The Incidental Economist

Contemplating health care with a focus on research, an eye on reform.


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  • Aaron’s stuff

    Selected appearances:
    The Colbert Report
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    For speaking inquiries:
    contact Jo at Speakers on Healthcare or at 800-697-7325

  • Austin’s stuff

    Recent Publications:
    "Why Now Is Not the Time for Premium Support" (NEJM, 2012). [post]

    “The Effects of Market Structure and Payment Rates on Private Medicare Health Plan Entry” (Inquiry, forthcoming). [working paper]

    “Uninsured Persons with Disability Confront Substantial Barriers to Health Care Services” (Disability and Health Journal 4:238-244, 2011). [summary]

    "Should Medicare Adopt the Veterans Health Administration Formulary?" (Health Economics, 2011). [summary]

    "Our Flawed but Beneficial Medicaid Program" (NEJM, 2011). [ungated]

    "Does Health Care Cost Shifting Exist? A Review of the Evidence," (The Milbank Quarterly 89(1), 2011). [PDF]

    "The Future of Health Care Costs: Hospital-Insurer Balance of Power" (National Institute for Health Care Management, Nov. 2010). [PDF].

    Click here for a more complete list of Austin's publications.

  • Single payer resources

      1 comment
      August 10, 2011 at 8:55 am
      Austin Frakt

    By tweet, I was asked where to find estimates of the cost of a single payer health system. I turned to Aaron and Don who sent the following links. I’ve read none of this and, therefore, do not offer them with any endorsement. I think what the original questioner wanted to know was how much would single payer cost over a 10 year budget window today. These links may or may not address that.

    • CBO’s analysis of the American Health Security Act of 1993
    • A CBO document on all payer and single payer systems, 1993
    • PNHP’s page on single payer costs
    • In December 2008, CBO ran estimates of 100 health policy options, and one of them wasn’t single payer
    • Dylan Matthews did a “research desk” on this last month.

    If you are aware of anything else relevant, please share in the comments.

    UPDATES: Adding to the list.

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      1 comment on this post
     
      Health Policy
      all-payer rates, single payer
    • Comments (1)

    • by Jonathan H on August 10th, 2011 at 12:38

      There is another question that should be asked: what would be the administrative costs of a highly regulated private, or public-private, universal insurance system?

      I’ve seen international comparisons showing that the Netherlands and Switzerland, for example, have insurance administration costs of about 5% of premium. This is very similar to single payer nations. I thought the Commonwealth Fund did a report on this in the last two years, but couldn’t find the right one.

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