Medicaid expansion and prescription drug use

How did Medicaid expansion affect prescription drug use? At first glance, one would think that prescriptions increased; more insurance lowers patient out-of-pocket cost so we would expect more prescriptions. Medicaid insurance may crowd out other forms of insurance; if those other forms of insurance covered more drugs, then perhaps utilization would go down. A study…

How does the CEA plan to improve health insurance markets

According to a February 2019 report, the Council of Economic Advisors proposes to improve health insurance markets through three key policies: Eliminate the individual mandate Permitting more small businesses to form Association Health Plans Expanding short-term, limited-duration insurance (STLDI) plans The report claims that these changes will generate $450 billion in social surplus over the…

Surprise billing

Let’s say you go to an in-network provider. If you have fairly generous health insurance (i.e., not a high-deductible health plan), one would expect the cost sharing to be fairly modest. That is not always the case. You may be charged out-of-network cost sharing rates through no fault of your own. In a report by…

Trends in Obamacare plans: 2019 edition

The Robert Wood Johnson Foundation conducted case study interviews of health insurance exchange marketplace (i.e., Obamacare marketplaces) in 10 states (i.e., California, Florida, Georgia, Indiana, Maryland, Minnesota, Ohio, Virginia, Washington, and West Virginia) to determine trends in the available plans. One general trend was that large commercial insurers were leaving the marketplace. Marketplace participation is…