Health Insurance Project: Publications

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Under Pressure: Prescription Drug Spending Trends in New York’s Medicaid Program and Small Group Market

Publication Date: 06.30.2017
Author: Peter Newell and Steven R. Hefter

This issue brief analyzes recent growth in spending for prescription drugs by health plans in New York State—and the implications of that growth for policymakers and consumers.

Rewind: New York State Faces Familiar Issues and New Challenges in the “Repeal and Replace” Era

Publication Date: 06.08.2017
Author: Peter Newell

Key provisions in the American Health Care Act—part of the plan by the U.S. House of Representatives to repeal and replace the Affordable Care Act—would undermine many of New York State’s recent gains in coverage and market stability, and have financial and affordability effects particular to New York, a new UHF report finds.

Networks at the Nexus: Revisiting New York State’s Provider Network Standards and Protections

Publication Date: 05.23.2017
Author: Peter Newell

A health insurance brief examining consumer protections and network adequacy standards in New York and recommending a series of steps the State could take to ensure transparency and access on this issue of critical importance to health insurance consumers.

Building a More Effective Health Care System for Every New Yorker

Publication Date: 12.07.2016

This year’s annual report focuses on how UHF’s initiatives are addressing the challenges of a changing health care landscape and having a real impact on the quality, accessibility, affordability, and patient experience of health care.

The Big Picture VI: New York’s Private and Public Insurance Markets

Publication Date: 10.18.2016
Author: Peter Newell, Allan Baumgarten, and Nikhita Thaper

An overview of New York’s insurance markets, analyzing enrollment and financial data across health plans and lines of business to create a comprehensive snapshot of the markets since implementation of the ACA.

New York's Temporary Premium Subsidies: Meeting Immediate Goals and Yielding Useful Lessons

Publication Date: 06.30.2016
Author: Peter Newell and Nikhita Thaper

A snapshot brief on a temporary subsidy program implemented as part of the Affordable Care Act rollout—and lessons to be learned from this creative and effective program.

Affordable Care Act Brings New Life—and Covered Lives—to New York’s Individual Market

Publication Date: 05.26.2016
Author: Peter Newell and Nikhita Thaper

A snapshot report examining the successful steps New York took to improve its individual health insurance market after the rollout of the ACA, and the steps that will be necessary to sustain that improvement. 

The Next Wave: The Impact of Two New Proposed Mergers on New York’s Health Insurance Market

Publication Date: 03.24.2016
Author: Peter Newell and Nikhita Thaper

A Big Picture snapshot report examining two new proposed mergers of large health plans, focusing on the implications for New York markets.

After the Reinsurance Is Gone: A New Challenge for New York's Individual Market

Publication Date: 03.03.2016
Author: Peter Newell and Nikhita Thaper

A Big Picture snapshot report that examines the federal Transitional Reinsurance Program and what might provide premium-stabilizing effects after the program expires in 2016.

Setting the Stage for Payment Reform: Updating New York’s Regulations on Risk Transfers Between Health Plans and Providers

Publication Date: 11.17.2015
Author: Peter Newell, Chad Shearer, and Nikhita Thaper

A timely look at New York’s policies and regulations on risk-transfer agreements between insurance plans and health care providers, an increasingly common setup as the State continues to move toward value-based payment.

What’s Next for New York’s Child Health Plus Program?

Publication Date: 08.05.2015
Author: Peter Newell and Nikhita Thaper

This issue brief examines decisions New York faces as it considers the future of the Child Health Plus (CHP) program, the State's health insurance plan for children.

Meeting Consumers Where They Are: Patient Engagement in New York’s Evolving Commercial Insurance Market

Publication Date: 05.21.2015
Author: Peter Newell and Nikhita Thaper

With the number of uninsured rapidly dropping under the ACA, the focus is shifting to other goals—improving quality, the patient experience with care, and controlling costs among them. One of the most promising strategies for achieving those goals: patient engagement.This report examines patient engagement in New York’s commercial health insurance market.

Larger Small Groups: Challenges to Bolstering New York’s Small Group Market

Publication Date: 04.21.2015
Author: Peter Newell

Second in a series, this report examines the risk of adverse selection in New York’s small group health insurance market following a  “small group” definition change mandated by the Affordable Care Act.

Larger Small Groups: Implementing the New ACA Small Employer Definition in New York

Publication Date: 03.10.2015
Author: Peter Newell

The issue brief examines the impact of an Affordable Care Act provision redefining the small group insurance market as 1–100 employees instead of 1–50 employees. It looks at how the change might affect premiums for firms with 51–100 employees that will join the new small group market, and the complex options state policymakers face in implementing this new rule.

Work in Progress

Publication Date: 11.03.2014

New York’s health care system is on the move, with dramatic changes being made in its basic elements. The Fund is playing an important role in that transformation, as this 2014 annual report highlights.

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