Insurance and Provider Markets
Our work in Insurance and Provider Markets
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Comments Submitted on HHS Notice of Benefit and Payment Parameters for 2021
Schaeffer Initiative fellows provided comments to HHS on a proposed rule regarding the provision of advance premium tax credits for individuals receiving financial assistance under the ACA.
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The ACA’s Individual Mandate In Retrospect: What Did It Do, And Where Do We Go From Here?
A USC-Brookings Schaeffer Initiative expert examines if the mandate meaningfully increased coverage and what can be learned from the ACA if policymakers want to achieve universal coverage in the future.
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Remanding Texas v. U.S. to the Lower Court Prolongs Harms to Consumers and the Health Care Industry
How will remanding Texas v. U.S. case to the lower court will affect the health care market? Drug manufacturers face tremendous scientific uncertainty while ACA funding has clearly become a major component in state spending.
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What the Trump Administration Gets Right About Hospital Price Transparency
Would you buy a pair of shoes without knowing the price? Consumers have bought medical care from hospitals for years without knowing the costs, but new regulations will change that.
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The Affordable Care Act and Health Insurance Coverage Among People With Diagnosed and Undiagnosed Diabetes: Data From the National Health and Nutrition Examination Survey
Insurance coverage can change the health trajectory of people with diabetes by facilitating timely diabetes diagnosis and management.
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Diabetes Studies Reveal How Insurance and Ethnicity Can Affect Outcomes
USC Schaeffer Center experts found significant racial and ethnic disparities in diabetes complications and examined the impact of the ACA on patients with diabetes in two separate studies.
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Retroactive Enrollment: A Feasible Way to Bring Auto-Enrollment to the Individual Market
Helping people benefit from the programs for which they are eligible could have a significant impact on the share of Americans with health coverage, possibly making the idea of automatic enrollment into coverage attractive across the political spectrum.
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California Saw Reduction in Out-of-Network Care from Affected Specialties after 2017 Surprise Billing Law
This blog presents new evidence on observed changes in provider network breadth after the implementation of California’s 2017 law.
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Why Your Employer-Sponsored Insurance May Ultimately Not Be Good For You
Nearly 160 million Americans get insurance through employers, but that does not mean it’s good social policy.
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Influence of Out-of-Network Payment Standards on Insurer–Provider Bargaining: California’s Experience
California’s experience implementing a policy to address surprise medical billing demonstrates that out-of-network payment standards can influence payer–provider bargaining leverage, affecting prices and network breadth.
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