WorldCat Identities

Price, Carter C.

Works: 23 works in 53 publications in 1 language and 4,531 library holdings
Genres: History 
Roles: Author, Contributor
Publication Timeline
Most widely held works by Carter C Price
The economic impact of Medicaid expansion on Pennsylvania( )

5 editions published in 2013 in English and held by 583 WorldCat member libraries 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 act⁰́₉s 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 state⁰́₉s GDP and support 35,000 jobs. But Medicaid expansion is not without cost for the state; the estimated cumulative effect on Pennsylvania⁰́₉s 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
U.S. Navy employment options for unmanned surface vehicles (USVs) by Scott Savitz( )

5 editions published between 2007 and 2013 in English and held by 581 WorldCat member libraries worldwide

This report assesses in what ways and to what degree unmanned surface vehicles (USVs) are suitable for supporting U.S. Navy missions and functions. It briefly characterizes the current and emerging USV marketplaces to provide a baseline for near-term capabilities, describes USV concepts of employment to support diverse U.S. Navy missions and functions, and evaluates these concepts of employment to identify specific missions and functions for which they are highly suitable. USVs offer several particular strengths relative to other platforms, including the ability to interact both above and below the waterline, enabling them to serve as critical nodes for cross-domain networks. They also have potentially longer endurance, larger payloads, and higher power outputs than comparably sized unmanned air or undersea vehicles. Additionally, their greater risk tolerance compared with manned systems makes them desirable platforms for overcoming adversaries⁰́₉ anti-access and area-denial measures. These strengths make USVs particularly suitable for missions such as characterizing the physical environment, observation and collection regarding adversaries, mine warfare, military deception/information operations/electronic warfare, defense against small boats, testing and training, search and rescue, and the support of other unmanned vehicles. However, USVs need advanced autonomy and assured communications to complete complex missions, as well as any missions in complex environments. Autonomous seakeeping and maritime traffic avoidance are USV-specific capabilities that likely need to be developed with U.S. Navy involvement. Also, optional manning and payload modularity can enhance the desirability of USV programs
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( )

3 editions published in 2011 in English and held by 517 WorldCat member libraries worldwide

Factors Influencing Employers' Decisions to Self-Insure -- Prevalence of Self-Insurance and Characteristics of Self-Insured Firms -- Financial Solvency of Self-Insured Firms -- Health Benefits and Costs in Self-Insured Plans -- Claims Denials -- Consumer Recourse Options -- The Impact of the ACA on Employer Decisions to Self-Insure -- Discussion and Future Implications -- Analysis of Kaiser/HRET Data: Methodology -- Qualitative Methods -- Supplemental Tables -- Model Methodology
Delaying the employer mandate : small change in the short term, bigcost in the long run by Carter C Price( )

3 editions published in 2013 in English and held by 511 WorldCat member libraries worldwide

In July 2013, the Obama administration announced a one-year delay in enforcement of the Affordable Care Act⁰́₉s (ACA) penalty on large employers that do not offer affordable health insurance coverage. To help policymakers understand the implications of this decision, RAND analysts employed the COMPARE microsimulation model to gauge the impact of the one-year delay of the so-called employer mandate. They found that the delay will not have a large impact on insurance coverage: Because relatively few firms and employees are affected, only 300,000 fewer people, or 0.2% of the population, will have access to insurance from their employer, and nearly all of these will get insurance from another source. However, a one-year delay in implementation of the mandate will result in $11 billion dollars less in federal inflows from employer penalties for that year. A full repeal of the employer mandate would cause revenue to fall by $149 billion over the next ten years (10% of the ACA⁰́₉s spending offsets), providing substantially less money to pay for other components of the law. The bottom line: the on-year delay in the employer mandate will have relatively few consequences, primarily resulting in a relatively small one-year drop in revenue; however, a complete elimination of the mandate would have a large cumulative net cost, potentially removing a nontrivial revenue source that in turn funds the coverage provisions in the ACA
The budgetary effects of Medicaid expansion on Pennsylvania : an expansion on previous work by Carter C Price( )

