Insurance and Provider Markets
Our work in Insurance and Provider Markets
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What is Surprise Billing?
Experts from the USC-Brookings Schaeffer Initiative for Health Policy answer commonly asked questions about surprise medical bills and how to deal with them at a policy level.
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Value-Based Contracting in Healthcare: What Is It and How Can It Be Achieved?
Value-based contracts must incentivize the clinical decision maker, usually the physician, to allocate treatment based on both price and value. Changing certain elements in the financing system could create an environment for successful value-based contracting without having to reform the entire system.
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The Trump Administration’s Final HRA Rule: Similar to the Proposed but Some Notable Choices
USC-Brookings Schaeffer Initiative fellows analyze the Trump Administration’s final rule on allowing employers to pay for their workers’ health insurance through subsidies on the individual market, concluding that it is a step in the wrong direction.
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Three Ways to Make Health Insurance Auto-Enrollment Work
Successful auto-enrollment likely requires changes to the way we determine eligibility for Medicaid and Marketplace financial assistance, to make the system easier to navigate and more generous, writes USC-Brookings Schaeffer Initiative Fellow Christen Linke Young.
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Reverse Reference Pricing: Rewarding Patients For Reducing Medicare Costs
Neeraj Sood and Christopher Whaley write that it is time for Medicare to apply the lessons learned by private insurers to incentivize price shopping by patients.
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Comments on the Lower Health Care Costs Act of 2019
Experts from the USC-Brookings Schaeffer Initiative on Health Policy provide comments on the Senate HELP committee’s latest bipartisan attempt to lower healthcare costs.
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Comments on the No Surprises Act
USC-Brookings Schaeffer Initiative experts provide comments on the House Energy and Commerce Committee’s recently proposed legislation to address surprise medical billing.
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Breaking Down The Bipartisan Senate Group’s New Proposal To Address Surprise Billing
Like other recent federal bills (and state laws), the bipartisan Senate legislation protects patients from surprise out-of-network bills through a “billing regulation” approach.
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Do Health Insurance and Hospital Market Concentration Influence Hospital Patients’ Experience of Care?
The findings from this study add to the evidence on the harms of hospital consolidation but suggest that insurer consolidation may improve patient experience.
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Analyzing the House E&C Committee’s Bipartisan Surprise Out-Of-Network Billing Proposal
The Energy and Commerce draft would eliminate surprise out-of-network billing for both emergency and non-emergency services (with the notable exception of ambulance services) and across different sites of care (e.g., hospitals, ambulatory surgery centers (ASCs), freestanding emergency departments).
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