News & Events

  • The Government Accountability Office (GAO) just released an important review of the way the Relative Value Scale Update Committee (RUC) and CMS value physician services for Medicare. The report finds significant flaws in the data and processes used, echoing a recent Expert Voices essay by RUC researcher Miriam Laugesen.

  • NIHCM Foundation is now accepting letters of inquiry for the 2015-2016 funding cycle of our investigator-initiated research grant program. We are making a total of up to $250,000 available to be divided among four to five studies in the areas of health care financing, delivery, management and/or policy.

  • Upcoming Webinar on the Future of Telehealth in America

    Telemedicine is booming, fueled by promises of consumer convenience and better access for the underserved. Nearly half of employers will offer telehealth benefits this year. 

  • The federal government invests heavily in physician residency training—to the tune of $15 billion a year. But is this investment producing a physician workforce that meets our modern health care needs? 

  • With another presidential election on the horizon, the perennial debate over reforming federal entitlement programs has already begun to resurface. Policy prescriptions are bound to vary along the political spectrum, but failing to come to agreement and act will threaten our long-term fiscal health.

  • Hospital consolidation has dramatically increased in recent years, and studies have shown that hospital mergers and acquisitions result in rising prices, less competition and an increase in hospital negotiating power. Are health care “goliaths” increasingly dictating the prices and premiums we pay?

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.

Other recent Expert Voices essays include:

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