolitan areas across the United States. Two indicators were used to measure access: (1) having a usual source of ...