Home » Health Policy » Health Care Markets

Category Archives: Health Care Markets

How will the House GOP Health Care Bill Affect Individual Market Premiums?

We estimate that premiums would be around 13 percent higher under the AHCA than they are under current law, holding plan generosity and the individual market age distribution fixed at their current law levels. (more…)

House Plan to Replace Obamacare ‘has Republican DNA,’ Especially Regarding Mandate

Does the new health care bill proposed by GOP leaders on March 6 contain enough incentives to keep enough healthy people in the pool of people who desire coverage? (more…)

Expect the CBO to Estimate Large Coverage Losses from the GOP Health Care Plan

In anticipation of the official CBO estimates, this blog post draws upon prior CBO estimates and analysis to assess how they will likely expect this legislation to impact insurance coverage. 
(more…)

How Republicans and Democrats can Both Keep their Promises on Health Care

Read our four-step market-based proposal that is consistent with many of the president’s remarks on health care and, importantly, with many core Democratic principles on health care too. (more…)

New Data on Sign-ups Through the ACA’s Marketplaces Should Lay “Death Spiral” Claims to Rest

Comparing enrollment changes across states implies that Marketplace premium increases had little if any impact on Marketplace sign-ups, providing strong evidence against claims that these increases would send the individual market into a “death spiral.” (more…)

Four Recommendations to Advance Medicare Delivery System Reform

MACRA assumes a wide range of attractive APM opportunities available to physicians, but the reality is that the opportunities are limited, especially for physicians in specialties outside of primary care. (more…)

What Medicare Advantage’s Success in Delivering Post-Acute Care Means for Medicare Reform

A recent study found Medicare Fee-for-Service and Medicare Advantage patients have hospitalization and post-hospitalization costs and outcomes that are generally different. How do these outcomes translate to policy recommendations? (more…)

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. (more…)

Key Takeaways From the Final MACRA Rule, Plus Remaining Challenges

There are three important takeaways from the Centers for Medicare and Medicaid Services final rule on implementation of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). 

(more…)

How the Department of Labor Can Help End Surprise Medical Bills

The frequency of surprise balance billing is substantial and the financial consequences can be devastating. The Department of Labor can take concrete steps to begin mitigating the problem. (more…)

Follow CESR on Facebook



Follow Schaeffer on Facebook




Subscribe to receive updates