Polsky, Daniel
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Publication Show Me the Money: Economic Evaluations of Opioid Use Disorder Interventions(2016-05-25) Murphy, Sean; Polsky, Daniel; Meisel, Zachary; Mitchell, JuliaThis brief summarizes a new systematic review of economic evaluations of treatments for substance use disorders. The review reveals strong evidence that methadone maintenance therapy is an economically advantageous form of treatment; the economic evidence for buprenorphine and naltrexone treatments is more limited.Publication Final Enrollment Rates Show Federally run Marketplaces Make up Lost Ground at end of Enrollment(2014-05-29) Polsky, Daniel; Weiner, Janet; Colameco, Christopher; Becker, Nora VerlaineThis new data brief updates our interim March 2014 findings with enrollment rates at the close of the Affordable Care Act's first open enrollment period. It focuses on enrollment rates by state and type of marketplace, and assesses changes in enrollment rates in the final six weeks. The final enrollment figures reveal that the federally facilitated marketplaces and some of the troubled state-based ones made up some ground in the last four to six weeks of the open enrollment period.Publication How the Newly Insured Use Health Services: a Lesson for the U.S. from Medicare(2012-02-01) Polsky, DanielThe Congressional Budget Office estimates that about 32 million previously uninsured people will gain coverage by 2016, when health care reforms are fully implemented. But will these newly insured people use the health care system in the same ways as others? Is insurance enough to change patterns of use? The example of Medicare may provide some insight. This Issue Brief summarizes research that investigates how health care use and patterns change among the uninsured and insured once they gain Medicare coverage at age 65.Publication How Managed Care Growth Affects Where Physicians Locate Their Practices(2000-11-14) Polsky, Daniel; Escarce, Jose JManaged care has had a profound effect on physician practice. It has altered patterns in the use of physician services, and consequently, the practice and employment options available to physicians. But managed care growth has not been uniform across the United States, and has spawned wide geographic disparities in earning opportunities for generalists and specialists. This Issue Brief summarizes new information on how managed care has affected physicians’ labor market decisions and the impact of managed care on the number and distribution of physicians across the country.Publication The Skinny on Narrow Networks in Health Insurance Marketplace Plans(2015-06-23) Polsky, Daniel; Weiner, JanetThe Affordable Care Act (ACA) has prompted health plans to increase their use of “narrow networks” of providers as a cost containment strategy. The Leonard Davis Institute of Health Economics (LDI) has assembled the first integrated dataset of physician networks for the plans offered on the ACA marketplace. This data brief uses this new resource to describe the breadth of the physician networks in plans sold on the state and federal marketplaces. The percent of physician networks that were classified as small or x-small came to 41% overall, 55% for HMO networks, and 25% for PPO networks.Publication Marketplace Plans With Narrow Physician Networks Feature Lower Monthly Premiums Than Plans With Larger Networks(2016-10-04) Polsky, Daniel; Cidav, Zuleyha; Swanson, AshleyKey Findings: Narrow network plans on the health insurance marketplaces allow consumers to trade-off lower premiums for a more restricted choice of providers. This study finds that, all else being equal, an individual consumer is saving 6.7 percent of premiums, or between $212 and $339 a year, on a typical plan.Publication Changes in Consumer Demand Following Public Reporting of Summary Quality Ratings: An Evaluation in Nursing Homes(2016-02-16) Werner, Rachel M; Konetzka, R Tamara; Polsky, DanielA nursing home report card that converted 12 measures of quality into a simple 5-star system significantly affected consumer demand for low- and high-scoring facilities. One-star facilities typically lost 8 percent of their market share and 5-star facilities gained more than 6 percent of their market share. These results support the use of summary measures in report cards.Publication For Third Enrollment Period, Marketplaces Expand Decision Support Tools to Assist Consumers(2016-04-04) Polsky, Daniel; Wong, Charlene A; Weiner, Janet; Jones, Arthur T; Town, Robert; Baker, TomIn the latest open enrollment period, ACA marketplaces added features to help consumers browse and pick a health plan, including total cost estimators and provider look-up tools. Marketplaces differ in how they estimate out-of-pocket costs and how they display plan choices, although most continue to present plans in premium order.Publication Primary Care Appointment Availability for Medicaid Patients: Comparing Traditional and Premium Assistance Plans(2016-07-14) Basseyn, Simon; Saloner, Brendan; Kenney, Genevieve M; Polsky, Daniel; Wissoker, Douglas; Rhodes, Karin VKey Findings: In 2014, Arkansas and Iowa expanded their Medicaid programs and enrolled many of their adult beneficiaries in commercial Marketplace plans. This study suggests that this “private option” may make it easier for new Medicaid patients to get primary care appointments.Publication ACA-Mandated Elimination of Cost Sharing for Preventive Screening has had Limited Early Impact(2015-12-21) Polsky, Daniel; Zhu, Jingsan; Mehta, Shivan; Lewis, James; Volpp, Kevin G; Kolstad, Jonathan T; Loewenstein, GeorgeDid the Affordable Care Act’s elimination of cost sharing for preventive services increase rates of colonoscopy and mammography screening? Early results say no.
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