After the House passed the American Health Care Act (AHCA), I asked a few of our Senior Fellows to comment on the economic problems the AHCA is designed to fix, and the economic problems it might cause, all politics aside. Dan Polsky immediately pushed back on the premise of 'politics aside':
In Health Economics, LDI Fellow Amelia Bond and colleagues raise important questions about potential positive effects of provider and insurer concentration on primary care appointment availability for new Medicaid patients. The study assesses whether the two health care industry trends of expanding Medicaid and greater integration and consolidation among insurers and providers may have implications for each other.
Using “secret shopper” data on primary care physicians' real-world behavior, the authors observed provider willingness to accept new privately insured and...
The Affordable Care Act (ACA) has an “empty shelf” problem: consumers can use their premium subsidies only on the public health insurance exchanges, but insurers are not required to offer any plans on these exchanges.
[cross-posted from the Health Cents blog on philly.com]
The Role of Community Health Centers in Reducing Racial Disparities in Spatial Access to Primary Care
In the Journal of Primary Care & Community Health, Jane Seymour and colleagues, including LDI senior fellows Daniel Polsky and David Grande, investigate the role of community health centers in reducing racial disparities in access to care. Racial minorities are more likely to live in primary care shortage areas, which is of particular concern given the role of primary care in prevention, chronic disease management, and as an overall entry point to the health care system. The authors surveyed primary care practices in Philadelphia County and neighboring zip codes, identified...
Moving into the first home you own is filled with meaning and emotion. There is that sense of promise, and a passion to make everything just the way you want it. There is some fear—so much can go wrong with a house. The overall experience is both empowering and daunting. People moving into rentals typically don’t have the same highs or lows. After all, it’s just a rental.
In a review of ACA plans, the authors find that the proportion of narrow networks were greater for pediatric specialties than for adult specialties, highlighting the need to monitor access to specialty care for children and families.
Our colleagues at the Wharton Public Policy Initiative have released a new Issue Brief, The Economic Realities of Replacing the Affordable Care Act, by LDI Senior Fellow Hanming Fang, PhD. In it, Dr. Fang uses a new model of labor and health insurance market dynamics to simulate the long-run effects of the ACA's mechanisms, thus shedding some much-needed light on the repeal-and-replace debate.
Mental health continues to live on the fringes of the health care delivery system. According to the former Surgeon General, “even more than other areas of health and medicine, the mental health field is plagued by disparities in the availability of and access to its services,” with significant barriers related to patients’ socioeconomic background.
In Medical Care Research and Review, Ambar La Forgia and colleagues compare the premiums of the lowest priced 'silver' plans of...
This brief reviews the evidence on how key ACA provisions have affected the growth of health care costs. Coverage expansions produced a predictable jump in health care spending, amidst a slowdown that began a decade ago. Although we have not returned to the double-digit increases of the past, the authors find little evidence that ACA cost containment provisions produced changes necessary to “bend the cost curve.” Cost control will likely play a prominent role in the next round of health reform and will be critical to sustaining coverage gains in the long term.