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48 Matching News Items

1.  Will American Businesses Ever Leave the Health Care World? (PDF)
American Health Policy Institute Link to more items from this source
Mar. 25, 2018
13 pages. "Value (actual or perceived) versus cost (and availability) ... Organizational challenges in offering health care benefits ... The health care supply chain: a study in change ... Major constraints on eliminating employer-sponsored health care coverage ... Size matters (and so does labor content) ... Rapid cost growth ... Government policy changes: single-payer ... Miraculous improvement in the individual marketplace ... Changes in tax law and/or financial accounting."
2.  Health Policy Outlook: Is Massachusetts a Model at Last?
American Enterprise Institute Link to more items from this source
Jan. 4, 2007
Excerpt: Massachusetts has tried health-care reform before, without notable success, but this time may be different. Whatever the fate of the Bay State's new program, what features of it are unique to Massachusetts? Which aspects can be and ought to be copied by other states, and which might require or benefit from modification?
3.  Hitting the Wall: When Health Care Costs Are No Longer Manageable (PDF)
American Health Policy Institute Link to more items from this source
June 6, 2015
15 pages. "The concurrent strains in both [employer-sponsored insurance] and government-run programs, which combined cover or subsidize the vast majority of Americans, could leave millions of Americans without any affordable health care options. This paper will examine some of these pressures, and look at independent estimates of when each of them will be reaching a crisis point. According to these analyses, each system will be facing its own crisis in a narrow window of time, specifically the years between 2025 and 2030."
4.  Benefits of the Tax-Preferred Status of Employer-Sponsored Health Insurance (PDF)
American Health Policy Institute Link to more items from this source
Oct. 23, 2016
17 pages. "[T]he current tax treatment of health care benefits provides strong incentives to employers who purchase health care for their employees to focus on the overall health of their employees and to use their leverage to improve the quality and cost of the health care system. Furthermore, changes to the tax treatment of health care benefits may discourage employers from offering coverage to their employees.... [L]imiting or eliminating the current tax exclusion of employer-provided health care benefits could cost our system far more than any benefits it may provide."
5.  How the Government as a Payer Shapes the Health Care Marketplace (PDF)
American Health Policy Institute Link to more items from this source
Dec. 3, 2015
15 pages. "The federal government is the largest single payer of health care in the United States ... [The] various ways in which the U.S. government in its role as payer attempts to influence U.S. health care beg the question of what other players in the space will do in response -- and what this could possibly mean for the nation's health care system in the future.... The key question is whether the changes undertaken by these players will, together with government, enhance or detract from the widely proclaimed goal of better quality of health care at a more affordable cost."
6.  Medical Network and Payment Reform Strategies to Increase Health Care Value (PDF)
American Health Policy Institute Link to more items from this source
June 16, 2016
17 pages. "To date, employers have relied on relatively blunt instruments for managing health care costs -- selecting health plans based on network discounts and provider access, and increasing consumer cost-sharing to mitigate cost trends.... Many large employers recognize a need to change the current dynamic of volume-based incentives to value-based contracting strategies that better reward quality care and efficiency in resource management. But employers no longer believe that the key differentiation is among health insurance plans; it's about the differentiation of their provider networks and the underlying provider contracting arrangements."
7.  Waste in the Health Care World (PDF)
American Health Policy Institute Link to more items from this source
Dec. 18, 2016
19 pages. "Pharmacy, which was determined to generate 4% wasteful spending, suffered from problems such as over-prescription and non-adherence to drug regimes. Inpatient, generating 6% wasteful spending, was beset by problems such as medical errors, preventable admissions, and hospital acquired infections. Outpatient, which at 9% generated the highest waste score of the top categories, faced the problems of missed prevention opportunities and defensive medicine."
8.  Public Insurance Is Increasingly Crucial to American Families Even as Employer-Sponsored Health Insurance Coverage Ends Its Steady Decline
Economic Policy Institute Link to more items from this source
Nov. 5, 2013
"In 2012, the share of non-elderly Americans with employer-sponsored health insurance [ESI] did not decline for the first time in 12 years. After falling every year since 2000, for a total decline of 10.9 percentage points to 2011, coverage was essentially flat between 2011 and 2012, increasing slightly to 58.4 percent.... As many as 29 million more people under age 65 would have had ESI in 2012 if the ESI coverage rate had remained at its 2000 level.... On-the-job coverage for strongly attached workers (those who worked at least 20 hours per week for at least half the year) continued its march downward, from 55.4 percent in 2007 to 51.6 percent in 2012."
9.  House HELP Subommittee Hearing: Reducing Health Care Costs for Working Americans and Their Families
Committee on Education and the Workforce, U.S. House of Representatives Link to more items from this source
Apr. 26, 2023
Links to video, statement of Chairman Rep. Bob Good (R-VA), and statements by witnesses [1] Mrs. Tracy Watts, Mercer; [2] Ms. Marcie Strouse, Capitol Benefits Group; [3] Ms. Sabrina Corlette, J.D., Georgetown University"s Health Policy Institute; and [4] Mr. Joel White, Council for Affordable Health Coverage (CAHC)."
10.  The Prescription Drug Supply Chain 'Black Box': How It Works and Why You Should Care (PDF)
The Terry Group, for the American Health Policy Institute Link to more items from this source
Dec. 10, 2017
23 pages. "[This paper outlines] an approach specifically tailored to addressing the challenges inherent in managing the prescription drug supply chain ... [T]his new model disaggregates the traditional 'Pharmacy Benefit Manager' (PBM) supply chain. This allows for better alignment of incentives among the various stakeholders involved in the process."
