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Publications by Alan Weil for Health Policy Center

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Viewing 1-7 of 7. Most recent listed first.

Toward Universal Coverage in Massachusetts (Article)
Linda J. Blumberg, John Holahan, Alan Weil, Lisa Clemans-Cope, Matthew Buettgens, Fredric Blavin, Stephen Zuckerman

This paper presents several options designed to help the Commonwealth of Massachusetts move to universal health insurance coverage. The alternatives all build upon a common base that includes an expansion of the Medicaid program, income-related tax credits, a purchasing pool, and government-sponsored reinsurance. These measures in themselves would not yield universal coverage, nor would an employer mandate by itself. We show that an individual mandate, and an employer mandate combined with an individual mandate, both would yield universal coverage with a relatively small increase in government costs relative to state gross domestic product and current health spending.

Posted: April 14, 2008Availability: HTML

Roadmap to Coverage (Research Report)
John Holahan, Linda J. Blumberg, Alan Weil, Lisa Clemans-Cope, Matthew Buettgens, Fredric Blavin, Stephen Zuckerman

This report synthesizes all of the research and analytic work done on the Roadmap initiative, describes three policy approaches that would achieve universal health coverage in the Commonwealth, and describes the issues that would need to be addressed in order to implement the Roadmap options. The report describes each of the building blocks in turn, followed by the mandate alternatives. The cost and coverage estimates were produced using the Health Insurance Reform Simulation Model, developed by Urban Institute researchers. The report also discusses options for financing the coverage expansions, the likely benefits from universal coverage, and the broader economic impacts.

Posted: May 15, 2006Availability: HTML | PDF

Building the Roadmap to Coverage: Policy Choices and the Cost and Coverage Implications (Research Report)
Linda J. Blumberg, John Holahan, Alan Weil, Lisa Clemans-Cope, Matthew Buettgens, Fredric Blavin, Stephen Zuckerman

This report presents several options designed to help Massachusetts move to universal health insurance coverage. Each strategy is outlined in the form of a policy proposal and includes analysis of the effects on cost and coverage. The policies all build on an expansion of MassHealth, income-related tax credits, a purchasing pool and government-sponsored reinsurance. These measures in themselves do not yield universal coverage, nor would an employer mandate. The building blocks and an employer mandate combined with an individual mandate would yield universal coverage with a relatively small increase in government costs relative to state GDP and current health spending. (www.roadmaptocoverage.com, June 21, 2005)

Posted: May 12, 2006Availability: HTML

Federalism and Health Policy (Book)
Joshua M. Wiener, John Holahan, Alan Weil

The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children’s Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.

Posted: July 20, 2003Availability: HTML | Order Online

Medicaid Moving in the Wrong Direction? (Commentary)
John Holahan, Alan Weil

[The Hill] The current proposal to revamp Medicaid would replace matching funds with lump sums to states while giving them more administrative flexibility. This proposal does not address the underlying reasons Medicaid costs are growing and overestimates the sums that can be saved by increased flexibility. If meeting the health care needs of the poor and the sick is still a national priority, the federal government's role must remain larger than writing checks to states.

Posted: June 18, 2003Availability: HTML

Block Grants Are the Wrong Prescription for Medicaid (Policy Briefs/Health Policy Online)
John Holahan, Alan Weil

In this Health Policy Online brief, John Holahan and Alan Weil examine the changes in state and federal incentives and options that would likely take place if Medicaid is transformed from an entitlement program into a block grant. They find that such a move would discourage expansions of the program, increase incentives to contract, lock in the current inequities in federal payments across states, add only marginally to the flexibility states already have, and shift risk to the level of government less able to absorb it.

Posted: May 27, 2003Availability: HTML | PDF

Three Years into SCHIP (Policy Briefs/ANF:Issues and Options for States)
Genevieve M. Kenney, Frank C. Ullman, Alan Weil

This report examines spending on SCHIP programs relative to federal allotments to states in the early years following the enactment of SCHIP and discusses the pros and cons of different options for reallocating unspent SCHIP funds.

Posted: September 01, 2000Availability: HTML | PDF

 

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