WorldCat Identities

Eibner, Christine

Overview
Works: 42 works in 122 publications in 1 language and 10,346 library holdings
Roles: Author
Publication Timeline
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Most widely held works by Christine Eibner
The economic burden of providing health insurance : how much worse off are small firms? by Christine Eibner( Book )

8 editions published in 2008 in English and held by 183 WorldCat member libraries worldwide

More than 60 percent of nonelderly Americans receive health-insurance (HI) coverage through employers. However, rising health-care costs may threaten the long-term viability of the employer-based insurance system. This report explores trends in the economic burden associated with HI provision for small and large businesses, as well as the quality of plans that small and large firms offer
Civilian workforce planning in the Department of Defense : different levels, different roles by Susan M Gates( Book )

6 editions published in 2006 in English and held by 141 WorldCat member libraries worldwide

Reviews workforce-planning and requirements-determination literature, analyzes data sources, and interviews individuals in workforce-planning activities at various Department of Defense (DoD) levels, to explore workforce planning and requirements determination at specific installations and identify potential planning-process roles for the Office of the Secretary of Defense and data sources for DoD-wide workforce planning
Review and evaluation of the VA Enrollee Health Care Projection model by Katherine M Harris( Book )

6 editions published in 2008 in English and held by 118 WorldCat member libraries worldwide

The Department of Veterans Affairs relies on the Enrollee Health Care Projection Model (EHCPM) to project veteran enrollment, enrolled veterans' use of health care services, and the cost of providing those services. This evaluation of the EHCPM examines its accuracy and validity, identifies potential model enhancements, and assesses the risks and benefits posed by the VA's reliance on the model for budgeting and planning
Maintaining military medical skills during peacetime : outlining and assessing a new approach by Christine Eibner( Book )

10 editions published in 2008 in English and held by 117 WorldCat member libraries worldwide

Military medical personnel are tasked with fulfilling both the benefits mission and the readiness mission of the U.S. Department of Defense (DoD). However, the medical skills required during deployment are likely to differ significantly from those required during peacetime. This study explored an arrangement in which some personnel are stationed in nonmilitary settings where the case mix might more closely resemble that expected under deployment
The economic impact of Medicaid expansion on Pennsylvania( Book )

4 editions published in 2013 in English and held by 1 WorldCat member library worldwide

The Affordable Care Act is a substantial reform of the U.S. health care insurance system. Using the RAND COMPARE model, researchers assessed the act's potential economic effects on Pennsylvania, factoring in an optional expansion of Medicaid, and found the state would enjoy significant net benefits. With or without the expansion of Medicaid, the act will increase insurance coverage to hundreds of thousands of Pennsylvanians, but the COMPARE model estimates that the expansion of Medicaid eligibility would cover an additional 350,000 people and bring more than $2 billion in federal spending into the state annually than if the state did not expand. Should the state expand Medicaid, the additional spending will add more than $3 billion a year to the state's GDP and support 35,000 jobs. But Medicaid expansion is not without cost for the state; the estimated cumulative effect on Pennsylvania's Medicaid spending will be $180 million higher with the expansion than without between 2014 and 2020. Substantial reductions in uncompensated care costs for hospitals are possible even without expansion, but savings to hospitals for uncompensated care funding are even larger with the Medicaid expansion,amounting to $550 million or more each year
Effects of the Affordable Care Act on consumer health care spending and risk of catastrophic health costs by Sarah Nowak( Book )

4 editions published in 2013 in English and held by 1 WorldCat member library worldwide

This study examines the likely effects of the Affordable Care Act (ACA) on average annual consumer health care spending and the risk of catastrophic medical costs for the United States overall and in two large states that have decided not to expand their Medicaid programs (Texas and Florida). The ACA will have varied impacts on individuals⁰́₉ and families⁰́₉ spending on health care, depending on income level and on estimated 2016 insurance status without the ACA. The authors find that average out-of-pocket spending is expected to decrease for all groups considered in the analysis, although decreases in out-of-pocket spending will be largest for those who would otherwise be uninsured. People who would otherwise be uninsured who transition to the individual market under the ACA will have higher total health care spending on average after implementation of the ACA because they will now incur the cost of health insurance premiums. The authors also find that risk of catastrophic health care spending will decrease for individuals of all income levels for the insurance transitions considered; decreases will be greatest for those at the lowest income levels. Case studies found that in Texas and Florida, Medicaid expansion would substantially reduce out-of-pocket and total health care spending for those with incomes below 100 percent of the federal poverty level, compared with a scenario in which the ACA is implemented without Medicaid expansion. Expansion would reduce the risk of high medical spending for those covered under Medicaid who would remain uninsured without expansion
The Affordable Care Act and health insurance markets : simulating the effects of regulation by Christine Eibner( Book )

6 editions published in 2013 in English and held by 1 WorldCat member library worldwide