11.  The Prescription Drug Supply Chain 'Black Box': How It Works and Why You Should Care (PDF)
American Health Policy Institute Link to more items from this source
Jan. 25, 2016
23 pages. "[S]elf-insured employers who want to hold their pharmacy benefit cost trend flat will need to either [1] shift more of their prescription drug costs to their employees, or [2] take a different approach to contracting with their prescription drug supply chain.... This paper ... suggests a new prescription drug supply chain model designed to better align pharmacy industry stakeholder interests with those of the plan sponsor and its employees."
12.  ACA Excise Tax: Cutting Family Budgets, not Healthcare Budgets (PDF)
American Health Policy Institute Link to more items from this source
Oct. 12, 2015
13 pages. "Almost 90 percent of large employers are taking steps to try to prevent their company from having a plan that triggers the excise tax in 2018 ... Almost 19 percent of large employers were already curtailing or eliminating employee contributions to flexible spending accounts (FSAs) in order to avoid triggering the excise tax ... Among employers who are going to reduce the values of their plans as a result of the excise tax, 71 percent of employers said that they probably would not provide a corresponding wage increase; 16 percent said they would."
13.  The Cost of the Affordable Care Act to Large Employers (PDF)
American Health Policy Institute Link to more items from this source
Apr. 1, 2014
15 pages. Excerpt: "The cost of the ACA to large U.S. employers (10,000 or more employees) is estimated to be between $4,800 to $5,900 per employee. These large employers will see overall ACA-related cost hikes of between $163 million and $200 million per employer, or an increase of 4.3 percent in 2016 and 8.4 percent in 2023 over and above what they would otherwise be spending.... The total cost of the ACA to all large U.S. employers over the next ten years is estimated to be from $151 billion to $186 billion."
14.  Addressing Health Care Market Reform Through an Insurance Exchange: Essential Policy Components, the Public Plan Option, and Other Issues to Consider (PDF)
Employee Benefit Research Institute [EBRI]
June 9, 2009
24 pages. Excerpt: A key element being discussed as part of health reform -- the creation of a health insurance exchange that would offer new forms of insurance pooling, combined with an individual mandate and guaranteed issue -- would restructure the health insurance market and has major implications for the existing employment-based benefits system that provides the majority of Americans with health coverage, according to [the study.]
15.  Developing Subannual Estimates of Health Insurance Coverage from the American Community Survey: Challenges and Promising Next Steps (PDF)
Urban Institute Link to more items from this source
Apr. 17, 2013
"[S]ubannual estimates, whether monthly, quarterly, or semi-annual, would further enhance the value of the ACS to policy, research, and government audiences, as well as to the media and public, by providing more timely updates on health insurance coverage. Subannual estimates would provide a closer link between the timing of state decisions and insurance outcomes, which is particularly important for understanding the relationships between state policy choices under the ACA and health insurance coverage ... [S]ubannual ACS estimates would support a more in depth understanding of state-level insurance trends within and across years."
16.  Taxes and Health Insurance (PDF)
Congressional Budget Office [CBO] Link to more items from this source
Mar. 3, 2008
16 pages. February 29, 2008, Presentation to The Tax Policy Center and the American Tax Policy Institute.
17.  Increased Health Care Cost Sharing Works As Intended: It Burdens Patients Who Need Care the Most!
Economic Policy Institute Link to more items from this source
May 8, 2013
"The health care market is unlike other markets; thus, forcing increased cost sharing on American households is a deeply inefficient strategy for trying to contain health care costs. Forcing Americans to pay a higher share of health costs will not induce them to shop around and compare prices when they are experiencing chest pains or their child is suffering from an asthma attack."
18.  Despite ACA Mandate, Tobacco Cessation Not Always Covered
American Medical Association [AMA] Link to more items from this source
Dec. 17, 2012
"The [ACA] decrees that insurers cover a list of preventive services, including smoking cessation attempts. But that doesn't mean physicians will always get paid for helping patients kick the habit.... [Mila Kofman, a research professor at Georgetown University's Health Policy Institute in Washington] analyzed 39 contracts between patients and insurers for individual, small group and government employee policies in six states. Thirty-six contracts included language indicating that preventive services would be paid for in full, but 26 of those contracts said smoking cessation was not covered. Four contracts excluded individual counseling, and 10 didn't include telephone counseling. Seven covered counseling for tobacco cessation but required patients to pay a portion."
19.  Consumer-Driven Health Care Is a False Promise
THE EXECUTIVE COUNSEL MAGAZINE via Economic Policy Institute Link to more items from this source
Oct. 12, 2006
Excerpt: [I]t's clear that high health care costs have become an albatross for many American companies. Top policymakers have suggested the answer to this problem is 'consumer-driven health care,' with its requisite high deductibles and health savings accounts. There are two main reasons why this isn't the answer.
20.  Ten Key Details About Health Care Reform
Economic Policy Institute Link to more items from this source
Jan. 8, 2010
"Over the past several months, EPI has tracked every key development in the effort to reform health care and weighed in on the fairness and effectiveness of various proposals, from how reform will be funded to how much it will cost-- or save-- the typical American. [The target document] is a guide to some of the key issues at stake."
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