Insurance and Provider Markets
Our work in Insurance and Provider Markets
Designing a Public Option that Would Reduce Healthcare Provider Prices
An analysis of how a public option may or may not reduce healthcare costs in the U.S.
Congress Should End Dialysis Companies’ Third-Party Games with Insurance Coverage
A new op-ed in STAT highlights practices by dialysis facilities where they try to push patients into individual market plans by financing patients’ premiums for those plans
Insurer Formularies Complicate the Adoption of Biosimilar Cancer Therapies
A new blog post coauthored by Schaeffer Center experts in Health Affairs finds that insurer preferences for biologic and biosimilar drugs adds cost and complicates the work of hospital pharmacists and physicians.Categorized in
Enrollment in Nongroup Health Insurance by Income Group
Slightly more than half of those with incomes below 400% of the federal poverty level (FPL) were enrolled in nongroup policies that constitute minimum essential coverage.
Payment for Dialysis Services in the Individual Market
Monthly spending on outpatient dialysis services for end-stage kidney disease patients was three times higher for patients insured in the individual market compared to patients insured through Medicare.
Dialysis Costs the Healthcare System Three Times More in the Individual Market
Monthly spending on outpatient dialysis services for patients with end-stage kidney disease was three times higher for patients insured in the individual market compared to patients insured through Medicare.Categorized in
The Association of Vertically Integrated Care with Healthcare Use and Outcomes
The researchers examined whether vertically integrated hospital and skilled nursing facility (SNF) care is associated with more efficient use of healthcare and better patient outcomes.Categorized in
Schaeffer Solutions: Health Policy Recommendations for the Biden Administration and 117th U.S. Congress
The USC-Brookings Schaeffer Initiative for Health Policy has developed practical recommendations and analysis in a number of critical policy areas.Categorized in
Federal Policy Options to Realize the Potential of All Payer Claims Databases
An all-payer claims database (APCD) is a system that collects health care claims and related data from all (or nearly all) entities that pay for health care services in a geographic area, including private and public health plans.
GAO Report Sheds Additional Light on Misleading and Deceptive Marketing Practices Among Non-Compliant Health Plans
The GAO report underscores three key themes: misleading information is shockingly prevalent, a wide variety of junk plans are sold and may frequently be bundled together, and fixed indemnity plans appear to play a large role.