Insurance and Provider Markets
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Enrollment in Nongroup Health Insurance by Income Group
This white paper estimates how many non-elderly people in different income groups held Marketplace coverage, off-Marketplace coverage that qualifies as minimum essential coverage (MEC) under the ACA, or non-MEC nongroup policies (e.g., short-term limited duration plans), as well as how many lacked any coverage, in 2019
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Payment for Dialysis Services in the Individual Market
A new study published in JAMA Internal Medicine finds that monthly spending on outpatient dialysis services for end-stage kidney disease (ESKD) patients was three times higher for patients insured in the individual market compared to patients insured through Medicare.
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Dialysis Costs the Healthcare System Three Times More in the Individual Market
A new study published in JAMA Internal Medicine finds that monthly spending on outpatient dialysis services for end-stage kidney disease (ESKD) patients was three times higher for patients insured in the individual market compared to patients insured through Medicare.
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Schaeffer Solutions: Health Policy Recommendations for the Biden Administration and 117th U.S. Congress
The USC-Brookings Schaeffer Initiative for Health Policy has developed practical recommendations and analysis in a number of critical policy areas.
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About this section
Competition is essential for a properly functioning marketplace, but industry consolidation, insurance complexity and other factors are barricading healthcare consumers from the benefits of good commerce. Schaeffer Center analysts explore ways to remove those obstacles to efficiency, while also promoting optimal care.
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Federal Policy Options to Realize the Potential of All Payer Claims Databases
An all-payer claims database (APCD) is a system that collects health care claims and related data from all (or nearly all) entities that pay for health care services in a geographic area, including private and public health plans.
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GAO Report Sheds Additional Light on Misleading and Deceptive Marketing Practices Among Non-Compliant Health Plans
The GAO report underscores three key themes: misleading information is shockingly prevalent, a wide variety of junk plans are sold and may frequently be bundled together, and fixed indemnity plans appear to play a large role.
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Are U.S. Health Care Prices Too High, Too Low, or Some Mix of the Two?
Part 1 of a panel series on health care price regulation honoring Uwe E. Reinhardt (1937-2017)
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How To Boost Health Insurance Enrollment: Three Practical Steps That Merit Bipartisan Support
The authors explain how gaps in eligibility for federal assistance programs, perceptions of affordability, and administrative complexity create barriers that prevent millions of Americans from obtaining affordable coverage.
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Taking a Broader View of “Junk Insurance”
Christen Linke Young explains the dangers of junk insurance.
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Misleading Marketing of Short-Term Health Plans Amid COVID-19
Schaeffer Initiative researchers investigate marketing claims made by ACA non-compliant health insurers about coverage amid the pandemic.