As the Affordable Care Act’s health insurance marketplaces begin their second year of open enrollment, LDI examines the current and potential impact of the ACA on the health of minority populations. This fifth post of a five-part series outlines the seldom-mentioned provisions for American Indians and Alaskan Natives.
The existence of a primary care physician shortage, even prior to the ACA, is not universally accepted. A new report by the Institute on Medicine found “no credible evidence” that the nation faces a looming physician shortage in primary care specialties. There is greater consensus about a maldistribution of physicians, in terms of specialty, geography, and practice settings.
We've gathered a collection of live tweets from our joint PennLDI-Wharton Public Policy Institute event held October 9. Three panels of researchers and policymakers shared results and insights about how the research could help improve implementation of health care reform.
Sit back, read more, and enjoy the story!
In a new NBER working paper, LDI Senior Fellows Mark Duggan, Amanda Starc and Boris Vabson ask the question, “Who Benefits when the Government Pays More? Pass-Through in the Medicare Advantage Program.” Their answer is unequivocal: mostly insurers (in the form of higher profits), not consumers (in the form of better coverage). They set the stage:
The Sustainable Growth Rate (SGR) formula – a source of unpredictability in Medicare payments to physicians – may finally be repealed. While this might seem unrelated to medical education, what happens next could have a significant impact on academic medicine and the training of students, residents and fellows.
A new National Bureau of Economic Research (NBER) working paper by Afendulis, Chernew, and Kessler says yes. If this working paper holds up to peer review, these findings will offer an important endorsement of the Medicare Advantage program. The paper attributes large and striking reductions in all hospitalizations (22%), hospitalizations for ambulatory sensitive conditions (18%), and mortality (15%) to Medicare Advantage as illustrated in the graph below.
The Supreme Court's ruling in June to uphold the Affordable Care Act has left states with a number of decisions to make. While coverage surrounding the Court's decision was focused on the individual mandate, that mandate was part of a broader plan to ensure that every state in the nation have an operational health insurance exchange, or marketplace, by January 2014.
In the next few months, states have some things to do:
This Issue Brief summarizes research that investigates how health care use and patterns change among the uninsured and insured once they gain Medicare coverage at age 65.