February 2018 Research Round Up: What We’re Reading

In CHIRblog’s February installment of What We’re Reading, CHIR’s Olivia Hoppe digs into new research that highlights the consequences of the recent short-term limited-duration health plan rule, the effects of expanded private insurance on access to primary and specialty care, the impact of the ACA’s dependent coverage provision on birth and prenatal outcomes, and an assessment of state-level efforts to expand access, affordability, and quality of coverage. Continue reading

If It Talks Like Insurance and Walks Like Insurance: The Curious Case of Direct Primary Care Arrangements

For decades, elite “concierge” practices have been providing easy access to primary care in return for several thousand dollars in retainer fees. Recently we’ve seen the emergence of more affordable versions of this arrangement, with monthly fees that cost far less than the average ACA marketplace plan premium. At first blush, these arrangements, frequently called “direct primary care arrangements” (DPCAs), might seem like a way to ensure access to health care services in the face of rising health insurance premiums. CHIR’s Maanasa Kona explains why this is not always the case. Continue reading

An Evolving Primary Care Model: Nurse Practioners, Physician Assistants are Gaining Autonomy, but Barriers Remain

Sixty million people in the U.S. lack access to primary care services, partly due to a shortage of primary care physicians. Many states are responding to the crisis by expanding the scope of practice of non-MD health professionals, such as nurse practitioners. But insurers’ payment policies and resistance from the medical establishment often limit the effectiveness of those policy changes. CHIR’s legal intern Emma Chapman digs into the current debate. Continue reading