Health Care Reform Center

From the Publishers of the New England Journal of Medicine

Cost of Health Care and Reform rss

“Play-or-Pay” Insurance Reforms for Employers — Confusion and Inequity(0)

December 30, 2009

Bradley Herring, Ph.D., and Mark V. Pauly, Ph.D.
One prominent feature of the current health care reform bills is a “play-or-pay” rule for employers: workers must receive part of their compensation in the form of employer-sponsored health insurance, or the company’s payroll will be subjected to a tax penalty.

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Medicine’s Ethical Responsibility for Health Care Reform — The Top Five List

Howard Brody, M.D., Ph.D.
Early in 2009, members of major health care–related industries such as insurance companies, pharmaceutical manufacturers, medical device makers, and hospitals all agreed to forgo some future profits to show support for the Obama administration’s health care reform efforts. Skeptics have questioned the value of these promises, regarding at least some of them [...]

Uncomfortable Arithmetic — Whom to Cover versus What to Cover

Katherine Baicker, Ph.D., and Amitabh Chandra, Ph.D.
Much of the current debate about expanding health insurance coverage avoids addressing an uncomfortable trade-off: with a limited budget, making benefits more generous means being able to cover fewer people.

Ensuring the Fiscal Sustainability of Health Care Reform

Michael E. Chernew, Ph.D., Lindsay Sabik, B.A., Amitabh Chandra, Ph.D., and Joseph P. Newhouse, Ph.D.
Much of the recent health care reform debate has focused on achieving budget neutrality over a 10-year period, but this goal is less important than the reform’s long-run fiscal sustainability. If the rate of growth of health care spending continues to [...]


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