The Affordable Care Act changes the rating regulations governing the nongroup and small group markets while simultaneously encouraging enrollment through a combination of subsidies, tax credits, and tax penalties. In this report, the authors estimate the effects of the Affordable Care Act on health insurance enrollment and premiums for ten states (Florida, Kansas, Louisiana, Minnesota, New Mexico, North Dakota, Ohio, Pennsylvania, South Carolina, and Texas) and for the nation overall, with a focus on outcomes in the nongroup and small group markets. The authors also consider the implications of two decisions confronting states: whether to expand their Medicaid programs to cover all adults with incomes below 138 percent of the federal poverty level and whether to merge or combine their small group and nongroup risk pools. The authors conclude that the Affordable Care Act will lead to an increase in insurance coverage and higher enrollment in the nongroup market. However, data limitations and uncertainties about insurer behavior make estimates uncertain, particularly when considering outcomes for the nongroup market. They find that the law has little effect on small group premiums and find large variation in the effects for nongroup premiums across states. The analysis suggests that comparisons of average premiums with and without the Affordable Care Act may overstate the potential for premium increases
The budgetary effects of Medicaid expansion on Pennsylvania : an expansion on previous work by Carter C Price( Book )

4 editions published in 2013 in English and held by 1 WorldCat member library worldwide

The Affordable Care Act is a substantial reform of the U.S. health care insurance system. In the spring of 2013, the RAND Corporation conducted an analysis assessing the budget effects of the expansion of Medicaid on the Commonwealth of Pennsylvania. The analysis was in part based on a specific set of assumptions 1) regarding the application of Pennsylvania⁰́₉s tax code and 2) about expenditures and revenue sources that could have a material impact on the budgetary outcomes. This addendum examines the sensitivity of those findings to alternative assumptions about the state budgetary effects
Employer Self-Insurance Decisions and the Implications of the Patient Protection and Affordable Care Act as Modified by the Health Care and Education Reconciliation Act of 2010 (ACA) by Christine Eibner( Book )

4 editions published in 2011 in English and held by 1 WorldCat member library worldwide

The Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of 2010 (ACA) changes the regulatory environment within which health insurance policies on the small-group market are bought and sold. New regulations include rate bands that limit premium price variation, risk-adjustment policies that will transfer funds from low-actuarial-risk to high-actuarial-risk plans, and requirements that plans include "essential health benefits." While the new regulations will be applied to all non-grandfathered fully insured policies purchased by businesses with 100 or fewer workers, self-insured plans are exempt from these regulations. As a result, some firms may have a stronger incentive to offer self-insured plans after the ACA takes full effect. In this report we identify factors that influence employers' decisions to self-insure and estimate how the ACA will influence self-insurance rates. We also consider the implications of higher self-insurance rates for adverse selection in the non-self-insured small-group market and whether enrollees in self-insured plans receive different benefits than enrollees in fully-insured plans. Results are based on data analysis, literature review, findings from discussions with stakeholders, and microsimulation analysis using the COMPARE model. Overall, we find little evidence that self-insured plans differ systematically from fully insured plans in terms of benefit generosity, price, or claims denial rates. Stakeholders expressed significant concern about adverse selection in the health insurance exchanges due to regulatory exemptions for self-insured plans. However, our microsimulation analysis predicts a sizable increase in self-insurance only if comprehensive stop-loss policies become widely available after the ACA takes full effect and the expected cost of self-insuring with stop-loss is comparable to the cost of being fully insured in a market without rating regulations
The effect of eliminating the Affordable Care Act's tax credits infederally facilitated marketplaces by Evan Saltzman( )

4 editions published in 2015 in English and held by 0 WorldCat member libraries worldwide

This report assesses expected changes in enrollment and premiums in the ACA-compliant individual market in FFM states if the Supreme Court eliminates subsidies in those states
Civilian health insurance options of military retirees : findings from a pilot survey( )

2 editions published in 2007 in English and held by 0 WorldCat member libraries worldwide

The Department of Defense (DoD) provides health benefits to qualified retired service personnel. Active duty personnel who retire with at least 20 years of service are immediately eligible to receive retiree health benefits for themselves, their spouses, and dependent children through TRICARE, the DoD-sponsored health care plan. A substantial majority of retirees have second careers after retirement and have access to civilian health insurance. However, many choose to rely primarily on TRICARE, in large part because of the significant price differential between TRICARE and civilian insurance. In order to understand the implications of this reliance for DoD health care expenditures, DoD asked RAND to explore the available civilian health insurance options of working-age military retirees and the impact of those options on TRICARE utilization. The authors surveyed a random sample of 1,600 military retirees (officers and enlisted personnel) under age 65 who were entitled to TRICARE benefits. This pilot survey was designed to ask about the current employment of the retiree and his or her spouse, participation in a civilian health insurance plan, use of TRICARE for medical care, and the likely effect of premium increases or decreases on participation in civilian heath plans. Key findings showed that although a large majority of retirees have access to civilian health insurance, many choose not to enroll, most frequently citing the cost of premiums. Among those enrolled in civilian plans, many still rely on TRICARE for medical care and prescription drugs, and many would drop their civilian plans if costs rose substantially. As long as DoD premiums are considerably lower than civilian premiums, a shift away from TRICARE use is unlikely. A larger survey, collecting data from retirees and their civilian employers, would be needed for DoD to analyze the effects of benefit design changes to TRICARE on retiree reliance
Assessing alternative modifications to the Affordable Care Act : impact on individual market premiums and insurance coverage by Christine Eibner( )

