What Do Republican Doctors Think of New Health Care Legislation? PRC David Grande in Wash Post/The Monkey Cage
In a Washington Post The Monkey Cage analysis, PRC Core Lead David Grande, MD, MPA, and Craig Pollack, MD, MHS, examine survey responses of doctors to changes on pre-existing conditions in the House bill which repeals the Affordable Care Act. “As physicians ourselves, we understand that serious illness can strike anyone, as Jimmy Kimmel movingly pointed out. Physicians may also have firsthand experience of the barriers that many patients used to face in securing and retaining insurance coverage because of their preexisting conditions before the ACA was introduced…Even physicians who were in favor of scaling back or repealing the ACA say that scrapping protections for people with preexisting conditions is the wrong way to improve health care.”
PRC Researcher Daniel Polsky, PhD, MPP, and other Senior Fellows at the Leonard Davis Institute at the University of Pennsylvania weigh in on the economic and policy issues surrounding changes to the Affordable Care Act.
In analyzing new legislation passed by the House of Representatives, Polsky says “the bill creates a host of other economic problems. Insurance becomes even less affordable for the old, sick, and low-income.”
In the April 3 issue of JAMA, UPenn PRC Director Kevin Volpp, MD, PhD, and Jonathan S. Skinner, PhD, the Dartmouth Institute for Health Policy and Clinical Practice, discuss how research about behavioral economics in health care is useful when considering the challenges of replacing the Affordable Care Act.
Noting that “incentives to encourage healthy individuals to sign up for health insurance can be described as either carrots or sticks”, Volpp and Skinner observe that “the first principle from behavioral economics research is that carrots do not work nearly as well as sticks.” Research suggests that individuals tend to favor immediate gratification over long-term consequences, which is why young adults historically are less inclined to enroll in insurance plans and why many people are frustrated paying premiums for coverage they may never use. Volpp and Skinner note “health insurance is an 80-20 proposition; 20% of enrollees account for 80% of costs. If the least healthy patients can be moved off of the exchanges, this will allow for a substantial decline in premiums on the exchange for the 80% healthier people who remain” and that lowering health insurance premiums would make a difference.
The CDC is pleased to announce the launch of CORIDOR, the National Center for Chronic Disease Prevention and Health Promotion’s (NCCDPHP) Collection of Online Resources & Inventory Database. CORIDOR is an organized and readily accessible source for public health practitioners to use in planning, implementation, and evaluation of state and national chronic disease prevention and health promotion initiatives. The resources included are primarily practice-based and represent science and practice promoted by CDC and CDC funded partners to address chronic disease conditions and risk factors. Tools include model policies and programs, guides, toolkits, and other resources for a variety of audiences with a range of skills.