Health Policy Center, independent research for better health policy: The Urban Institute

topics

Receive e-mail from HPC

Health Policy Center Authors

 

Publications by Stacey McMorrow for Health Policy Center

Back to Browse by Author

More about Stacey McMorrow's areas of expertise can be found on this Urban Institute expert's page.


Viewing 1-10 of 17. Most recent listed first.Next Page >>

How are States and Evaluators Measuring Medical Homeness in the CHIPRA Quality Demonstration Grant Program? (Research Report)
Stacey McMorrow, Anna Christensen, Brenda Natzke, Kelly J. Devers, Rebecca Peters

Many Medicaid and CHIP programs and private health plans are pursuing medical home initiatives aimed at improving the quality of health care, but varying conceptual definitions and measurement goals have led to the development of a number of different medical home measurement tools. This Evaluation Highlight, funded by the U.S. Department of Health and Human Services, examines the measurement of "medical homeness" in selected CHIPRA Quality Demonstration projects, describes the development of the Medical Home Index-Revised Short Form (an adaptation of the Medical Home Index survey), and presents preliminary statistics on medical homeness for demonstration practices in six States.

Posted: June 14, 2013Availability: HTML | PDF

What Drove the Recent Slowdown in Health Spending Growth and Can It Continue? (Research Report)
John Holahan, Stacey McMorrow

National health expenditures have grown at record-low rates for the past three years. The recession has been cited as an important driver of recent trends leading many to wonder if slower spending growth will continue as the economy recovers. We review the trends in health spending growth over the last decade and show that growth began to slow well before the most recent recession. We also consider trends in incomes and insurance coverage and suggest that declines in real incomes and a shift towards less generous insurance arrangements have slowed the growth in provider revenues and forced cost containment efforts. The question remains, however, as to whether the changes that slowed health spending growth over the last decade will be maintained or extended as the economy recovers and the Affordable Care Act expands health insurance coverage.

Posted: May 06, 2013Availability: HTML | PDF

Medicare and Medicaid Spending Trends and the Deficit Debate (Research Report)
John Holahan, Stacey McMorrow

Understanding what is driving the spending growth in Medicare and Medicaid is important for identifying appropriate policies to address it. This paper finds that spending in both programs has been and will continue to be significantly affected by growth in enrollment. Over the next decade, projections suggest that annual growth in spending per enrollee in both programs will be close to growth in GDP per capita, a target often advocated by those concerned with the nation's deficit. These findings suggest a need for continued vigilance in monitoring Medicare and Medicaid spending levels and growth, but do not support an argument for major restructuring of either program.

Posted: August 15, 2012Availability: HTML

Virtually Every State Experienced Deteriorating Access to Care for Adults over the Past Decade (Research Report)
Genevieve M. Kenney, Stephen Zuckerman, Dana Goin, Stacey McMorrow

We use the Behavioral Risk Factor Surveillance System (BRFSS) to explore state-level changes in access to care over the past for all nonelderly adults and for uninsured adults. Deterioration in access to care was evident in virtually every state and the situation was worse for the uninsured than for other adults in most states. At the end of the decade, the uninsured were at a dramatic disadvantage relative to the insured. This analysis suggests that the potential benefits of the coverage expansion in the Affordable Care Act (ACA) are large and exist in every state.

Posted: May 08, 2012Availability: HTML | PDF

Addressing Barriers to Health Insurance Coverage Among Children: New Estimates for the Nation, California, New York, and Texas (Research Report)
Stacey McMorrow, Genevieve M. Kenney, Christine Coyer

Maximizing health insurance coverage for children under the ACA will require addressing the complex scenarios that prevent some children from obtaining or retaining coverage. These scenarios include situations where children are eligible for Medicaid or CHIP but their parents are not, as well as those where children are living without at least one of their parents. We provide national estimates of the number of children in these complex coverage scenarios and find that children facing at least one complex scenario are more likely to be uninsured than other children. In addition to national estimates, we present state-level estimates for California, New York, and Texas.

