Jodi L. Liu

Overview

Commentary

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  Medicare for All: Sounds Good, but What Does It Mean?

  Traditional Medicare is popular and therefore can lend a good brand name to coverage expansion proposals, but its limits can be significant for some patients. Those proposing and evaluating “Medicare for All” proposals should consider whether and how these limits are addressed.

  Nov 19, 2018 Health Affairs Blog

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  Misconceptions About 'Medicare for All'

  Medicare for All is a talking point for both major U.S. political parties. Would it be free? Would people have to switch doctors? Would waits be long? Misconceptions abound about single-payer proposals and their likely effects. Here are the facts.

  Oct 27, 2018 USA Today

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  Committed to Improving Health Care Policy: Q&A with Jodi Liu

  Jodi Liu, an associate policy researcher at RAND, studies how to deliver high-quality care and how to pay for it. She discusses her assessment of a single-payer health care proposal in New York State and the supply-and-demand challenges that might arise if an Alzheimer's treatment became available.

  Oct 23, 2018

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  Potential Benefits for Most New Yorkers but No Free Lunch: Tough Decisions for Single-Payer Health Care in New York

  A single-payer plan in New York would shift health care spending to the state instead of private insurers. As with any far-reaching legislation, there are trade-offs. It's important that policymakers consider the impact of the single-payer plan in totality.

  Aug 6, 2018 New York Daily News

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  Savings from a Single-Payer Health System Would Not Be Automatic

  Polls have shown increasing public support for a single-payer system in the United States. Yet there is no agreement on how to set up and pay for a single-payer system or even how much it would cost.

  Sep 26, 2017 The Hill

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  Extending Marketplace Tax Credits Would Make Coverage More Affordable for Middle-Income Adults

  Paying for health care coverage is a challenge for Americans facing rising premiums, deductibles, and copayments. The ACA's tax credits that make marketplace insurance more affordable for lower-income individuals should be extended to middle-income adults aged 50–64.

  Jul 27, 2017 The Commonwealth Fund Blog

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  The Disneyland Measles Outbreak: 'Anti-Vaxxers' Aren't the Only Issue

  The recent measles outbreak that began in Disneyland is the latest reminder that Americans have ceded ground in the fight against the potentially deadly disease. So-called 'anti-vaxxer' parents have received a lot of attention following the outbreak, but they may comprise less of the population than you think.

  Mar 17, 2015 The Press-Enterprise

Publications

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  Journal Article

  Expanding Enrollment Without the Individual Mandate: Options to Bring More People Into the Individual Market

  The options analyzed would increase individual market enrollment by 400,000 to 3.2 million in 2020. Net increases in total enrollment (300,000 to 2.4 million) are smaller because of offsetting decreases in employer-sponsored insurance.

  Dec 27, 2018

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  Report

  Assessing the Preparedness of the Health Care System Infrastructure in Six European Countries for an Alzheimer's Treatment

  This research analyzes the preparedness of the health care systems in six European countries to ensure timely diagnosis and treatment of patients if an Alzheimer's disease-modifying therapy becomes available.

  Sep 30, 2018

• Infographic

  Infographic

  How Prepared Are European Health Care Systems to Deliver a Future Alzheimer's Treatment? An Assessment of Health Care Infrastructure in France, Germany, Italy, Spain, Sweden, and The United Kingdom

  A therapy for early-stage Alzheimer's disease could be available by 2020, but millions of European patients might have to wait a year or more for initial appointments in the multistep process if health care system capacity is not increased.

  Sep 30, 2018

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  Report

  Evaluation of the Global Payment Program: Midpoint Report

  The Global Payment Program seeks to improve health care for California's uninsured by providing funds for both traditional and non-traditional services, settings, and providers. This is the report of the midpoint evaluation of the program.

  Sep 7, 2018

• Journal Article

  Journal Article

  Extending Marketplace Tax Credits Would Make Coverage More Affordable for Middle-Income Adults

  Middle-income adults ages 50-64 would have more affordable coverage if the ACA's tax credits were extended to all income groups; this would improve the individual market risk pool because premiums for this group would exceed the cost of their care.

  Aug 24, 2018

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  Report

  An Assessment of the New York Health Act: A Single-Payer Option for New York State

  This report assesses how the state-sponsored single-payer health program New York Health would affect health care utilization and costs in New York, estimating its effects on key outcomes and comparing them with future outcomes under the status quo.