4 editions published in 2013 in English and held by 510 WorldCat member libraries 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
The economic impact of the Affordable Care Act on Arkansas by Carter C Price( )

3 editions published in 2013 in English and held by 509 WorldCat member libraries worldwide

The Affordable Care Act (ACA) will increase coverage through the expansion of Medicaid and the creation of a Health Insurance Exchange with subsidies. RAND researchers analyzed the ACA⁰́₉s economic impact on the state of Arkansas and found that by 2016, about 400,000 people will be newly insured, net federal payments to the state will amount to $430 million annually, and the total gross domestic product will see a net increase of $550 million
A two-step procedure to estimate participation and premiums in multistate health plans by Amado Cordova( )

3 editions published in 2013 in English and held by 509 WorldCat member libraries worldwide

Multistate plans (MSPs) provide an attractive alternative among the health insurance plans established by the Affordable Care Act (ACA) because they will have to be offered in multiple states. In this study, the authors⁰́₉ first objective was to identify and characterize population groups that would likely be interested in enrolling in MSPs (Phase 1 of the study). The second objective was to develop a methodology to project participation and to estimate premiums for these plans (Phase 2). For this second phase, the authors developed a two-step procedure to estimate the demand for MSPs. In the first step, they used the COMPARE microsimulation model and its utility maximization algorithms to project enrollment, irrespective of whether exchange participants choose an MSP or another exchange plan. The second step consists of calculating MSP premiums by means of a tool written in the R language that separates MSP participants from enrollees in other exchange plans using criteria selectable by the user. In this report, the authors present results from Phase 1 and from the first step of Phase 2 and explain the methodology and challenges associated with the second step. National-level microsimulation results suggest that three target population groups expected to prefer MSPs are also more likely to join the exchanges than the general population by over two percentage points. States with a higher uninsurance rate and lower participation in the nongroup market under current law, such as Texas, are projected to have a larger percentage enrollment in the individual market exchanges after enactment of the ACA. Thus, these states may also have a higher percentage of MSP participants than other states. The main policy recommendation is for the Office of Personnel Management to make use of the findings of this report and to exercise the MSP premium calculator tool to aid in the implementation of the Multistate Plan Program
Management perspectives pertaining to root cause analyses of Nunn-McCurdy breaches : contractor motivations and anticipating breaches by Mark V Arena( )

4 editions published in 2014 in English and held by 493 WorldCat member libraries worldwide

With an eye to making defense acquisition more effective and efficient, the authors explore defense contractor motivations in pursuing defense contracts and identify mechanisms that might more closely align those incentives with Department of Defense goals. They enumerate several motivations that drive contractors, most of which center on the financial aspects of running an enterprise. Then, they turn to the other side of the negotiating table and identify areas of influence or levers that the government can use to align the contracting process more closely with contractor motivations. They also analyze major defense acquisition programs to determine if it is possible to identify programs that might incur a future Nunn-McCurdy breach by reviewing a number of acquisition programs that have incurred breaches in the past and analyzing them for common characteristics. Their analytic framework enables oversight officials to identify programs with a greater risk of incurring a critical cost breach, which enables officials to focus more intently on a smaller set of programs and which provides hypotheses about what to look for in these programs
The Affordable Care Act and health insurance markets : simulating the effects of regulation by Christine Eibner( )

2 editions published in 2013 in English and held by 98 WorldCat member libraries 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
Where might the U.S. Army budget go, and how might it get there?( Book )

2 editions published in 2011 in English and held by 91 WorldCat member libraries worldwide

