Community Health Centers: successes and challenges
Community health centers (CHCs) played an important role during the recent economic recession as the demand for their services grew significantly. Recently, the Federal Reserve Bank of Dallas interviewed Jose E. Camacho, executive director/general counsel at the Texas Association of Community Health Centers, to learn more about the challenges his constituents now face.
How do Doctors Respond to Incentives? Unintended Consequences of Paying Doctors to Reduce Costs
Billions of dollars have been spent on pilot programs searching for ways to reduce healthcare costs. I study one such program, where hospitals pay doctors bonuses for reducing the total hospital costs of admitted Medicare patients (a ?bundled payment?). Doctors respond to the bonuses by becoming more likely to admit patients whose treatment can generate high bonuses, and sorting healthier patients into participating hospitals. Conditional on patient health, however, doctors do not reduce costs or change procedure use. These results highlight the ability of doctors to game incentive schemes, ...
Medical debt: a curable affliction health reform won’t fix
Medical illness and medical bills will continue to be leading causes of personal bankruptcy in the United States, even after health-care reform.
Medicaid-the need for reform
Recent administration proposals to address the rising cost of Medicaid will do little to contain costs or truly reform the program. The primary issues are the large differences among state Medicaid programs in coverage and benefits and the programs high and rising costs. In this paper, we describe and develop several options for Medicaid reform that would expand coverage, provide fiscal relief to states, shift responsibility for some or all of the cost of dual eligibles to the federal government, and eliminate or restructure the disproportionate share programs. A number of other issues are ...
It’s technology (and what it is or isn’t worth), stupid! Comments on Aaron’s “It’s Health Care, Stupid! Why Control of Health Care Spending Is Vital for Long-Term Fiscal Stability”
What are the implications of the current structure of the U.S. health care system for U.S. fiscal stability at the federal and state levels over the medium and long terms? What are the national, global, and inter-generational distribution effects? How will a growing recognition of the need for ?reform? affect saving decisions? Is the macro adjustment to ?broken? health care promises likely to be smooth? What are the policy implications?
Federal health care law promises coverage for all, but at a price
The Patient Protection and Affordable Care Act, better known as health care reform, was signed into law last March. The measure ostensibly provides health care coverage to almost all Americans while simultaneously reducing the deficit by $143 billion over 10 years and by a greater amount over the longer term.
Employer-funded health care and labor markets: an insider’s view
This session will explore the impact of the U.S. health care system on U.S. labor markets. ; Why do employers believe that rising health care costs are a major cause for concern when economists insist that workers are the ones who actually bear the costs? What are the implications of large health care liabilities for the long-run viability of U.S. employers? How do rising health care costs affect employment and compensation decisions and labor mobility? Do behavioral insights shed any light on these issues?
The health care challenge: some perspectives from behavioral economics
National health care goals generally include providing broad access to appropriate amounts of high-quality health care at appropriate cost to the ultimate payers. Yet all countries, regardless of how they deliver and finance health care, struggle to achieve a sustainable balance among the implicit tradeoffs. Does this struggle stem from the limited scope for competition in health care or from information asymmetries? Or does it simply reflect the inherent difficulty of measuring health care output and quality? Alternatively, does it result from deep-seated human behavior - a tendency for ...
Does health care reform support self-employment?
Didem Tzemen and Thealexa Becker study the Massachusetts Health Care Reform Act and find the reform may have supported self-employment in the state.