  Aug 1, 2018

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  Research Brief

  Estimating the Effects of a Single-Payer Proposal in New York State

  The New York Health Act could expand insurance coverage in New York without increasing overall health spending, if administrative costs are reduced and growth in provider payment rates is restrained. The program would be financed by new taxes.

  Aug 1, 2018

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  Report

  Practice Expense Methodology and Data Collection Research and Analysis

  This report proposes alternative methodologies for determining the practice expense (PE) component of the Medicare Physician Fee Schedule in order to avoid misvalued payment rates. A main concern is the allocation of indirect practice costs.

  Apr 11, 2018

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  Report

  Assessing the Preparedness of the U.S. Health Care System Infrastructure for an Alzheimer's Treatment

  This report assesses the preparedness of the U.S. health care system to handle the potential caseload when a disease-modifying therapy for Alzheimer's disease might become available.

  Nov 15, 2017

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  Infographic

  When Alzheimer's Drugs Arrive, How Prepared Will We Be to Meet Demand? An Assessment of U.S. Health Care Infrastructure

  Drugs to halt the progression of Alzheimer's disease may be available by 2020, but millions of U.S. patients might have to wait more than 14 months for initial appointments in the multistep process unless health care system capacity is increased.

  Nov 15, 2017

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  Journal Article

  Options to Expand Health Insurance Enrollment in the Individual Market

  Policymakers have many options to expand coverage in the individual market. We considered federal investments that would enhance, extend, or increase the tax credits available to enrollees, as well as reinsurance approaches that would lower premiums.

  Oct 31, 2017

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  Report

  The Effects of Iowa's Proposed Stopgap Measure on Health Insurance Costs and Coverage

  This report uses RAND's COMPARE microsimulation model to estimate the effects of a 1332 waiver application from the state of Iowa. The waiver is designed to stabilize Iowa's Affordable Care Act individual market through a series of modifications.

  Oct 17, 2017

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  Journal Article

  What Is Single-Payer Health Care? A Review of Definitions and Proposals in the U.S.

  Single-payer systems are heterogeneous. Acknowledgment of what is considered single-payer and the characteristics that are variable is important for nuanced policy discussions on specific reform proposals.

  Jun 1, 2017

• Report

  Report

  Financing Health Care in Oregon: Four Policy Options

  This presentation describes four options for financing health care for residents of the state of Oregon and compares the projected impacts and feasibility of each option.

  May 17, 2017

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  Research Brief

  MACRA's Effects on Medicare Payment Policy and Spending

  Estimates how sensitive physician behavior is to the design of alternative payment models under the Medicare Access and CHIP Reauthorization Act (MACRA).

  May 3, 2017

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  Report

  The Effects of the American Health Care Act on Health Insurance Coverage and Federal Spending in 2020 and 2026

  The authors used RAND's COMPARE microsimulation model to analyze the American Health Care Act, a bill proposed in the U.S. House of Representatives on March 6, 2017, that would have repealed and replaced many provisions of the Affordable Care Act.

  May 3, 2017

• Journal Article

  Journal Article

  The Medicare Access and CHIP Reauthorization Act: Effects on Medicare

  The Medicare Access and Chip Reauthorization Act (MACRA) will decrease Medicare spending on physician services by an estimated -$35 to -$106 billion and change spending on hospital services by +$32 to -$250 billion between 2015 and 2030.

  Apr 5, 2017

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  Report

  A Comprehensive Assessment of Four Options for Financing Health Care Delivery in Oregon

  This report compares the impacts and feasibility of four options for financing health care in Oregon: two state-based plans that would ensure coverage for all residents, a state-sponsored plan offered in Oregon's nongroup market, and the status quo.

  Jan 19, 2017

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  Research Brief

  Oregon's Options to Overhaul Health Care Financing: Health Care Reform 2.0?

  This analysis of three options to reform health care payment in Oregon (two state-based plans that would ensure coverage for all state residents and a state-sponsored plan offered in Oregon's nongroup market) found benefits and trade-offs for each.

  Jan 19, 2017

• Journal Article

  Journal Article

  Hillary Clinton's Health Care Reform Proposals: Anticipated Effects on Insurance Coverage, Out-of-Pocket Costs, and the Federal Deficit

  The Clinton health care proposal would increase the number of insured individuals and decrease consumers' health spending relative to current law. However, the policies with the largest coverage gains also increase the federal deficit the most.

