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Health Insurance Markets

Health Insurance Markets

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Health Insurance
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Report

Private Health Plans Paid Hospitals 254 Percent of What Medicare Would Pay

May 13, 2024
Report

Could State-Funded Subsidies Help Minnesota's Health Insurance Market?

Jan 24, 2024

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News Release

Sep 23, 2024

Online Tool Estimates Cost of State-Funded Health Insurance for Immigrants; Can Aid Discussions About Whether to Extend Coverage

A new online tool allows state policymakers and other stakeholders to estimate the potential cost of expanding state health insurance programs to include individuals who do not qualify solely due to immigration status, a strategy already adopted by many states as a way to extend health coverage to more people.
Report

Sep 23, 2024

A Tool to Estimate the Impact of Expanding Health Insurance Options for Noncitizen Immigrants: Methods Report

The authors describe the data and methodology used to develop an online tool that allows state policymakers and stakeholders to estimate the enrollment and cost implications of expanding Medicaid or Marketplace-like coverage to ineligible immigrants.
Tool

Sep 23, 2024

Assessing Coverage and Costs Associated with State-Funded Health Insurance (ACCESS) for Immigrants Estimator

This tool allows users to view health insurance coverage by state as of September 2024 for immigrants who are ineligible for federally funded programs and to calculate the estimated enrollment and costs for covering immigrant populations.
Journal Article

Sep 20, 2024

Efficiency in Organizational Structure? Assessing Heterogeneous Effects in Hospital-Physician Integration

Using a 100% national sample of Medicare data, we estimate the impacts of hospital-physician integration using parametric and nonparametric quantile differences-in-differences approaches.
Journal Article

Jun 28, 2024

Market Landscape and Insurer-Provider Integration: The Case of Ambulatory Surgery Centers

Insurer-provider integration is a new form of vertical integration, with increasing prominence in health care markets. This paper documents the growth and geographic spread of a dominant insurer's acquisitions of ambulatory surgery centers.
News Release

May 13, 2024

Private Health Plans During 2022 Paid Hospitals 254 Percent of What Medicare Would Pay

Prices paid to hospitals during 2022 by employers and private insurers for both inpatient and outpatient services averaged 254 percent of what Medicare would have paid, with wide variation in prices among states.
Report

May 13, 2024

Prices Paid to Hospitals by Private Health Plans: Findings from Round 5 of an Employer-Led Transparency Initiative

The lack of transparency of prices in the health care market limits employers’ ability to knowledgeably develop or implement benefit design decisions. This report can be used to compare hospital prices using a single metric.
Report

Jan 24, 2024

Assessing the Impact of Individual Market Reforms in Minnesota

Minnesota's health insurance market could be affected by anticipated changes to federal premium subsidies and state funding for its reinsurance program. RAND researchers estimate the effects of state-funded subsidies in response to these changes.
Testimony

May 17, 2023

Health Care Consolidation: The Changing Landscape of the U.S. Health Care System

Testimony submitted to the U.S. House of Representatives Committee on Ways and Means, Subcommittee on Health on May 17, 2023.
Report

Sep 30, 2022

Environmental Scan on Consolidation Trends and Impacts in Health Care Markets

To inform the development of No Surprises Act reports to Congress, this report summarizes recent patterns of and trends in horizontal and vertical consolidation of hospitals, physician practices, and health insurers.
Journal Article

Sep 15, 2022

Survey of Hospital Chargemaster Transparency

We compared hospital chargemaster data within a local hospital market where patients would reasonably try to shop or compare services.
Journal Article

Jun 24, 2022

Trends in Missing Race and Ethnicity Information After Imputation in HealthCare.gov Marketplace Enrollment Data, 2015–2021

More than 30% of HealthCare.gov enrollees do not report race and ethnicity. We used modified Bayesian Improved First Name Surname geocoding imputations to describe enrollment data and assess patterns of missing enrollee race and ethnicity.

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