Since 1950, the U.S. Army's budget has waxed and waned on a roughly 20-year cycle. As the Army's role in Iraq and Afghanistan diminishes over the next decade, it will be entering the waning phase of this budget cycle. In this report, the authors examine historic trends in the Army's largest budget accounts (military personnel, operations and maintenance, and procurement) to provide a context for decisions relating to future spending and explore the recent public discourse on cuts in military spending. They also discuss the potential implications of these cuts
Inequality and opportunity : the relationship between income inequality and intergenerational transmission of income by Francisco Pérez Arce( Book )

3 editions published in 2016 in English and held by 88 WorldCat member libraries worldwide

"Rising income inequality has the potential to affect outcomes for children whose parents are at the lower end of the income scale by curtailing their opportunities. This report aims to understand the extent to which inequalities in opportunity and outcomes are related - and the mechanisms that drive that relationship - to help evaluate which policies have the most potential to level the playing field. This report reviews recent trends in inequality in outcomes (particularly, income inequality) and proxies for inequality of opportunity (measures of intergenerational transmission of income) and presents evidence on the extent to which they are correlated across countries and within countries across time. We discuss the evidence that shows that inequality in income and wealth has been increasing in the United States and most developed countries since the 1980s and that income inequality and inequality of opportunity are correlated across countries, but proxy measures for inequality of opportunity do not show the same consistently upward trend that was experienced by income inequality. The report then presents a framework to understand the mechanisms underlying the relationship between inequalities in income and opportunity. In light of this framework, we discuss the potential effects of policies on both income and inequality opportunity, and how these can be quantitatively assessed"--Publisher's website
U.S. military capabilities and forces for a dangerous world : rethinking the U.S. approach to force planning by David A Ochmanek( Book )

2 editions published in 2017 in English and held by 13 WorldCat member libraries worldwide

"This report evaluates the capabilities of current and programmed U.S. forces to meet the demands of conflicts that could arise involving any of five potential adversaries: China, Russia, North Korea, Iran, and Salafist-jihadi groups worldwide. The report finds that U.S. forces today are larger than necessary to fight a single major war, are failing to keep pace with the modernizing forces of great power adversaries, are poorly postured to meet key challenges in Europe and East Asia, and are insufficiently trained and ready to get the most operational utility from many of its active component units. The report recommends a host of enhancements to the capabilities and posture of U.S. forces and offers three alternative force planning constructs to help ensure that defense resources are, in the future, applied to the highest-priority needs."--Publisher's description
Establishing state health insurance exchanges : implications for health insurance enrollment, spending, and small businesses( )

2 editions published in 2010 in English and held by 7 WorldCat member libraries worldwide

The RAND Corporation's Comprehensive Assessment of Reform Efforts microsimulation model was used to analyze the effects of the Patient Protection and Affordable Care Act (PPACA) on employers and enrollees in employer-sponsored health insurance, with a focus on small businesses and businesses offering coverage through health insurance exchanges. Outcomes assessed include the proportion of nonelderly Americans with insurance coverage, the number of employers offering health insurance, premium prices, total employer spending, and total government spending relative to what would have been observed without the policy change. The microsimulation predicts that PPACA will increase insurance offer rates among small businesses from 53 to 77 percent for firms with ten or fewer workers, from 71 to 90 percent for firms with 11 to 25 workers, and from 90 percent to nearly 100 percent for firms with 26 to 100 workers. Simultaneously, the uninsurance rate in the United States would fall from 19 to 6 percent of the nonelderly population. The increase in employer offer rates is driven by workers' demand for insurance, which increases due to an individual mandate requiring all people to obtain insurance policies. Employer penalties incentivizing businesses to offer coverage do not have a meaningful impact on outcomes. The model further predicts that approximately 60 percent of businesses will offer coverage through the health insurance exchanges after the reform. Under baseline assumptions, a total of 68 million people will enroll in the exchanges, of whom 35 million will receive exchange-based coverage from an employer
A comprehensive assessment of four options for financing health care delivery in Oregon by Chapin White( )

2 editions published in 2017 in English and held by 6 WorldCat member libraries worldwide