Posted: May 08, 2012Availability: HTML | PDF

Decade of Health Care Access Declines For Adults Hold Implications For Changes In The Affordable Care Act (Research Report)
Genevieve M. Kenney, Stacey McMorrow, Stephen Zuckerman, Dana Goin

The pending Supreme Court decision and next fall's election raise concerns about what would happen if the insurance expansion in the Affordable Care Act is curtailed. The National Health Interview Surveys for 2000 to 2010 show that access and use for non-elderly adults - the primary targets of the ACA - deteriorated throughout the decade, particularly among those who are uninsured. Children – many of whom qualify for Medicaid and CHIP - generally maintained or improved their access to care. This provides a reason for optimism about the ability of the ACA to improve access for adults, but suggests that eliminating the ACA would likely result in continued erosion of adults’ access to care.

Posted: May 07, 2012Availability: HTML

Medicare, Medicaid and the Deficit Debate (Policy Briefs/Timely Analysis of Health Policy Issues)
John Holahan, Stacey McMorrow

Understanding what is driving the spending growth in Medicare and Medicaid is important for identifying appropriate policies to address it. This paper finds that spending in both programs has been and will continue to be significantly affected by growth in enrollment. Over the next decade, projections suggest that annual growth in spending per enrollee in both programs will be close to growth in GDP per capita, a target often advocated by those concerned with the nation's deficit. These findings suggest a need for continued vigilance in monitoring Medicare and Medicaid spending levels and growth, but do not support an argument for major restructuring of either program.

Posted: April 19, 2012Availability: HTML | PDF

How Choices In Exchange Design For States Could Affect Insurance Premiums And Levels Of Coverage (Research Report)
Fredric Blavin, Linda J. Blumberg, Matthew Buettgens, John Holahan, Stacey McMorrow

The Affordable Care Act calls for the creation of health insurance exchanges in each state, where individuals and small employers can purchase health insurance. States have considerable flexibility in how they design and implement their health insurance exchanges. This study analyzes several exchange design options using the Urban Institute's Health Insurance Policy Simulation Model (HIPSM), looking specifically at the cost and coverage implications of creating separate versus merged small group and non-group markets; eliminating age rating in these markets; removing the small employer credit; and defining the size threshold for the small group market at 50 versus 100 workers.

Posted: February 16, 2012Availability: HTML

Containing the Growth of Spending in the U.S. Health System: Methods Appendix (Research Report)
John Holahan, Linda J. Blumberg, Stacey McMorrow, Stephen Zuckerman, Timothy Waidmann, Karen Stockley

The growth in U.S. health care spending has become a focal point in debates over federal and state health care reform. While the problem is easy to quantify, strategies for slowing rising expenditures are controversial, and evidence of their effectiveness is often elusive. Our full report provides background that describes the problem and reviews the cost containment provisions of the Affordable Care Act (ACA). It also presents estimates of cost savings from several policies that go beyond those included in the ACA. In this appendix, we provide more detail on the methods used to generate these cost savings estimates.

Posted: December 19, 2011Availability: HTML | PDF

The Potential Savings from Enhanced Chronic Care Management Policies (Occasional Paper)
John Holahan, Cathy Schoen, Stacey McMorrow

The United States spent an estimated $635 billion on the chronically ill and disabled in 2010; about half of this was spent on those dually eligible for Medicare and Medicaid. Recently, there has been a series of innovative chronic care management programs that have shown considerable promise in reducing hospital admissions, readmissions, specialty care and prescription drug use. Considerable savings could be achieved if these programs could be expanded broadly. In this paper, we argue that this should primarily be a Medicare initiative because most of the current expenditures and savings from these programs would accrue to Medicare. We estimate potential savings of close to 1% of national health expenditures.

Posted: December 01, 2011Availability: HTML

 Next Page >>

Return to list of authors.



© 2010 Urban Institute | Contact Us | Privacy Policy