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View ArticleNew Research on the Economics of Disability Insurance Awards
More and more research is coming out showing off the unfairness, economic loss, and excessive cost of the current outdated rules governing the disability programs in the US. In this blog, I summarize...
View ArticleExplainer Episode 51—Beyond Medicaid? Potential Paths Forward to Better...
Signed into law in 1965, Medicaid has been active for almost 58 years, during which time its scope has fluctuated and many conversations have been had as to what the appropriate reach, means, and aims...
View ArticleLimiting Access to Obesity Care Is Not an Effective or Humane Approach to...
In 1999, 31 percent of adults were considered obese; that increased to 42 percent by 2019. This costs the US Health system 173 billion dollars a year. The disease is associated with cardiovascular...
View ArticleUnemployment Is Low, Welfare High. What Gives?
Welfare rolls are supposed to grow in bad times and shrink when jobs and incomes recover. Instead, they’ve recently continued growing even as unemployment plunged to historic lows. One major reason is...
View ArticleHow Medicare and Medicaid Contribute to Budget Deficits
The steady rise of cumulative federal debt relative to the U.S. economy over the past half-century is a consequence of many decisions, some made by Congress and others by a succession of presidents...
View ArticleQuestions and Answers About Work Requirements Provisions in the House...
Earlier today we reviewed details about a proposal to expand work requirements in safety net programs. Below we outline some additional questions and answers about work requirements in US safety net...
View ArticleHouse Debt Limit Bill Adjusts Work Requirement Changes
Early this morning, House Republicans made three last-minute changes to the work requirement policies included in their debt limit proposal as it headed to the House floor for consideration. As Roll...
View ArticleWork-for-Welfare Gains Traction Among Republicans
Last week, U.S. House Republicans included expanded work requirements for Medicaid, food stamps, and cash welfare benefits in their legislation to extend the federal debt limit. As employers continue...
View ArticleUsing ERISA as a Transparency Sword, Not a Shield
Health care price transparency has become a popular political frisbee to toss around. However, it tends to operate more like a boomerang as each set of partisans in Congress scores its talking points...
View ArticleNo, ObamaCare Did Not Reduce Federal Disability Rolls
When I was a member of the Social Security Advisory Board (SSAB) from 2006 through 2012, we were quite concerned with the rapid rise of federal disability benefit applications, awards, beneficiaries...
View ArticleThis is Reform? California Wants to Let Its Billionaires Go on Medicaid
Politicians and investigative journalists have long complained about the billionaires that have no taxable income and pay no taxes despite their wealth. In response, politicians have advanced many...
View ArticleTracking Plans to Make Pandemic Benefit Expansions Permanent
In 2008, former White House Chief of Staff and Chicago Mayor Rahm Emanuel famously said what has come to be known as Rahm’s rule: “You never want a serious crisis to go to waste. And what I mean by...
View ArticleThe Expansion of Home Care Benefits in Medicaid Does Not Save Money on...
It is claimed by advocates that the provision and expansion of home-and-community-based services (HCBS) care by states through Medicaid to the eligible elderly and disabled populations will save the...
View ArticleThe Value of Improving Insurance Quality: Evidence from Long-Run Medicaid...
Abstract The US government increasingly provides public health insurance coverage through private firms. We examine associated welfare implications for beneficiaries, using a ‘revealed preference’...
View ArticleThe House-Passed Health Care Bill: Price Transparency Requirements, PBM...
Last week, the House passed a medium-sized health care bill, the Lower Cost, More Transparency Act (H.R. 5378), with substantial bipartisan support (the vote was 320 to 71). The measure is a grab bag...
View ArticleMore Volume than Value in Health Quality Measures?
Quality measurement in healthcare policy struggles with two particularly chronic pre‐existing conditions in U.S. politics: aversion to the appearance of “discriminatory” decision making and...
View ArticleAlex Brill on Single-Payer Health Care System and Drug Costs
Alex Brill is a senior fellow at the American Enterprise Institute (AEI), where he studies the impact of tax policy on the US economy as well as the fiscal, economic, and political consequences of...
View ArticleLong-Term Care: The Problem and The Solution
Summary Long-term care (LTC) in the United States is dysfunctional, marked by nursing home bias, inadequate home care, dubious care quality, insufficient funding, caregiver shortages, over-stressed...
View ArticlePublic Policy for Long-Term Care Financing
Long term care (LTC) in the United States is financed by a mix of private and, mainly, public funds. With the current and projected aging of the population, it is not fiscally sustainable. The...
View ArticleUsing Artificial Intelligence to Improve Administrative Process in Medicaid
Abstract Administrative burden across state–federal benefits programs is unsustainable, and artificial intelligence (AI) and associated technologies have emerged and resulted in significant interest...
View ArticleThe Value of Improving Insurance Quality: Evidence from Long-Run Medicaid...
Abstract The US government increasingly provides public health insurance coverage through private firms. We examine associated welfare implications for beneficiaries, using a “revealed preference”...
View ArticlePhysician Fee Changes and Other Non-Appropriation Health Provisions Are...
Congress is finally approving—nearly halfway through the fiscal year—full-year appropriations for half of the twelve annual spending bills. The measure has cleared the House and Senate approval is...
View ArticleWhy Foster Kids Aren’t Getting the Mental Health Care They Need
Last fall, a 15-year-old foster child in Kansas took his own life. According to a local news report, the boy’s foster family “immediately called for help when they discovered the teenager, but...
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