Polsky, Daniel
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Publication Primary Care Appointment Availability and the ACA Insurance Expansions(2017-03-01) Candon, Molly; Polsky, Daniel; Saloner, Brendan; Wissoker, Douglas; Hempstead, Katherine; Kenney, Genevieve M; Rhodes, KarinPublication Physicians’ Participation in ACOs is Lower in Places With Vulnerable Populations Than in More Affluent Communities(2016-08-08) Yasaitis, Laura C; Pajerowski, William; Polsky, Daniel; Werner, Rachel MIn 2013, physician participation in accountable care organizations (ACOs) was inversely related to the percentage of the local population that was black, living in poverty, uninsured, or disabled or that had less than a high school education. This risks exacerbating disparities in the quality of care received by these vulnerable populations.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 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 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 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 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 Health Insurance Marketplace Enrollment Rates by Type of Exchange(2014-03-28) Polsky, Daniel; Weiner, Janet; Colameco, Christopher; Becker, Nora VerlaineBecause the ACA gave them choices in how to implement insurance coverage, health reform looks different state to state. This Data Brief examines a number of choices related to the establishment and running of the new health insurance marketplaces, and their potential impact on enrollment rates to date. We use existing data sources as well as a new database developed by researchers at the University of Pennsylvania that documents and codes state-level variation in the political setting, institutional structures, and operational decisions likely to affect outcomes on the marketplaces.Publication Pediatric and Adult Physician Networks in Affordable Care Act Marketplace Plans(2017-03-16) Wong, Charlene A; Cidav, Zuleyha; Kan, Kristin; Polsky, Daniel; Nathenson, RobertPublication Child Neurology: Workforce and Practice Characteristics(2005-04-22) Polsky, DanielFor more than a decade, reports have indicated that the supply of child neurologists is inadequate to provide care for the growing number of children with acquired and genetic neurological conditions. It is critical to understand how the shortages affect the practice of child neurology, the attitudes of child neurologists, and ability of the field to attract new members. This Issue Brief examines these workforce issues, and profiles the attitudes and practice characteristics of child neurologists and trainees.
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