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Comparing public option and capped provider payment rate proposals
Comparing public option and capped provider payment rate proposals
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Urban Institute research report
- Author(s):
- Blumberg, Linda J., author
- Contributor(s):
- Urban Institute, issuing body.
- Publication:
- Washington, DC : Urban Institute, March 2021
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Costs and Cost Analysis -- economics
Insurance -- economics
National Health Insurance, United States -- statistics & numerical data
United States - Genre(s):
- Technical Report
- Abstract:
- In recent years, policymakers and analysts have discussed and debated two initiatives for lowering consumers’ health insurance premiums and government costs in subsidized insurance markets. One initiative, a public option, would create a government-designed and administered (directly or via contract) health insurance plan or set of insurance plans that would be introduced in one or more insurance markets. The federal government would set rates paid to providers (e.g., doctors, hospitals, pharmaceutical manufacturers) participating with a public option. A second initiative, capping provider payment rates, would require providers participating in designated insurance markets to accept payment rates at or below a government-designated level. Thus, these capped rates would apply to providers participating in any private insurance plan offering coverage in the specified markets. The two options overlap on some key objectives but differ on others, and their implementation issues, distributional effects on consumers, and potential to reduce government spending vary as well. This analysis explores the conceptual similarities and differences between a public option and capped provider payment rates, as well as potential differences in their distributional consequences. The two policies’ differential distributional effects would have implications for consumers’ and federal government spending
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. (More information)
- Extent:
- 1 online resource (1 PDF file (iv, 41 pages))
- NLM Unique ID:
- 9918316884806676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918316884806676