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  • Improving health outcomes for our nation’s children requires coordinated care that promotes recommended health services, prevents unnecessary hospitalizations and bridges across the multiple systems serving children and families.

  • Washington, DC – November 11, 2014 - The National Institute for Health Care Management (NIHCM) Foundation has awarded four new grants totaling approximately $270,000 to support investigator-initiated health services research.

  • BlueCross BlueShield of Tennessee Health Foundation gives $1M to construct a neonatal abstinence syndrome treatment center. The Institute of Medicine and the National Research Council call attention to the surprisingly poor health profile of young adults.

  • Population aging and recent coverage expansions have fueled concerns about physician shortages in primary care, leading several influential groups to recommend that nurse practitioners take on a larger role.

  • Most children’s health system experience is limited to the pediatrician’s office, but those with chronic or complex medical needs often deal with care that is fragmented, duplicative and crisis-driven. This leads to stress on families and wasteful utilization.

  • Just 5 percent of the population accounts for 50 percent of national health spending. Behind these numbers are patients and families struggling with multiple chronic conditions, physical and mental impairments, and tremendous stress.

NIHCM

Expert Voices: The Role of Individual Mandates in Health Reform

Jonathan Gruber, PhD, Professor of Economics, Massachusetts Institute of Technology
 

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January 2009

With 46 million people uninsured in America, providing access to health care for all has been touted as a critical goal for health reform in the new Administration. The role that individual mandates may play in the path towards universal coverage has been fiercely debated. Massachusetts legislated a mandate for adults in 2006, and an individual mandate features prominently in several national reform proposals. Despite broad attention being paid to the topic, much of the discussion of mandates has occurred without thorough consideration of the evidence. In this essay, Gruber explores the primary arguments for and against individual mandates and the challenges faced in their design and implementation. Then pulling strongly from the Massachusetts experience, he examines evidence on the effectiveness of individual mandates in practice.

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