Antimicrobial Resistance: Learning from the current global health crisis to prevent another one

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The world was blindsided by COVID-19, but a new study finds that…

Key Questions for Legislators on the Institute for Clinical and Economic Review (ICER)

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As states continue to grapple with prescription drug costs, a new Pioneer Institute study lays out the key ethical, methodological and disease-specific questions policy makers should address before deciding whether to contract with the Institute for Clinical and Economic Review (ICER) to conduct cost effectiveness reviews used to make decisions about the purchase of medicines and other medical innovations.

What Massachusetts Should Do in an Uncertain Healthcare World

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Regardless of what happens in the debate over repealing and replacing the ACA in D.C., Massachusetts has to tackle health care costs intelligently. We need to do more than provide insurance; we need to increase access to care. That means thinking seriously about the role of private market insurers, insurance regulations and the regulation of medical providers.

Counter Point What Massachusetts Should Do As Uncertainty Engulfs US Healthcare System

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Regardless of what takes place at a national level, Massachusetts has its own set of challenges to continue pursuing the state’s commitment to universal coverage at affordable prices. This report offers a ten-point program that the state should vigorously focus on in the days ahead.

Over A Decade, The ACA Fee On MassHealth Will Cost Hundreds Of Millions Of Dollars

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In “Over a Decade, the ACA Fee on MassHealth Will Cost Hundreds of Millions of Dollars,” authors Lauren Corvese and Josh Archambault examine the potential budget impact of the Health Insurer Provider Fee (HIPF), a revenue-raising mechanism for the Patient Protection and Affordable Care Act (ACA).

Healthcare Prices for Common Procedures Are Hard for Consumers to Obtain Survey finds hospitals not prepared to give price information to consumers

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This policy brief is the third in a series of reports on healthcare price transparency prepared by Pioneer Institute. Researchers surveyed six major metropolitan areas and spoke with 54 acute care hospitals across those regions: Des Moines, IA, Raleigh-Durham, NC, Orlando, FL, Dallas-Ft. Worth, TX, New York, NY and Los Angeles, CA asking for the price of an MRI of the left knee without contrast. In addition, they explored the existence of federal and state laws that might apply in the states where the hospitals surveyed are located. They also examined the websites of the 54 hospitals for price information. The results of this survey are described in this policy brief.

What Will U.S. Households Pay for Health Care in the Future

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This white paper reports that health care costs for a U.S. family of average income (including family insurance premium contributions and out-of-pocket costs including co-payments, coinsurance and deductibles) could increase from $8,583 annually to $13,213 by 2025, but up to as high as $18,251 in the same year. In terms of proportion of earnings, this would be equivalent to 20 percent and 27 percent of household income by 2025, respectively.

Whistleblowers Expose the Massachusetts Connector

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State officials knew that development of a federal Affordable Care Act (ACA) website was off track for more than a year before the October 1, 2013 launch date.  Instead of raising concerns about the project, they misled the public by minimizing the shortcomings of the contractor hired to build the website, asked state workers to approve shoddy work and appear to have covered up the project’s abysmal progress in a presentation to federal officials.

New ACA Medicare Payroll Tax Hits Massachusetts, $1.7 Billion Over 10 Years

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This brief is part of an occasional series from Pioneer Institute examining the direct effects of the ACA on Massachusetts. Please see the end of the paper for more examples.

Comparing the Clinical Quality and Cost of Secondary Care in Academic Health Centers and in Community Hospitals

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This study analyzes data from hospitals in six states, including Massachusetts, to compare the cost and quality of secondary care for under-65, privately insured patients in Academic Health Centers (AHCs) and non-AHC or community hospitals.

Nonprofit to For Profit Conversions in Health Care: A Review

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The analysis presented in the paper suggests areas in which caution must be exercised to assure that community benefits provided by nonprofits are preserved in a post-conversion environment, and that full value is realized and appropriately redirected. Nothing in the analysis indicates that nonprofit to for-profit conversion should be barred from consideration in Massachusetts.