Health Insurance

Financial and structural characteristics of the public and private programs that cover medical costs. LDI analyzes how to expand and improve coverage through insurance exchanges, employer-sponsored insurance, and public programs.

Medicare, Medicaid and the Leonard Davis Institute - Intertwined Legacies

Jul. 24, 2015

Fifty years ago, on July 30, 1965, President Lyndon Johnson signed Medicare and Medicaid into law. Over the next two years, more than 29 million people gained health coverage through these programs. By 1967, as Alice Rivlin recalls, economists were sounding an alarm about rising Medicare costs and reporting to the President that projected growth would be unsustainable.

Impact of the ACA’s Dependent Coverage Provision on Emergency Department Use

Jun. 29, 2015
Are you a “young invincible”? The term refers to young Americans who decide to forgo health care benefits as they believe they are healthy and unlikely to seek medical care. While this may seem like an innocuous choice, it is a potentially dangerous decision as one serious accident may leave you with a hefty medical bill, debt, or declaring bankruptcy. Uninsured people may be tempted to delay tests and treatment and end up seeking emergency room care instead of less expensive outpatient or office based care. [content_elements:element:0] Parent's plan One of the Affordable Care Act’s earliest...

Sizing Narrow Networks

Jun. 23, 2015

There’s been a lot of talk about "narrow" networks in ACA plans, which trade off limited provider coverage for lower premiums. Using a new integrated dataset of physician networks in plans on the federal and state marketplaces, our latest LDI/RWJF Data Brief describes the breadth of physician networks across all silver plans sold in 2014.

The Skinny on Narrow Networks in Health Insurance Marketplace Plans

Data Brief
Jun. 23, 2015

The Affordable Care Act (ACA) has prompted health plans to increase their use of “narrow networks” of providers as a cost containment strategy. The Leonard Davis Institute of Health Economics (LDI) has assembled the first integrated dataset of physician networks for the plans offered on the ACA marketplace. This data brief uses this new resource to describe the breadth of the physician networks in plans sold on the state and federal marketplaces. 

LDI Poster Spotlight at AcademyHealth

Jun. 16, 2015
The University of Pennsylvania's Leonard Davis Institute of Health Economics (LDI) has more than 300 Senior Fellows and Fellows investigating the medical, economic, social and behavioral issues that influence how health care is financed, managed and delivered across the U.S. The annual AcademyHealth Research Meeting's poster hall provides a convenient way for nearly two dozen of these Penn experts to share their research aimed at improving the country's health care system.

Fix Pennsylvania's Medicaid Policy on IUDs

Jun. 15, 2015

Cross-posted with the Philadelphia Inquirer

Imagine a woman in labor who goes to the hospital with a delivery plan she made in consultation with her obstetrician: yes to antibiotics in labor; no to an epidural for pain control; yes to neonatal circumcision; and yes to having an intrauterine device (IUD) placed immediately after childbirth.

Networks, Networks, Networks

Jun. 5, 2015

This is the second post covering the Third Annual Health Insurance Exchanges Conference, hosted by LDI’s HIX working group, which took place in April 2015. The full agenda is here, and the first post, which focused on choice architecture, is here.