Advocates for Evidence-Based Health Policy Speakers
Author: Michelle Lin, MD, MPH, SM
Dr. Michelle Lin is an assistant professor of Emergency Medicine at the Icahn School of Medicine at Mount Sinai. She completed residency at NYU/Bellevue Hospital Center followed by a health policy research fellowship at Brigham and Women's Hospital. She earned undergraduate and graduate degrees at Northwestern and Harvard.
ESI Mirrors Overall Health Spending
A majority of Americans receive employer-sponsored insurance (ESI) and in 2016 private payers spent $1.12 trillion, far exceeding the $672 million in Medicare spending. However, trends in commercial spending have previously been unexplored due to the limited availability of claims Continue Reading …

Medicaid Expansion cuts Hospital Closures
Hospital closures can adversely impact patient outcomes, particularly for time-sensitive conditions, and hospitals with poor financial performance are more likely to close. Prior evidence has demonstrated the positive effect of Medicaid expansion on hospital financial outcomes because Medicaid revenue from Continue Reading …

Global Budget Cuts Costs but Reduces Access
Efforts to replace the Affordable Care Act have increased pressure to contain Medicaid spending, which now accounts for the greatest share of national health expenditures. In 2012, Oregon reformed Medicaid by organizing care delivery into 16 globally-budgeted coordinated care organizations Continue Reading …

Narrow Networks Keep Costs Low
The number of insurance plans with narrow networks has increased after the implementation of health insurance exchanges (Marketplaces) of the Affordable Care Act (ACA). Narrow networks may reduce costs by: (1) restricting high cost providers, (2) allowing negotiation of discounted Continue Reading …

How the ACA Impacted Emergency Room Visits
Prior studies have demonstrated that when , specifically Medicaid, they visit the emergency department (ED) more frequently. A recent study in Health Affairs analyzed the effect of the Affordable Care Act’s (ACA) insurance expansion on overall ED volume and payer Continue Reading …
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