Chemical safety, health care costs and the Affordable Care Act

2013 ◽  
Vol 57 (1) ◽  
pp. 1-3 ◽  
Author(s):  
Philip J. Landrigan ◽  
Lynn R. Goldman
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Affordable Care Act ◽  
Chemical Safety ◽  
The Affordable Care Act ◽  
Care Costs

When Worlds Collide: Medicine, Business, the Affordable Care Act and the Future of Health Care in the U.S.

2014 ◽  
Vol 42 (4) ◽  
pp. 420-430 ◽  
Author(s):  
Andrew C. Wicks ◽  
Adrian A. C. Keevil
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Health Care Spending ◽  
Significant Shift ◽  
The Great Depression ◽  
The Future ◽  
New Thinking ◽  
The Affordable Care Act ◽  
Care Costs ◽  
The U.S

Many observers claim that business has become a powerful force in medicine and that the future of health care cannot escape that reality, even though some scholars lament it. The U.S. recently experienced the most devastating recession since the Great Depression. As health care costs rise, we face additional pressure to rein in health care spending. We also have important new legislation that could well mark a significant shift in how health care is provided and who has access to care, namely the Affordable Care Act (ACA). These changes underscore the need to bring new thinking to the conversation about health care and to move beyond conceptual and practical obstacles that inhibit our progress. In this paper we do not to claim to have solutions. Rather, our aim is to try to identify some obstacles to fostering a better conversation about the future of health care and to envisioning a better health care system.

Health Reform and Theories of Cost Control

2018 ◽  
Vol 46 (4) ◽  
pp. 846-856 ◽  
Author(s):  
Erin C. Fuse Brown
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Affordable Care Act ◽  
Health Reform ◽  
Cost Control ◽  
Reform Proposal ◽  
Critical Issues ◽  
Key Policy ◽  
Care Costs ◽  
Blind Spots

Health care costs and affordability are critical issues to consumers. Just as we assess the coverage impacts of a health reform proposal, we should be able to evaluate how the plan will constrain health care costs: its theory of cost control. This essay provides a framework to assess health reform plans on their theories of cost control, identifying the key policy tools to constrain health care costs organized in a two-by-two matrix across the following dimensions: price vs. utilization and public vs. private payers. It then applies the framework to the Affordable Care Act (ACA) and the Republican's 2017 legislative efforts to repeal and replace the ACA to identify their general theories of cost control, revealing on the plans' strengths, blind spots, and incoherence.

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