Fiercely contested before, during, and after its passage, the 2010 Patient Protection and Affordable Care Act (ACA) is beginning to restructure the U.S. healthcare market. This article describes the history of healthcare reform initiatives in the United States, analyzes the policy context in...

Health-care reform is perennially popular in Alberta, but reality doesn’t match the rhetoric. Government has invested more than $700 million in Primary Care Networks — with little beyond anecdotal evidence of the value achieved with this investment. As the province redirects primary care to...

We find that the Texas Medicaid Reform Model would provide substantial cost savings through a federal block grant that allows Texas to shift some risk groups into a defined contribution program that subsidizes private health insurance premiums and includes an incentive to choose a...

For the past decade-and-a-half, the government of Ontario has been implementing sweeping reforms in an effort to improve primary health care delivery. Altering physician-compensation models is central to this initiative. One measure of the scale of change is that in 2000 roughly 95 per cent of...

President Barack Obama signed the Affordable Care Act (ACA) in 2010 with no Republican support. The ACA has been politically divisive ever since, with the House repeatedly voting for repeal. Earlier this year, Congress successfully passed a repeal, with the Senate using a legislative process...

An American specialist on Russia's health care system examines dramatic regional variation in that country's efforts at health care system reform. This paper assesses these differences, seeks to determine why they exist, and most importantly, measures the impact of this differentiated reform on...

In 2006, the state of Massachusetts sanctioned the individual health insurance mandate and the expansion of health insurance coverage through Healthcare Reform Law. I design a quasi-experimental study using the Behavioral Risk Factor Surveillance System (BRFSS) survey data sets from 2005 through...

The sharp decline and equally sharp recovery in public health care spending in the 1990s in Canada set the stage for a broad consideration of reform options but also established hurdles to be overcome in taking action. By moving health care to the center of the federal-provincial agenda,...

To insure policyholders against contemporaneous health expenditure shocks and future reclassification risk, long-term health insurance constitutes an alternative to community-rated short-term contracts with an individual mandate. Relying on unique claims panel data from a large private insurer...

To insure policyholders against contemporaneous health expenditure shocks and future reclassification risk, long-term health insurance constitutes an alternative to community-rated short-term contracts with an individual mandate. In this paper, we study the German long-term health insurance...