Insurance and Provider Markets
Our work in Insurance and Provider Markets
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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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The Relationship Between Network Adequacy and Surprise Billing
As policymakers look to address surprise out-of-network billing, network adequacy regulation is raised as a potential solution. Researchers from the USC-Brookings Schaeffer Initiative argue the network adequacy framework is poorly suited to solving this problem.
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Examining Surprise Billing: Protecting Patients from Financial Pain
Christen Linke Young delivered testimony to the House Education and Labor Subcommittee on Health, Employment, Labor, and Pensions on April 2, 2019.
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Health Care’s Killer App: Life Insurance
The industry could profit by helping policyholders pay for cancer treatments that prolong life.
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World Class: A Conversation with Author Dr. William A. Haseltine
The USC-Brookings Schaeffer Initiative for Health Policy will host Dr. William A. Haseltine for a discussion on his latest book, “World Class: A Story of Adversity, Transformation, and Success at NYU Langone Health.”
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Paying Patients To Switch: Impact Of A Rewards Program On Choice Of Providers, Prices, And Utilization
One increasingly popular strategy to encourage patients to switch to lower-price providers is to financially reward patients who receive care from such providers. Neeraj Sood and colleagues evaluated the impact of a rewards program.
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Joint Recommendations of USC-Brookings Schaeffer Initiative for Health Policy and AEI Scholars to Reduce Healthcare Costs
The experts recommendations to the Senate committee aimed at four main goals: improving incentives in private insurance, removing state regulatory barriers to provider market competition, improving incentives in the Medicare program, and promoting competition in the pharmaceutical market.
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Even if it Survives the Courts, ObamaCare Needs Help
In an op-ed for The Hill, Schaeffer Center professor John Romley and Cedars-Sinai president and CEO Thomas Priselac write that step one to fix the ACA is accepting that payment cuts and cost shaming do not work.
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Reducing Unfair Out-of-Network Billing — Integrated Approaches to Protecting Patients
It may be possible to balance the competing goals of consumer protection and market innovation in state and federal oversight of health plan networks, according to a new opinion piece in The New England Journal of Medicine.
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