Pulling it Together: Reflections on This Year’s Four Percent Premium Increase September 5, 2012 Perspective Our 2012 Employer Health Benefits Survey found a 4% increase in premiums this year, continuing the recent trend of moderation in health costs and spending reported in several studies. Double digit increases in premiums were once a common occurrence, but we have not seen any since a 10% increase in…
Pulling It Together: The Falloff in Utilization: “There’s Something Happening, Here, What It Is Ain’t Exactly Clear” April 10, 2012 Perspective For as long as I have been in the field, we have seen cycles in health care costs. Per capita health spending would rise, then moderate, then rise gain. My colleague Larry Levitt and I documented this in The Sad History of Health Care Costs and my friend Dr. Jim Mongan…
Pulling It Together: Bono, Jon Stewart and the HIV/AIDS Message December 14, 2011 Perspective One of the most interesting conversations on a health topic happened recently on The Daily Show between Bono and Jon Stewart. Bono told Stewart that we were “at the beginning of the end of the AIDS epidemic,” promising an announcement the next day that would explain how a combination of…
Pulling It Together: What Do We Want Health Insurance To Be? September 26, 2008 Perspective Trends in the health insurance marketplace show substantial growth in high deductible health plans, especially among smaller firms, where 35% of workers are now covered by plans with a deductible of $1,000 or more. That’s according to our recently released employer health benefits survey, which we have been conducting now…
Pulling It Together: Uninsured But Not Yet Informed August 26, 2011 Perspective If there is one thing there is general agreement on when it comes to the Affordable Care Act (ACA) it’s that it will help the uninsured. The estimates are that 32 million people will gain coverage under the law through an expansion of Medicaid and tax credits, which will help…
Pulling it Together: Health Reform’s Six-Month Checkup September 23, 2010 Perspective Six months after its enactment, there are two totally different stories to tell about the health-reform law. The public remains split on the law largely along traditional partisan lines. Confusion and misperception are rampant, with more than a third of seniors still thinking the law contains “death panels” (it does…
Pulling it Together: Seniors and Health Reform July 27, 2010 Perspective It is widely believed that seniors are antsy about the new health reform law. And there is heightened interest in how seniors feel about the law in the political world because they are more likely to vote in midterm elections. About 48% of the electorate said they voted in the…
Pulling It Together: Implementation Is Forever April 5, 2010 Perspective Now that historic health reform legislation is law, everyone is rightfully focused on implementation. There are two very different ways to look at implementation. One is the more legalistic worm’s eye view, which sees implementation largely as the process of putting into effect what was written in the law. In…
Pulling it Together: Anticipating the Polls about Health February 5, 2010 Perspective Tuesday, February 2nd marked a milestone of sorts in the health reform debate: there was no story on health reform in the New York Times (national edition). I haven’t done a study, but as a professional New York Times (NYT) reader, I am virtually certain that this is the first…
Pulling It Together: The Message from Massachusetts January 27, 2010 Perspective The Massachusetts special election has roiled the political world and profoundly affected the prospects for health reform just when it looked like passage was a lock. Efforts are underway to put health reform legislation back together again on Capitol Hill, but not since powerful Ways and Means Chair Wilbur Mills fell into…