Insurance and Provider Markets
Our work in Insurance and Provider Markets
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To Promote Stability in Health Insurance Exchanges, End the Uncertainty Around Cost-Sharing and Other Rules
While it is unclear whether the changes included in the CMS rule will have a small positive or negative impact on market stability, it is clear that the impact pales in comparison to the instability caused by the lack of commitment to fund the ACA’s cost-sharing reduction subsidies or to enforce the individual mandate.
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Making Health Care Markets Work: Competition Policy for Health Care
The U.S. health care system does not work as well as it could, or should. Prices are high and rising,[1] there are serious quality problems,[2] and many characterize the system as rigid and unresponsive, lacking dynamism and innovation.[3] A lack of competition is a major contributor to this dysfunction. In some cases, markets lack the […]
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Viewpoint – Making Health Care Markets Work: Competition Policy for Health Care
The authors propose a new competition policy for health care that involves multiple federal agencies in addition to the antitrust enforcement agencies, state governments, and private stakeholders.
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Minorities, Latino Immigrants Face the Greatest Risk of Workplace Injuries
Disparities in economic opportunities leads minorities to take more hazardous jobs, USC study finds
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Stopping Surprise Medical Bills: Federal Action is Needed
More than a dozen states have enacted various protective measures to protect patients from surprise medical bills. This post outlines why federal action is needed and recommendations on how to move forward.
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Why Risk Adjustment is a Crucial Component of Individual Market Reform
In order to mitigate incentives for insurance companies to avoid sicker patients, policymakers will need to include a risk adjustment program in any replacement reforms that require insurers to issue insurance to any applicant and set limits on adjusting premiums to fully reflect an enrollee’s health status.
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Effects of Payment Reform in More Versus Less Competitive Markets
Neeraj Sood and his colleagues find in home healthcare, payment reforms are most effective in competitive provider markets.
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How to Get Rid of Surprise Medical Bills
It’s the last thing you want to worry about during a trip to emergency room. Yet, millions of Americans have to deal with surprise medical bills. Paul Ginsburg and his colleagues at Brookings offer solutions for how to eliminate them.
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Federal Intervention May Be Necessary to Solve Surprise Medical Billing Say Experts
Industry leaders and policy experts agree patients should be taken out of middle when it comes to surprise bills.
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Solving Surprise Medical Bills Â
Imagine you walk into a hospital for a planned procedure, for example a knee operation to be performed by an orthopedic surgeon. Before you scheduled the surgery, you did your due diligence and confirmed that the surgeon performing the procedure participated in your insurance plan, and that the hospital where you were having the surgery […]
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