Policymakers on both ends of the political spectrum have been looking for ways to reduce prescription drug prices. Democrats have also been working on expanding healthcare coverage, including different versions of Medicare for All. All these proposals have been framed as issues of access and...

This essay evolves from one side of the ACA Supreme Court case, Florida v. Department of Health and Human Services, namely the challenge mounted by several states concerning their obligation to expand Medicaid coverage by raising eligibility standards to 133 percent of the federal poverty, which...

The generous social health protection systems that Arab governments have built up during the 1960s and 1970s continue to exist but they lack the funds needed to function in the way they did twenty years ago. Even more serious however is the fact that available funds are inefficiently distributed...

Administrative barriers to social insurance program take-up are pervasive, including in subsidized health insurance. We conducted a randomized controlled trial with Massachusetts' Affordable Care Act marketplace to reduce these barriers and other behavioral frictions. We find that a "check the...

Notwithstanding its obvious importance, Medicare is almost invisible in the legal literature. Part of the reason is that administrative law scholars typically train their attention on the sources of external control over agencies’ exercise of the vast discretion that Congress so often...

While risk selection within the German public health insurance system has received considerable attention, risk selection between public and private health insurers has largely been ignored. This is surprising since - given the institutional structure - risk selection between systems is likely...

While risk selection within the German public health insurance system has received considerable attention, risk selection between public and private health insurers has largely been ignored. This is surprising since - given the institutional structure - risk selection between systems is likely...

Mit dem GKV-Modernisierungsgesetz sollte die GKV-Ausgabenseite auf ein langfristig stabiles Fundament gestellt werden. Für die langfristige Sicherung der GKV-Finanzierungsseite gibt es hauptsächlich zwei alternative Reformkonzepte, nämlich Bürgerversicherungs- und Kopfpauschalenmodelle. Der...

Die private (PKV) und die gesetzliche Krankenversicherung (GKV) werden durch die so genannte Friedensgrenze getrennt. Um die daraus resultierende Risikoselektion zu vermindern, wird die Einführung einer sogenannten Ausscheidegrenze nach niederländischem Vorbild mit Hilfe der...

Der doppelte Alterungsprozess, der medizinisch-technische Fortschritt und die Pflegeleistungsdynamisierung bilden die wesentlichen Bestimmungsfaktoren für die Finanzierungsschwierigkeiten der GKV und GPV. So sind effektive Reformkonzepte nur auf der Ausgabenseite anzusetzen. Entsprechende...