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Affordable Care Act

  • Spending on Preventive Services Represents a Small Fraction of Total Health Care Spending, but Costs to Individuals Could Be High without ACA Protection

    Tags: Affordable Care Act, Preventive Services, Screening
    Spending on Preventive Services Represents a Small Fraction of Total Health Care Spending, but Costs to Individuals Could Be High without ACA Protection
    Bianca Silva Gordon, Jessica Chang, and John Hargraves
    October 12, 2022

     The Affordable Care Act (ACA) requires insurers to cover certain services without charging patients out-of-pocket. These services include routine preventive care, such as wellness visits, immunizations, contraceptive services, and cancer and other disease screenings. In September 2022, a federal court ruled portions of the law’s preventive services provision unconstitutional. If the court decision stands, it…

    Read more: Spending on Preventive Services Represents a Small Fraction of Total Health Care Spending, but Costs to Individuals Could Be High without ACA Protection
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  • NPR: The COVID Relief Bill Expands the Affordable Care Act. It Doesn’t Come Cheap

    Tags: Affordable Care Act
    NPR: The COVID Relief Bill Expands the Affordable Care Act. It Doesn’t Come Cheap
    Noam Levey
    March 23, 2021

    HCCI’s research on commercial insurance payments to providers was mentioned in an NPR article on recent expansions to the Affordable Care Act. From the article: “For example, health insurers in the Atlanta area pay primary care physicians $93 on average for a basic patient visit, according to an analysis of 2017 commercial insurance data by…

    Read more: NPR: The COVID Relief Bill Expands the Affordable Care Act. It Doesn’t Come Cheap
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  • NBER: Hospital Pricing and Public Payments

    Tags: Affordable Care Act, Inpatient Spending, NBER, Peer Reviewed Journals, Readmissions, Value Based Care
    NBER: Hospital Pricing and Public Payments
    Michael Darden, Ian McCarthy, Eric Barrette
    February 1, 2018

    ABSTRACT: A longstanding debate in health economics and health policy concerns how hospitals adjust prices with private insurers following reductions in public funding. A common argument is that hospitals engage in some degree of “cost-shifting,” wherein hospitals increase prices with private insurers in response to a reduction in public payments; however, evidence of significant costshifting is…

    Read more: NBER: Hospital Pricing and Public Payments
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  • JAMA Oncology: Association Between Quality of Care for Breast Cancer and Health Insurance Exchange Coverage An Analysis of Use of Radiation Therapy After Breast-Conserving Surgery

    Tags: Affordable Care Act, Cancer, Commercially Insured, JAMA, Peer Reviewed Journals
    JAMA Oncology: Association Between Quality of Care for Breast Cancer and Health Insurance Exchange Coverage
An Analysis of Use of Radiation Therapy After Breast-Conserving Surgery
    Ya-Chen Tina Shih, Ying Xu, Mariana Chavez-MacGregor, et al
    October 1, 2017

    ABSTRACT Research comparing quality of cancer care by insurance categories concluded that cancer patients without insurance or with Medicaid experienced inferior quality of care compared with those with private insurance. A new insurance category created from the Affordable Care Act (ACA) is insurance purchased from the Health Insurance Marketplace (also known as the exchange). The present…

    Read more: JAMA Oncology: Association Between Quality of Care for Breast Cancer and Health Insurance Exchange Coverage An Analysis of Use of Radiation Therapy After Breast-Conserving Surgery
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  • Slate: A Failed Cure for Health Care Costs

    Tags: Affordable Care Act, Prices, Transparency
    Slate: A Failed Cure for Health Care Costs
    Slate
    January 9, 2017

    By: Helaine Olen  It’s a new year, and you know what that means: Your health insurance deductible just reset. Which for many of us means looking forward to paying a significant amount out of pocket for health care until we’ve spent enough for our insurance payments to kick in. According to the Henry J. Kaiser…

    Read more: Slate: A Failed Cure for Health Care Costs
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  • Washington Post: How companies are quietly changing your health plan to make you pay more

    Tags: Affordable Care Act, Commercially Insured
    Washington Post: How companies are quietly changing your health plan to make you pay more
    Washington Post
    September 14, 2016

     By: Carolyn Johnson While politicians have been embroiled in a fiery debate over President Obama’s signature health-care law, a quiet but profound shift is fundamentally reshaping how health insurance works for the roughly 155 million Americans who receive coverage through their employers. A national survey of employer health benefits released Wednesday shows how much deductibles…

    Read more: Washington Post: How companies are quietly changing your health plan to make you pay more
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  • Selected Health Care Trends for Young Adults: 2007-2012

    Tags: Affordable Care Act, Emergency Room, Inpatient Spending, Mental Health and Substance Use, Outpatient Spending
    Selected Health Care Trends for Young Adults: 2007-2012
    Amanda Frost, Carolina-Nicole Herrera, Paul S Hewitt
    September 1, 2014

    This issue brief is one of the first to examine health care trends for young adults (ages 19-25) with employer-sponsored insurance before and after implementation of Section 1001 of the Affordable Care Act that allows parents to include their adult children in family health plans. 

    Read more: Selected Health Care Trends for Young Adults: 2007-2012
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  • Health Affairs: Health Spending Slowdown Is Mostly Due To Economic Factors, Not Structural Change In The Health Care Sector

    Tags: Affordable Care Act, Commercially Insured, Health Affairs, Market Concentration, Peer Reviewed Journals
    Health Affairs: Health Spending Slowdown Is Mostly Due To Economic Factors, Not Structural Change In The Health Care Sector
    David Dranove, Craig Garthwaite, Christopher Ody
    August 1, 2014

    ABSTRACT: The source of the recent slowdown in health spending growth remains unclear. We used new and unique data on privately insured people to estimate the effect of the economic slowdown that began in December 2007 on the rate of growth in health spending. By exploiting regional variations in the severity of the slowdown, we determined…

    Read more: Health Affairs: Health Spending Slowdown Is Mostly Due To Economic Factors, Not Structural Change In The Health Care Sector
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