This report describes four options for financing health care for residents of the state of Oregon and compares the projected impacts and feasibility of each option. The Single Payer option and the Health Care Ingenuity Plan would achieve universal coverage, while the Public Option would add a state-sponsored plan to the Affordable Care Act (ACA) Marketplace. Under the Status Quo option, Oregon would maintain its expansion of Medicaid and subsidies for nongroup coverage through the ACA Marketplace. The state could cover all residents under the Single Payer option with little change in overall health care costs, but doing so would require cuts to provider payment rates that could worsen access to care, and implementation hurdles may be insurmountable. The Health Care Ingenuity Plan, a state-managed plan featuring competition among private plans, would also achieve universal coverage and would sever the employer-health insurance link, but the provider payment rates would likely be set too high, so health care costs would increase. The Public Option would be the easiest of the three options to implement, but because it would not affect many people, it would be an incremental improvement to the Status Quo. Policymakers will need to weigh these options against their desire for change to balance the benefits with the trade-offs
The effect of the Affordable Care Act on enrollment and premiums, with and without the individual mandate by Christine Eibner( Book )

1 edition published in 2012 in English and held by 4 WorldCat member libraries worldwide

This report describes the results of an analysis using RAND⁰́₉s COMPARE (Comprehensive Assessment of Reform Efforts) microsimulation model to predict the effects of a possible Supreme Court decision invalidating the individual mandate provision in the Patient Protection and Affordable Care Act of 2010 while keeping the other parts of the law intact. The authors predict the effects of such a decision on health insurance coverage overall and for subgroups based on income. They also estimate where people will obtain insurance in scenarios with and without the mandate and how the elimination of the individual mandate will affect insurance premiums. The analysis predicted that, if the individual mandate were to be eliminated: (1) 12.5 million people who would have otherwise signed up for coverage will be uninsured. (2) Premium prices in the non-group market will increase by 2.4 percent. (3) Total government spending will increase modestly, from $394 billion to $404 billion in 2016. (4) The amount of government spending per newly insured individual will more than double, from $3,659 to $7,468. The study estimates a smaller effect on premiums than comparable studies because the RAND team uses a method that accounts for the difference in the age composition of enrollees with and without the mandate
Grandfathering in the small group market under the Patient Protection and Affordable Care Act : effects on offer rates, premiums, and coverage( Book )

1 edition published in 2009 in English and held by 3 WorldCat member libraries worldwide

The Patient Protection and Affordable Care Act (PPACA), signed into law by President Barack Obama on March 23, 2010, will introduce new health insurance options for many Americans. While PPACA will alter the health insurance options available to many people, one of the goals of the law is to enable Americans to keep the coverage they currently have if they choose to do so. In an effort to ensure that current coverage options do not change, PPACA exempts existing health insurance plans from certain regulations, a policy known as "grandfathering." Newly offered plans, including plans available through state health insurance exchanges, are not eligible for grandfathering. This paper uses the Comprehensive Assessment of Reform Efforts (COMPARE) microsimulation model to analyze the effects that grandfathering in the small group market will have on outcomes, including the percentage of small firms (with 100 or fewer workers) offering coverage, premium prices in the grandfathered market and in the exchanges, the total number of people enrolled in health insurance coverage, and the number of people enrolled in exchange-based health insurance plans. Results suggest that, while grandfathering may lead to slightly higher exchange premiums, grandfathering is also associated with higher employer-sponsored insurance enrollment and lower government spending. Therefore, grandfathering may be an effective policy if the goal is to maximize the number of people enrolled in employment-based coverage
Changing aircraft carrier procurement schedules : effects that a five-year procurement cycle would have on cost, availability, and shipyard manpower and workload( Book )

2 editions published in 2011 in English and held by 2 WorldCat member libraries worldwide

