Health Care

Health Care

Research

Brian Blase, Doug Badger, Edmund F. Haislmaier, Seth J. Chandler | Jun 28, 2016
The Affordable Care Act (ACA) significantly altered the rules governing health insurance, especially in the individual market. While the law has increased the number of people with health insurance, lower-than-expected enrollment in the new health insurance exchanges and significant insurer losses have resulted in substantial premium increases and insurer withdrawals from state markets. These negative outcomes cast increasing doubt on the ACA and its long-term sustainability.
Mark J. Warshawsky | Jun 10, 2016
Concern about income inequality has dramatically shifted public attitudes toward economic and fiscal policy, and the subject of inequality has increasingly dominated the political debate. But the discussion has focused almost exclusively on comparing the earnings of lower- and higher-paid workers, and on promoting redistributive policies aimed at “correcting” this disparity. New research finds, however, that both scholars and politicians have largely overlooked a key contributor to earnings inequality: the role of rapidly increasing healthcare costs.
Christopher Koopman, Thomas Stratmann, Scott Eastman | May 17, 2016
Certificate-of-need (CON) programs are state laws that require government permission for healthcare providers to open or expand a practice or to invest in certain devices or technology. These programs have been justified on the basis of achieving several public policy goals, including controlling costs and increasing access to healthcare services in rural areas. Little work has been done, however, to measure what effects CON programs have on access and distribution of healthcare services. Two recent studies that examined the relationship between a state’s CON program and access to care found that these laws failed to achieve their stated goals.
Brian Blase, Doug Badger, Edmund F. Haislmaier | Apr 22, 2016
This is the first in a series of papers in which we provide the most comprehensive analysis to date of the impact of the ACA on the individual and small group insurance market in 2014. In this overview, we provide information on how insurers fared in their first year selling QHPs—plans that satisfy all of the ACA’s requirements and are certified to be sold on exchanges—using a data set compiled from medical loss ratio form that insurers are required to file with the Department of Health and Human Services.
Eric Sun, Kelly Ferguson | Apr 20, 2016
In 2002, Congress passed the Medical Device User Fee and Modernization Act, with the aim of pushing the FDA to speed up the approval process for medical devices. This law levied large user fees on medical device manufacturers in exchange for the promise of shorter review times by the FDA. Whether the act has resulted in shorter review times has been unclear. This study conducted a regression analysis to address this question, using data on FDA review times for devices seeking approval between 1991 and 2012.
James C. Capretta | Mar 08, 2016
The Affordable Care Act (ACA) is known primarily for its provisions that subsidize and regulate health insurance for the working-age population and their families, but it also made many important changes to the Medicare program. Perhaps the most important of those changes is a new upper limit on Medicare spending, enforced by the Independent Payment Advisory Board, or IPAB.

Testimony & Comments

Research Summaries & Toolkits

Expert Commentary

Jul 28, 2016

Most scholars and analysts conclude that, particularly when fully accounting for the various government subsidies for individual insurance coverage, the ACA significantly increased individual market premiums.
Jul 26, 2016

The real question bears repeating: Why is any federal bureaucrat allowed to come between a doctor and her patient and prevent a chance at life? It’s time to try another way.
Jul 20, 2016

As a start, HHS should make all the data available, including the average costs of expansion enrollees by state. In addition, Congress should closely scrutinize managed care contracts that states are making with insurers as well as any actions that HHS is taking to guard against outrageously high federal payments for the expansion population.
Jul 12, 2016

Today, the Department of Health and Human Services issued an analysis of Affordable Care Act exchange plan deductibles.
Jul 11, 2016

As we convert more and more of medicine to transactions—and we will—patients will find it easier to tend to their health, and doctors will find themselves freer to focus on those areas where relationships are truly irreplaceable.
Jul 06, 2016

Risk adjustment, therefore, introduces a trap economists refer to as a “collective action problem.” Because of risk adjustment, insurers individually lack an incentive to enroll relatively young and healthy people, but in the aggregate the ACA’s success is largely dependent on enough relatively young and healthy people purchasing coverage to both lower overall premiums and ensure insurer profitability.

Charts

Certificate-of-need (CON) laws in 21 states restrict acquisition of imaging equipment, including MRI, CT, and PET scans. These CON requirements effectively protect established hospitals from nonhospital competitors that provide medical imaging services, such as independently practicing physicians, group practices, and other ambulatory settings. In the process of protecting hospitals from these nonhospital providers, CON laws limit the imaging services available to patients.

Experts

Charles Blahous is the director of the Spending and Budget Initiative, a senior research fellow at the Mercatus Center at George Mason University and has served as a public trustee for Social Security and Medicare. He specializes in domestic economic policy and retirement security (with an emphasis on Social Security), as well as federal fiscal policy, entitlements, demographic change, and health-care reform.
Robert Graboyes is a senior research fellow and healthcare scholar with the Mercatus Center at George Mason University and is the author of the study “Fortress and Frontier in American Health Care.” He earned his PhD in economics from Columbia University. An award-winning teacher, Graboyes holds teaching positions at Virginia Commonwealth University and the University of Virginia.
Christopher J. Conover is an affiliated senior scholar at the Mercatus Center at George Mason University and a research scholar at the Center for Health Policy & Inequalities Research at Duke University.
Jerry Ellig is a senior research fellow at the Mercatus Center at George Mason University and a former assistant professor of economics at George Mason University. He specializes in the federal regulatory process, economic regulation, and telecommunications regulation.
Jamil Khan is a program coordinator on health care policy for the Mercatus Center at George Mason University.

Podcasts

Brian Blase | July 01, 2016
Brian Blase discusses the ACA's older, sicker, and cagier enrollees on the John Batchelor Show.

Recent Events

Please join the Mercatus Center at George Mason University for a discussion of policy reform options to deliver better health for more people, at lower cost, year after year.

Books

| Sep 29, 2015
In a new set of essays commissioned by the Mercatus Center at George Mason University, seven leading policy experts share innovative ideas on how to solve the pre-existing condition challenge. While their approaches exhibit differences as well as similarities, they are unified in their pursuit of a humane, equitable, fiscally sustainable solution to a conundrum that has driven and strained the entire post–World War II healthcare debate.

Media Clippings

Casey B. Mulligan | Oct 09, 2014
This excerpt originally appeared in The Washington Times.
Robert Graboyes | Sep 25, 2014
This excerpt originally appeared in Reuters.
Charles Blahous | Jun 04, 2014
This excerpt originally appeared in CQ and also appeared Roll Call.
Robert Graboyes | Jan 29, 2014
Robert Graboyes cited at Star-Telegram.
Tyler Cowen | Oct 30, 2013
Tyler Cowen cited at The Washington Post.
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