5 editions published in 2014 in English and held by 0 WorldCat member libraries worldwide

This report summarizes analysis in which the COMPARE microsimulation model was used to estimate how several potential changes to the Affordable Care Act, including eliminating the individual mandate and eliminating the law's tax-credit subsidies, might affect 2015 individual market premiums and overall insurance coverage. The report also presents estimate how changes in young adult enrollment might affect 2015 individual market premiums
Controlling health care spending in Massachusetts( )

2 editions published in 2009 in English and held by 0 WorldCat member libraries worldwide

This report describes 21 high priority cost containment policy options and assesses the theoretical, empirical and experiential evidence on potential spending reductions associated with them. In addition, we quantified the magnitude of savings for the 12 options for which there was sufficient data to make predictions and for which there was evidence that reductions in spending were possible. Because the evidence for many options is mixed, we provide upper and lower-bound estimates based on different assumptions about the costs, opportunities for savings, and extent of uptake of each option. Larger differences between upper- and lowerbound estimates offer policymakers a signal of uncertainty about savings potential. While this report analyzes each option individually, policymakers may find that a combination of strategies is necessary to achieve significant savings
Methodology of the RAND Health Reform Opinion Study by Katherine Grace Carman( )

4 editions published in 2015 in English and held by 0 WorldCat member libraries worldwide

Insurance transitions following the first ACA open enrollment period by Katherine Grace Carman( )

4 editions published in 2015 in English and held by 0 WorldCat member libraries worldwide

The economic incidence of health care spending in Vermont by Christine Eibner( )

4 editions published in 2015 in English and held by 0 WorldCat member libraries worldwide

Evaluating the "Keep Your Health Plan Fix": Implications for the Affordable Care Act Compared to Legislative Alternatives by Evan Saltzman( )

5 editions published in 2014 in English and held by 0 WorldCat member libraries worldwide

This report describes a comparative analysis of three proposals to remedy the situation: one by the White House, another by Senator Mary Landrieu (D-LA), and a third by Representative Fred Upton (R-MI). The proposals are evaluated based on their potential impact on the ACA-compliant market and the cost and coverage of health insurance. The possibility of each proposal causing a "death spiral," in which rising premiums and decreasing enrollment undermine the viability of the ACA-compliant market, is also addressed. The authors find that the three proposals vary from slight to moderate impact on ACA premiums, enrollment, and federal spending, but none of them would result in the unraveling of the ACA-compliant market
The impact of the coverage - related provisions of the Patient Protection and Affordable Care Act on insurance coverage and state health care expenditures in Illinois : an analysis from Rand compare( )

5 editions published in 2011 in English and held by 0 WorldCat member libraries worldwide

The Patient Protection and Affordable Care Act (ACA) contains substantial new requirements aimed at increasing rates of health insurance coverage. Because many of these provisions impose additional costs on the states, officials need reliable estimates of the likely impact of the ACA in their state. To demonstrate the usefulness of modeling for state-level decisionmaking, RAND undertook a preliminary analysis of the impact of the ACA on five states -- California, Connecticut, Illinois, Montana, and Texas -- using the RAND COMPARE microsimulation model. For Illinois, the model predicts that, in 2016 (the year that all of the provisions in the ACA related to coverage expansion will be fully implemented), the uninsured rate in Illinois will fall to 3 percent; without the law, it would remain near 15 percent. The model projects that total state government spending on health care will be 10 percent higher for the combined 2011-2020 period because of the ACA
Changes in health insurance enrollment since 2013 : evidence from the RAND Health Reform Opinion Study by Katherine Grace Carman( )

4 editions published in 2014 in English and held by 0 WorldCat member libraries worldwide

Private health insurance exchanges : early evidence and implications for the future by Christine Buttorff( )

4 editions published in 2016 in English and held by 0 WorldCat member libraries worldwide

 
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The economic burden of providing health insurance : how much worse off are small firms?
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English (95)

Covers
Civilian workforce planning in the Department of Defense : different levels, different rolesReview and evaluation of the VA Enrollee Health Care Projection modelMaintaining military medical skills during peacetime : outlining and assessing a new approachCivilian health insurance options of military retirees : findings from a pilot survey