Nuclear-powered aircraft carriers are the largest, most capable, and most survivable ships in the U.S. Navy. In the mid-1990s, there were 15 aircraft carriers in the Navy fleet; today, there are 11. The Secretary of Defense recently announced plans to shift the Navy aircraft carrier acquisition program to extend the cycle for acquiring a new aircraft carrier from approximately every four years to five years. In the long run, this could have the effect of reducing the number of aircraft carriers to ten. Shifting from the 30-year shipbuilding plan (SBP) to a five-year authorization cycle for acquiring aircraft carriers should have almost no impact on force structure and the industrial base in the next decade. Beyond the early 2020s, however, the five-year plan results in an increasingly smaller aircraft carrier force structure and a lower probability of meeting goals for the number of deployed aircraft carriers. The five-year plan will have an impact on the total acquisition costs of CVN 79 and CVN 80 due to the effects of inflation. The five-year plan could have a larger effect on any subsequent desire to increase the number of aircraft carriers in the fleet. Although the number of aircraft carriers can be rather quickly reduced through early retirements, a construction cycle of at least four years, coupled with seven or more years between authorization and delivery, means that it can take decades to add an aircraft carrier to the fleet. Policymakers might wish to consider this inability to rapidly expand the aircraft carrier force more than any of the factors considered here
Oregon's options to overhaul health care financing : health care reform 2.0? by Chapin White( Book )

1 edition published in 2017 in English and held by 1 WorldCat member library worldwide

This analysis of three options to reform health care payment in Oregon (two state-based plans that would ensure coverage for all state residents and a state-sponsored plan offered in Oregon's nongroup market) found benefits and trade-offs for each
Modeling Dr. Dynasaur 2.0 coverage and finance proposals : effects of the expansion of Vermont's Dr. Dynasaur program to all individuals through age 25 by Andrew W Dick( Book )

1 edition published in 2017 in English and held by 1 WorldCat member library worldwide

The authors assessed an expansion of Vermont’s Dr. Dynasaur program that would cover all residents age 25 and younger. The current Dr. Dynasaur program combines Vermont’s Medicaid program and Child Health Insurance Program for children ages 0 through 18 to provide a seamless insurance program for those with family incomes below 317 percent of the federal poverty level. The authors used RAND’s COMPARE-VT microsimulation model with Vermont-specific demographic, economic, and actuarial data to estimate the effects on health insurance coverage, costs, and premiums. They also identified the new revenues required to fund the program expansion and explored three alternative financing strategies to raise those funds: (1) an increase in the Vermont income tax, (2) a Vermont payroll tax, and (3) a Vermont business enterprise tax. The authors found that enrollment would increase by more than 260 percent under the 100-percent enrollment scenario and by nearly 200 percent under the 70-percent enrollment scenario by 2019. Not surprisingly, the children and young adults who move off employer-sponsored insurance (ESI) and into Dr. Dynasaur 2.0 have considerably lower expected health care costs than those who remain on ESI, increasing the per-person premiums by nearly $1,000 for those remaining enrolled in ESI. Annual health care expenditures per person for children and young adults in 2019 are estimated at $4,325 with Medicare prices. The combination of increased reimbursement rates, large increases in enrollment, and relatively low Dr. Dynasaur premiums (no more than $720 per year) will require significant new tax revenues to meet program obligations
Financing health care in Oregon : four policy options by Chapin White( Book )

1 edition published in 2017 in English and held by 1 WorldCat member library worldwide

This presentation describes four options for financing health care for residents of the state of Oregon and compares the projected impacts and feasibility of each option. The Single Payer option and the Health Care Ingenuity Plan would achieve universal coverage; the public option would add a state-sponsored plan to the Affordable Care Act marketplace. Under the fourth option, maintaining the status quo, Oregon would continue its Medicaid expansion and subsidies for nongroup coverage through the ACA Marketplace
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Changing aircraft carrier procurement schedules : effects that a five-year procurement cycle would have on cost, availability, and shipyard manpower and workload
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