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Policy Briefs

From providers to payers to prescription drugs, our briefs target every corner of the health care sector.
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Filters

Up to $0.9B

per Year at Full Vaccination
(0.02% of Total Health Spending)
Providers

Expanding Convenient Access to the Flu Vaccine for Young Children

Providers
Michael L. Anderson
Anderson

1.3%-5.3%

of Spending on Small Molecule Drugs
(0.06%-0.23% of Total Health Spending)
Prescription Drugs

Ending Pay-for-Delay Patent Litigation Settlements in the Pharmaceutical Industry

Prescription Drugs
Keith M. Drake
Drake
Thomas G. McGuire
McGuire

Up to 19%

of the VA's Health Care Appropriation
(0.4% of Total Health Spending)
Payers

Authorizing the VA to Recover Payments from Medicare Advantage Plans for Dually Enrolled Veterans’ Care

Payers
Amal N. Trivedi
Trivedi
Jean Yoon
Yoon
David J. Meyers
Meyers
Aaron L. Schwartz
Schwartz
Erin Fuse Brown
Brown

$1.56B

of Medicare Spending
(0.03% of Total Health Spending)
Providers

Matching Post-Acute Care to Clinical Need: Reducing Unnecessary Skilled Nursing Facility Use

Providers
Rachel M. Werner
Werner

2.5%

of Medicaid Spending on Nursing Homes
(0.03% of Total Health Spending)
Providers

Shifting Medicaid Nursing Home Payment Toward Upfront, Episode-Based Reimbursement

Providers
Martin B. Hackmann
Hackmann

11%-16%

of Government Spending on Individual Market Premium Subsidies
(0.11%-0.17% of Total Health Spending)
Payers

Integrating Individual and Small Group Health Insurance Markets to Reduce Premiums and Administrative Costs

Payers
Michael Dickstein
Dickstein

12%

of Medicaid Long-Term Care Spending on Single Elderly with Adult Children
(0.09% of Total Health Spending)
Payers

Paying for Family Caregiving in Long-Term Care Insurance

Payers
Corina Mommaerts
Mommaerts

1.2%

of Medicare Spending
(0.25% of Total Health Spending)
Payers

Eliminating the Medicare Advantage Star Ratings System

Payers
Michael Chernew
Chernew

3.8%

of Perinatal Commercial Spending
(0.03% of Total Health Spending)
Providers

Implementing Episode-Based Payment for Perinatal Care in the Medicaid and Commercial Markets

Providers
Caitlin Carroll
Carroll

$12-$24B

in Combined Medicare and Commercial Savings in One Year
(0.28%-0.56% of Total Health Spending)
Providers

Expanding Site-Neutral Payments in Medicare and Addressing Anticompetitive Vertical Integration of Physicians

Providers
Zack Cooper
Cooper

5.7%

of Commercial Health Care Spending
(1.8% of Total Health Spending)
Providers

Capping Provider Prices and Price Growth in the US Commercial Health Sector

Providers
Legislation
Medicare
Federal Government
Michael Chernew
Chernew
Leemore Dafny
Dafny

1%

of Traditional Medicare Spending
(0.11% of Total Health Spending)
Providers

Long-Term Care Hospitals: A Case Study in Waste

Providers
Legislation
Medicare
Federal Government
Liran Einav
Einav
Amy Finkelstein
Finkelstein
Neale Mahoney
Mahoney

2%

of Private Health Spending
(0.69% of Total Health Spending)
Providers

Addressing Hospital Concentration and Rising Consolidation in the United States

Providers
Legislation
Medicare
Federal Government
Zack Cooper
Cooper
Martin Gaynor
Gaynor

6%-24%

of Home Health Care Spending
(0.12% of Total Health Spending)
Providers

Reforming Home Health Care Coverage to Reduce Fraud

Providers
Legislation
Medicare
Federal Government
Stephen Chahn Lee
Chahn Lee
Jonathan Skinner
Skinner

1%

of Medicare Spending
(0.21% of Total Health Spending)
Prescription Drugs

Paying for Biologic PADs in Medicare Part B

Prescription Drugs
Legislation
Medicare
Federal Government
Fiona Scott Morton
Scott Morton
Zack Cooper
Cooper

1.5%

of Total Drug Spending
(0.15% of Total Health Spending)
Prescription Drugs

Reforming the Orphan Drug Act

Prescription Drugs
Legislation
Medicare
Federal Government
Amitabh Chandra
Chandra

0.4%

of Retail Prescription Drug Spending
(0.04% of Total Health Spending)
Prescription Drugs

Promoting Preferred Pharmacy Networks

Prescription Drugs
Legislation
Medicare
Federal Government
Amanda Starc
Starc
Ashley Swanson
Swanson

0.1%

of Medicare Spending
(0.02% of Total Health Spending)
Providers

Expanding Kidney Exchange

Providers
Legislation
Medicare
Federal Government
Nikhil Agarwal
Agarwal
Itai Ashlagi
Ashlagi
Michael Rees
Rees
Alvin Roth
Roth

0.5%

of Medicare Spending
(0.08% of Total Health Spending)
Providers

Removing All Financial Disincentives to Living Kidney Donation

Providers
Legislation
Medicare
Federal Government
Mario Macis
Macis

0.63%

of Total Health Spending
Payers

Less Is More: Structuring Choice for Health Insurance Plans

Payers
Legislation
Medicare
Federal Government
Jason Abaluck
Abaluck
Jonathan Gruber
Gruber

2.8%

of Commercially Insured Health Spending
(0.83% of Total Health Spending)
Payers

Designing Smart Commercial Insurer Networks

Payers
Legislation
Medicare
Federal Government
Jonathan Gruber
Gruber

3.6%

of Commercial Health Care Spending
(1.25% of Total Health Spending)
Payers

Real-Time Adjudication for Health Insurance Claims

Payers
Legislation
Medicare
Federal Government
Peter Orszag
Orszag
Rahul Rekhi
Rekhi

1%

of Medicaid Spending
(0.24% of Total Health Spending)
Payers

Improving Auto-Assignment in Medicaid Managed Care

Payers
Legislation
Medicare
Federal Government
Chima Ndumele
Ndumele
Jacob Wallace
Wallace
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