Enacted in 2010, the Patient Protection and Affordable Care Act (ACA) has reshaped U.S. health policy. Yet overall opinions on the law remained relatively stable during the few years before and after enactment. In a polarized era, can the implementation of a complex program such as the ACA...

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...

In December 2020, the Congressional Budget Office (CBO) released a comprehensive report analyzing the costs of a single-payer healthcare system of the kind usually referred to as “Medicare for All” (M4A). The report has not yet received as much public attention as it deserves, most likely...

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...

Capitation payment models have been increasingly adopted by the payers in the U.S. healthcare market during the past decade. However, healthcare services provided in Medicare Advantage (MA), the largest capitation program in the U.S., have been suggested to be more appealing to healthier...

Innovation is part idea generation and part development. We build a model of “innovating-bydoing,” whereby ideas come to practitioners. Successful innovation requires that practitioners’ideas be developed through costly effort. Our model nests existing theories of laboratory researchand...

This document provides details on the data and methods used to construct the estimates in the policy brief ‘Reducing Medicare Advantage Overpayments’, released by the Committee for a Responsible Federal Budget on February 23, 2021

A relatively small but influential economics literature is devoted to financial abuse in Medicare.Much of that literature focuses on upcoding/no upcoding for inpatient hospital care inMedicare Part A, where reimbursements requested are greater/the same as justified by the cost of care provided....

This paper develops a general equilibrium model that features the decisions of health care consumption, health insurance take-up, Disability Insurance (DI) claims to evaluate the long-term effects of health care reforms. The model suggests that the combination of insurance subsidies, an...

This paper provides empirical evidence on the labor market effects of public health insurance using evidence from China. In 2007, China launched a national public health insurance program, Urban Resident Basic Medical Insurance (URBMI), targeting residents in urban areas who were not insured by...