Ezekiel J. Emanuel is vice provost for global initiatives at the University of Pennsylvania and chair of the Department of Medical Ethics and Health Policy. In 2018, he delivered the Albert P. Williams Lecture on Health Policy at RAND, where he offered a framework for thinking about drug pricing.
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.
The American Health Care Act passed by the U.S. House of Representatives to repeal and replace the Affordable Care Act allows states to waive benefits that the ACA deemed “essential.” Dropping maternity care coverage, for example, would reduce premiums by 5 percent but increase out-of-pocket spending for new mothers.
As policymakers consider alternatives to reduce the federal government's financial burden from providing subsidies under the ACA, they should consider the consequences for enrollees. Existing premium-support models yield considerable savings for the federal government but could create age and income disparities in coverage.
Some point to the healthcare spending slowdown as an early success of the Affordable Care Act. Others warn that it's merely a hangover from the recession, and that the inevitable spending rebound will be exacerbated by the ACA coverage expansions.
The Group of 8 industrial nations is convening a special session to seek an international approach to dementia research at a time the disease is being recognized as a 21st century global health crisis of historic proportions.
Out-of-pocket spending on health care will decrease for both the newly insured as well as for those changing their source of insurance. These decreases will be largest for those who would otherwise be uninsured.
The dependent coverage provision of the Affordable Care Act is working as intended, say Andrew Mulcahy and Katherine Harris. In 2011, it spared individuals and hospitals from $147 million in emergency room costs.
It is time for the government in partnership with industry to return to the drawing board to craft a plan that will provide protection for the more than 9 million people who will need care for dementia by 2040, writes Michael D. Hurd.
At the rate that the U.S. population is aging, the total cost of dementia could reach half a trillion dollars a year by 2040. Those who care for impaired relatives and friends are acutely aware of the effects of dementia, and unfortunately they are all too familiar with its costs, writes Kathleen J. Mullen.
Better understanding of how malaria reduction affects different households, regions, and economic sectors in Sub-Saharan Africa could allow policymakers to assess alternative intervention strategies and allocate resources more efficiently and effectively.
During a panel discussion at RAND's Politics Aside event, Bill Frist, a medical doctor and former Senate majority leader, says the healthcare industry faces serious obstacles but he believes it ultimately will find its way.
A new RAND study finds that rising health care costs reduce the availability of and enrollment in employment-based private health insurance, and the financial protection provided by it, especially for middle class families.