United States of Care Research Partnership


Penn LDI's Research Partnership with United States of Care
As a research partner to United States of Care, Penn LDI produces, distills, and disseminates research evidence on what we know, and don’t know, about expanding health coverage. Penn LDI brings the expertise of our fellows to bear on important questions of affordability, value, quality, and health care markets, and identifies and addresses emerging knowledge gaps regarding the implications of health care coverage policies. 

Latest resources

Payment and Pricing Decisions in Health Care Reform 
Any effort to reform health insurance in the United States must tackle the prices we pay for health care. At LDI’s Medicare for All and Beyond conference, a panel of researchers, hospital administrators, and policy experts considered issues related to health care payment and pricing, including the implications of rate setting for providers and patients. Our joint brief examines state efforts to set prices, control costs, and advance public option proposals.

Setting Standards for Affordable Health Care 
In the run-up to the presidential election, the affordability of health care remains a top concern of the American voting public. But how do we know when health care is affordable? A panel of researchers, policy experts, and consumer advocates discussed and debated affordability in theory and practice during LDI’s Medicare for All and Beyond conference. Our joint brief summarizes the panel’s insights.

 Revisiting CHIP Buy-In Programs for Children
States have a long history of providing families with the option to purchase Medicaid or Children’s Health Insurance Program (CHIP) coverage for their children, but these programs have dwindled in recent years. In an original analysis, we review states’ experiences with buy-in programs, present updated information on the four remaining CHIP buy-in programs, and compare them to child-only, individual market coverage. Read our Health Affairs blog or brief.

Health Care Safety-Net Programs After the Affordable Care Act 
The final brief in our affordability series examines the ACA's effects  on the funding and operation of safety-net institutions. It highlights the challenges and opportunities that health care reform presents to safety-net programs, and how they have adapted and evolved to continue to serve our most vulnerable populations. This brief was produced in partnership with Professor Mark Hall of Wake Forest University. Read our full brief and blog.

The Burden of Health Care Costs for Working Families
In this second brief of our affordability series, we adapt a national-level affordability index to provide state-level data on the cost burden faced by working families who have employer-sponsored insurance (ESI). We examine how this burden varies across states, and how it has changed within states from 2010 to 2016. Read our full briefsummary, or Health Affairs blog.

United States of Care's Inaugural Convening
In December 2018, Penn LDI joined United States of Care for their inaugural convening of policymakers, advocates, influencers, and researchers from across the country to discuss the future of American health care. LDI Director of Policy Dave Grande moderated a panel on the building blocks of change featuring advocate Elena Hung and United States of Care Policy Fellows Jason Helgerson and John McCarthy. Read the recap.

What Is "Affordable" Health Care?
The first in a series on the concept of "affordability," this brief considers it as an economic concept, as a kitchen-table budget issue for individuals and families, and as a threshold in current policy. It reviews measures that capture the cost burden for individuals and families with different forms of coverage, in different financial circumstances, and with different health concerns. You can also read our accompanying blog post.

Report: State Efforts to Close the Health Coverage Gap
This report, a review of prominent state efforts to close the coverage gap, looks at the most ambitious proposals in Massachusetts, Vermont, Colorado, California, and Nevada, and identifies common challenges and themes that emerge. It serves as a case study in how different states build, or fail to build, the popular and political will towards health care coverage for all residents. 

States That Have Aimed to Close the Coverage Gap – What Can We Learn?
In a Health Affairs blog post, Andy Slavitt, United States of Care Board Chair and former Acting Administrator of the Centers for Medicare and Medicaid Services, and Dan Polsky, former Penn LDI Executive Director, comment on the most important lessons learned from our state-by-state analysis and provide a glimpse of future work.