  Nov 4, 2016

• Dissertation

  Dissertation

  Exploring Single-Payer Alternatives for Health Care Reform

  Explores single-payer proposals and estimates health care spending under single-payer alternatives in the United States.

  Jul 25, 2016

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  Research Brief

  Testing the Connection Between Social Spending and Better Health: U.S. Edition

  This brief discusses the implications of research findings that, in the United States, higher levels of social spending are strongly associated with better health.

  May 25, 2016

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  Research Brief

  Testing the Connection Between Social Spending and Better Health: European Edition

  This brief discusses the implications of research findings that, within the European Union, higher levels of social spending are strongly associated with better health.

  May 25, 2016

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  Report

  Are better health outcomes related to social expenditure? A cross-national empirical analysis of social expenditure and population health measures

  This cross-national analysis explores the association between social spending and population health outcomes. It widens the scope of the previous analysis, incorporating social capital and income inequality and looks at associations across US states.

  May 10, 2016

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  Report

  The RAND Health Care Payment and Delivery Simulation Model (PADSIM): Concepts, Methods, and Examples

  This report describes RAND's Health Care Payment and Delivery Simulation Model (PADSIM), developed to more effectively analyze the impacts of current and future reforms to provider payment policy.

  Mar 22, 2016

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  Journal Article

  Development of the Quality Improvement Minimum Quality Criteria Set (QI-MQCS): A Tool for Critical Appraisal of Quality Improvement Intervention Publications

  Valid, reliable critical appraisal tools advance quality improvement (QI) intervention impacts by helping stakeholders identify higher quality studies.

  Dec 23, 2015

• Journal Article

  Journal Article

  The Minimum Quality Criteria Set (QI-MQCS) for Critical Appraisal: Advancing the Science of Quality Improvement

  This meeting abstract documents expert panel deliberations intended to develop a critical appraisal instrument to promote identification, dissemination and implementation of findings from high quality improvement initiative evaluations.

  Nov 2, 2015

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  Journal Article

  Beyond Neighborhood Food Environments: Distance Traveled to Food Establishments in 5 US Cities, 2009-2011

  Accurate conceptualizations of neighborhood environments are important in the design of policies and programs aiming to improve access to healthy food. This article examines the relevance of different definitions of food environments.

  Aug 12, 2015

• Report

  Report

  Specialty Payment Model Opportunities and Assessment: Oncology Model Design Report

  This report shares research and analyses of claims data related to the design of a payment model for specialty oncology services for possible testing by the Center for Medicare and Medicaid Innovation at the Centers for Medicare & Medicaid Services.

  Mar 17, 2015

• Report

  Report

  Specialty Payment Model Opportunities and Assessment: Gastroenterology and Cardiology Model Design Report

  Describes research related to the design of episode-based payment models for ambulatory gastroenterology and cardiology services for possible testing by the Centers for Medicare and Medicaid Services' Center for Medicare and Medicaid Innovation.

  Mar 17, 2015

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  Journal Article

  Associations Between Eating Occasions and Places of Consumption Among Adults

  The objective of this study was to determine whether places of consumption are associated with types of eating occasions.

  Jan 23, 2015

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  Report

  The Economic Incidence of Health Care Spending in Vermont

  Estimates the economic incidence of health spending in the state of Vermont for 2012 and as projected for 2017.

  Jan 8, 2015

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  Report

  Improving Dementia Long-Term Care: A Policy Blueprint

  As baby boomers age, many will require long-term services and supports (LTSS) for dementia care. This blueprint outlines policy options and research directions to help decisionmakers improve the LTSS delivery system, workforce, and financing.

  Jun 23, 2014

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  Research Brief

  What to Do About Dementia? Policy Options for Crucial Long-Term Care

  Policy options to improve dementia long-term care include those that increase public awareness and promote earlier detection, improve access to and quality of services, increase support to family caregivers, and reduce the cost burden.

  Jun 23, 2014

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  Report

  Small Ideas for Saving Big Health Care Dollars

  A review of RAND research identified small ideas that could save the health care system $13 to $22 billion per year if successfully implemented. Ideas include changing payment policy for emergency transport and greater use of $4 generic drugs.

  Jan 30, 2014

Multimedia

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  24:02

  The Potential Impacts of Single-Payer Health Care

  Jan 23, 2019

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  1:46

  In Brief: Jodi Liu on the Potential Impacts of Single-Payer Health Care

  Jan 23, 2019