Pathways to Payment Innovation in a Post-Health Reform Era April 30, 2010 Event The new health reform law contains a number of changes in the way health care is paid for, particularly in public programs such as Medicare and Medicaid. The Alliance for Health Reform and The Commonwealth Fund sponsored a May 10 briefing which explored topics such as how some health care…
Health Care Reform and the CLASS Act April 28, 2010 Issue Brief This issue brief examines the Community Living Assistance Services and Supports (CLASS) program, a component of the health reform law that establishes a national, voluntary insurance program for purchasing community living services and supports that is designed to expand options for people who become functionally disabled and require long-term help.…
The COBRA Subsidy and Health Insurance for the Unemployed April 16, 2010 Issue Brief With the nation’s unemployment rate rising to its highest levels in decades as a result of the recession, many families have lost their employer-sponsored health coverage or are at risk of doing so. In an effort to help people maintain coverage after a layoff, the stimulus legislation known as 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…
Explaining Health Care Reform: Questions About Health Insurance Exchanges April 1, 2010 Issue Brief The Patient Protection and Affordable Care Act (PPACA), signed into law in March 2010, made broad changes to the way health insurance will be provided and paid for in the United States. PPACA created a new mechanism for purchasing coverage called Exchanges, which are entities that will be set up…
Assessing the Risk of Becoming Uninsured After Leaving a Job: A Look at the Data March 17, 2010 Fact Sheet This fact sheet examines the impact of unemployment on health insurance coverage by using data from 2004 to 2007 (before the current recession) to assess the increased risk of becoming uninsured among those who are no longer employed. It finds that more than one-third of individuals who stopped working and…
Pulling it Together: When Premiums Go Up 39% March 8, 2010 Perspective Our group that works on health care cost issues just updated an analysis that sheds light on what’s really happening to people in the individual health insurance market, the issue Secretary Sebelius, a former Kansas insurance commissioner, and others have put in the spotlight by calling on Anthem and other…
Snapshots: Comparison of Expenditures in Nongroup and Employer-Sponsored Insurance: 2004-2007 March 3, 2010 Issue Brief Data from the insurance industry and reviews of premiums offered through on-line sellers show that premiums for nongroup health insurance are lower than premiums reported on national surveys for employer-sponsored health insurance (ESI). This paper uses pooled data from the 2004 through 2007 Medical Expenditure Panel Survey to compare the…
Pulling it Together: An Actuarial Rorschach Test February 11, 2010 Perspective Drew Altman, Larry Levitt, Gary Claxton My colleagues have worked on this column with me and I invited them to join me as authors. As with pretty much every other discussion of health care going back to the days of Roosevelt, the great reform debate of 2009 (and now 2010)…
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…