This paper analyzes the potential unintended consequences and incentive effects of the Affordable Care Act's minimum medical loss ratio (MLR) regulations, which are designed to guarantee that a specific percentage of health insurance premiums are spent on medical care and activities that improve...

Over the last decade, the U.S. Medicare program has added new billing codes to enhance the financial rewards for Chronic Care Management and Transitional Care Management. We show that the take-up of these new billing codes is gradual and exhibits substantial variations across markets and...

This paper contributes to the analysis of policy measures that attempt to reduce health care expenditures of insurers. We examine the impact of a cash bonus program for preventive health behavior of a German health insurer on prevention effort and health care expenditures using a unique...

This paper contributes to the analysis of policy measures that attempt to reduce health care expenditures of insurers. We examine the impact of a cash bonus program for preventive health behavior of a German health insurer on prevention effort and health care expenditures using a unique...

The Affordable Care Act included a provision to eliminate the Medicare prescription drug coverage gap. The policy was phased in by gradually diminishing the gap each year between 2011-2020. This provides a natural experiment to conduct an in-depth study of how the policy affected medication use,...

Governments in many low- and middle-income countries are developing health insurance products as a complement to tax-funded, subsidized provision of health care through publicly operated facilities. This paper discusses two rationales for this transition. First, health insurance would boost...

This paper examines the tradeoffs of monitoring for wasteful public spending. By penalizing unnecessary spending, monitoring improves the quality of public expenditure and incentivizes firms to invest in compliance technology. I study a large Medicare program that monitored for unnecessary...

This paper analyzes primary care physicians' (PCP) response to fee-for-service pricing as the degree of urbanity varies. Data analysis of Medicare microdata documents that PCP provide more (remunerative) specialty procedures in less urban areas, where specialists are fewer. Using a structural...

This paper examines, theoretically and empirically, how changes in the demand for health insurance and medical services in the non-Medicare population -- coverage eligibility changes for parents and the firm size composition of employment – spill over and affect health insurance coverage and...

In promoting health care reform in 2009, President Obama stated, “when it comes to health care spending, we are on an unsustainable course that threatens the financial stability of families, businesses and government itself.” We are still on that “unsustainable course” thirteen years...