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  • Another high-stakes challenge to the ACA is headed to the Supreme Court, and this time it’s a question of statutory interpretation: does the law as written permit tax credits to be issued in states that aren’t running their own exchanges?

  • We are pleased to announce a call for entries for the 21st Annual NIHCM Awards. Our awards program recognizes the critical role of researchers, journalists and bloggers in improving the health care system by rewarding outstanding work in these fields.

  • Washington, DC – December 11, 2014 – NIHCM Foundation is introducing a new Health Care Digital Media Award, which will recognize excellence in digital media that improves understanding of health care through analysis grounded in empirical evidence.

  • In a provocative recent essay for The Atlantic, Dr. Ezekiel Emanuel, an architect of the Affordable Care Act and a leading national expert on health policy, offered a deeply personal explanation for “Why I Hope to Die at 75.” 

  • One percent of the U.S. population accounts for nearly 23 percent of overall health care spending, and 5 percent are responsible for a full 50 percent of spending. In stark contrast, the lowest-spending half of the population generates less than 3 percent of total spending—or only about $234 per person, per year.

  • 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.

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Expert Voices: The Future of Health Care Costs: Hospital-Insurer Balance of Power

Austin Frakt, PhD, Health Economist, Department of Veterans Affairs and Assistant Professor, Boston University

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November 2010

There has been considerable scholarly and political debate about the extent to which hospital and insurer consolidations are responsible for rising health insurance premiums. In this essay, Dr. Frakt explains how the balance of market power between hospitals and insurers affects premiums. His review of the evidence drawn from prior research on this topic indicates that excessive market power of hospitals is a significant worry as we seek to contain premium growth. Dr. Frakt offers some cautionary thoughts about the potential danger of increasing market power through the formation of new integrated delivery systems and emphasizes the need for careful enforcement of antitrust, fraud and abuse laws as we move forward with implementation of health reform.

Other recent Expert Voices essays include:

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