Here are the results from CMS reports from June 30, 2017 and 2016: 2016 National average premium in the ACA Marketplace: $414.54 (CMS, 2017, page 9.) This is less than the (employee plus employer) premiums offered where I work. This number includes the cost of the subsidies that are not paid by the enrollee. 2015 […]
June 26, 2017 at 11:19 am
This article from the LA Times by columnist Noam Levey links an update on earlier postings online that does a side-by-side comparison of ACA versus the GOP’s replacement AHCA plan. That posting provides the best concise overview I have seen of the latest GOP AHCA proposal. It will take 10 minutes to review/read. Randy Here […]
April 28, 2017 at 10:55 am
One of my students today just sent me this link to an article in this week’s Economist about end-of-life planning. How to have a better death http://www.economist.com/news/leaders/21721371-death-inevitable-bad-death-not-how-have-better-death It led me to also view its link about conversations about serious illness by one of my favorite authors. “Serious Illness Conversation Guide” drawn up by Atul Gawande […]
March 18, 2017 at 5:13 pm
Two interesting links related to the recent Republican health care proposal called the AHCA. The first is a serious but also humorous Forbes article by my BU colleague Larry Kotlikoff in his series about Stupid Economics, this one targeting Tom Price and the AHCA bill. (A 3-minute read.) Tom Price’s Liver And ‘The Coverage They […]
December 22, 2016 at 11:52 am
Health economists and every concerned citizen should disseminate the facts in this NEJM article about Donald Trump’s nominee of Tom Price to be the next secretary of HHS. Coauthor Richard Frank is also a BU Ph.D. alum! Randy Ellis Care for the Vulnerable vs. Cash for the Powerful — Trump’s Pick for HHS Sherry […]
November 14, 2016 at 4:08 pm
I can’t help wondering how the election outcome would have been different if the headline that was prominently featured in the news for the last month had been the one we just received in the email message from the Boston University Human Resources Department that said: Contribution rates for 2017 – we are pleased to […]
November 9, 2016 at 9:44 am
Dear BUHealth friends, alumni, students and colleagues. Like most of the people I know, I am immensely saddened by the results of the US presidential elections, which have elected Donald Trump as president and elected republicans to run both houses of congress. My view is that hate and party loyalty won out in the end […]
October 28, 2016 at 12:25 pm
By Randall P. Ellis, Boston University, Department of Economics October 28, 2016 A great deal has been made recently about the large increases in certain Health Insurance Marketplace premiums announced for 2017. I present here five arguments for why these increases are no big deal, and are not the right thing to focus on when […]
August 22, 2016 at 5:31 pm
Boston University Working Paper Randall P. Ellis Boston University, Department of Economics August 22, 2016 Abstract This paper presents four arguments for why the US should ban or at least heavily tax the sale or transfer to civilians of weapons designed for mass shootings (WDMS), which would include most semi-automatic guns and weapons with large […]
July 12, 2016 at 10:40 am
There is a very important article in this week’s JAMA – Internal Medicine, written by Barach Obama. It highlights the effects of the ACA/Obamacare. It is free on-line. United States Health Care Reform: Progress to Date and Next Steps http://jama.jamanetwork.com/article.aspx?articleid=2533698 If you are short on time, then the following link to just the figures provides […]
Much was made recently about how UnitedHealth decided to drop out of the ACA Federal Exchange in several states. It is important to realize that far from being a failure to large insurers (UnitedHealth is the largest insurer in the US), health insurance remains extremely profitably under ObamaCare. Below is a bar chart of the […]
At a time in the US when all of the Republicans presidential candidates are declaring Obamacare a failure which needs to be undone, it is worth noting the REALITY that it is succeeding in its primary purpose of covering more American with health insurance. It does not mandate insurance coverage, but the subsidies and tax […]
October 20, 2015 at 12:33 pm
This is why enrollment in health insurance will continue to rise in the US from the ACA. For 2016: Max of $695 or 2.5 percent of taxable income if uninsured. http://www.bostonglobe.com/news/nation/2015/10/19/health-law-fine-uninsured-will-more-than-double/76FbuARARxAmaT9H4nN66K/story.html Full text is below. Health law fine for uninsured to rise Boston Globe Associated Press October 19, 2015 WASHINGTON — The federal penalty for […]
January 8, 2015 at 1:16 pm
Time to change the policy discussion. Congress has been unwilling to raise the minimum wage despite strong public support for doing so. This blog suggests a concrete approach for getting even broader public support and potentially reducing the need for federal taxes. As of January 1, 2015 29 states and DC have minimum wages above […]
December 28, 2014 at 11:28 am
I highly recommend this book as a useful summary of the US Health Care System. I have made it required reading (as a reference) for my classes at BU. The Health Care Handbook: A Clear and Concise Guide to the United States Health Care System, 2nd Edition Paperback – November 15, 2014 by Elisabeth Askin […]
December 1, 2014 at 9:09 am
Websites for Federal Administrative Data sets: US Administration for International Development: Foreign aid from the U.S: Data and Tools Department of Agriculture: Economic Research Services: Supplemental Nutrition Assistance Program (SNAP) Data System Food and Nutrition Services: Commodity Supplemental Food Program Data Food Safety Inspection Services: Recalls and Quarterly Enforcement Reports Forest Inventory Data National Agricultural Statistics Service: Cropland Data Natural Resource Conservation Service: […]
October 20, 2014 at 12:04 pm
Arlene Ash, Professor and Division Chief, Biostatistics and Health Services Research, at UMass Medical School, has compiled a useful series of original thoughts, emails, and links about Ebola which I am broadcasting and reposting on my blog site here. This posting repeats some of the information already posted in my earlier blog: Ebola is being […]
October 18, 2014 at 12:21 pm
Amid so much negative and scary news about Ebola, this research paper on the experience of Nigeria where it has not spread widely after arriving by airplane gives great hope. I recommend it if you have time (It is 6 pages – updated to include references.). Containing Ebola: A success story from an “unexpected” place? […]
October 9, 2014 at 6:29 pm
I am forwarding this excellent TIE post since every health researcher and indeed every consumer should realize how serious the lack of evidence is on many common surgical procedures. Here are some quotes organized in a succinct way. “2002… arthroscopic surgery for osteoarthritis of the knee … Those who had the actual procedures did no […]
September 4, 2014 at 9:15 am
Rita F. Redberg, M.D. N Engl J Med 2014; 371:892-893September 4, 2014DOI: 10.1056/NEJMp1406388 (Bold emphasis added by RPE) The problem: “Only 1% of all medical devices reach the market through the premarket-approval route — the only pathway that requires the submission of clinical data. Research has shown that premarket approvals are often based on data […]
