Weiner, Janet

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  • 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 Verlaine
    This 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
    Health Insurance Rates and Rate Review
    (2014-06-27) Harrington, Scott E; Weiner, Janet
    Health insurers participating in the new Marketplaces are filing rates for 2015 during the next few months. A few states have already released data on proposed rates. There is substantial economic, policy, and political interest in the magnitude of proposed rate changes. This brief provides background for understanding the economic drivers of proposed rates, state and federal rate review authority, the effects of rate changes on Marketplace enrollees and federal spending on premium credits, and the economic and political dynamics of the rate review and approval process.
  • Publication
    The Skinny on Narrow Networks in Health Insurance Marketplace Plans
    (2015-06-23) Polsky, Daniel; Weiner, Janet
    The 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
    Window Shopping on Healthcare.gov and the State-Based Marketplaces: More Consumer Support Needed
    (2014-12-17) Baker, Tom; Beatty, Adrienne; Nirenburg, Gabbie; Weiner, Janet
    This data brief examines the window-shopping experience that consumers encountered on each health insurance marketplace website during the first two weeks of the Affordable Care Act's second open enrollment period. The marketplaces have made some progress toward adopting the recommended "Top 5 Rules for Decision Support." Shoppers found plenty of sorting and filtering options, but insufficient information about providers and little true decision support. Although there is still a long way to go, there are grounds for optimism about further progress for the next open enrollment period.
  • 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, Tom
    In 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: On the Front Lines of the Opioid Crisis
    (2016-08-09) Bachhuber, Marcus; Weiner, Janet; Mitchell, Julia; Samet, Jeffrey
    This Issue Brief discusses the role of primary care teams in identifying illicit drug use disorders in their patients, the continuum of treatments that they can offer, and opportunities for successful collaboration and integration with specialists. The authors find opportunities exist for increased patient screening and delivering medication-assisted treatment as well as established models for collaboration and integration of opioid treatments.
  • Publication
    How Nursing Affects Medicare’s Outcome-Based Hospital Payments
    (2015-11-12) Yakusheva, Olga; Weiner, Janet; Lindrooth, Richard C; Pauly, Mark V; Spetz, Joanne
    Improving value is one of the central aims of recent and ongoing health care reform. In our last LDI/INQRI Brief, we reviewed the evidence of the role of nurses in increasing the value of health care. In this companion brief, we dig deeper into the three reimbursement strategies that Medicare uses to align hospital financial incentives with quality of care, and we calculate the potential effects of nursing-sensitive quality indicators on hospital payments.
  • Publication
    Primary Care Shortages: More Than a Head Count
    (2014-11-21) Pauly, Mark V; Weiner, Janet; Naylor, Mary D
    The existence of a primary care physician shortage, even prior to the ACA, is not universally accepted. A new report by the Institute on Medicine found “no credible evidence” that the nation faces a looming physician shortage in primary care specialties. There is greater consensus about a maldistribution of physicians, in terms of specialty, geography, and practice settings. This new LDI/ Interdisciplinary Nursing Quality Research Initiative (INQRI) research brief reviews the evidence and how the ACA might affect current and future patterns of delivering primary care.
  • Publication
    Health Insurance Marketplace Enrollment Rates by Type of Exchange
    (2014-03-28) Polsky, Daniel; Weiner, Janet; Colameco, Christopher; Becker, Nora Verlaine
    Because 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
    Three Models of Community-Based Participatory Research
    (2013-04-16) Weiner, Janet; McDonald, Jasmine
    Community-based participatory research (CBPR) is a collaborative process between community-based organizations and academic investigators. It has the potential to make research more responsive to existing needs and to enhance a community’s ability to address important health issues. But CBPR is often unfamiliar territory to academic investigators and community organizations alike. We interviewed CBPR investigators at Penn and community leaders to ascertain best practices in CBPR and to compare academic and community perspectives. A number of models of community-academic partnerships emerged, each with its own advantages and disadvantages. The perspectives of the investigators sometimes matched those of the community leaders, but diverged in important ways.