Assessing health reform's impact on four key groups of Americans

Health Affairs
Joseph P Newhouse

Abstract

Health reform can be assessed from the perspective of four groups that collectively include most Americans. For those who are now in Medicaid or who are uninsured, reform will be a major gain. For those who obtain health insurance in the individual and small-group markets, reform should bring improvements. For those who have health insurance from midsize- and large-group insurers, reform will bring little change. Finally, for Medicare beneficiaries, reform promises to bring positive change. However, financing future health spending overall, and Medicare spending in particular, poses a formidable challenge. Although not a panacea, all-payer rate setting, in which a federal or state agency establishes standard payment rates for each class of payer, may be the only feasible alternative, at least in the short run.

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Citations

Apr 14, 2012·Journal of Aging & Social Policy·Marilyn Moon
May 21, 2011·The Journal of Economic Perspectives : a Journal of the American Economic Association·Amitabh ChandraJonathan S Skinner
Jan 28, 2015·Healthcare : the Journal of Delivery Science and Innovation·Zirui Song
Apr 5, 2011·Journal of the American College of Surgeons·Michael SargenRichard A Cooper
Oct 10, 2013·Health Services Research·Austin B Frakt
Oct 24, 2012·Health Services Research·Michael A MorriseyElizabeth Delzell
Aug 30, 2011·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·Marshall B Kapp
May 2, 2012·Public Health Reports·Devon M TaylorNir Menachemi

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