Bibliographies

Better Care Plan Bibliography

This bibliography was taken from The Better Care Advantage, published on LinkedIn. An additional bibliography follows this one.

2021 Medicare Advantage and Part D Plan Information Now Available on Medicare.gov Ahead of Medicare Open Enrollment (CMS Newsroom 10/10/2020)

A Dozen Facts About Medicare Advantage in 2019 by G. Jacobson et al (KFF 6/6/ 2019).

A Dozen Facts About Medicare Advantage in 2020 by Meredith Freed, Anthony Damico, and Tricia Neuman (KFF 4/22/ 2020).

Actually, ‘Medicare for All’ is the only affordable option by Laurence Kotlikoff (The Hill 11/08/19)

An Economic History of Medicare Part C by Thomas G McGuire, Joseph P Newhouse, and Anna D Sinaiko (The Millbank Quarterly June 2011)

Association Between Medicare Accountable Care Organization Implementation and Spending Among Clinically Vulnerable Beneficiaries (JAMA Internal Medicine 8/1/2016)

Changes in Low-Value Services in Year 1 of the Medicare Pioneer Accountable Care Organization Program (JAMA Internal Medicine November 2015)

Choosing the Wrong Health Insurance Could Kill You Jason Abaluck (Yale Insights 9/2/2020)

COVID-19 Impact on Medicaid, Marketplace, and the Uninsured, by State (Health Management Associates 4/3/2020)

Creating a Culture of Continuous Improvement by Aravind Chandrasekaran & John S. Toussaint (Harvard Business Review 12/24/2019

Factors That Distinguish High-Performing Accountable Care Organizations in the Medicare Shared Savings Program (Health Services Research February 2018)

Health Care Spending, Utilization, & Quality 8 Years into Global Payment (NEJM 7/18/19)

Healthcare Consumerism & Outcomes: Opportunities for Improvement Peter A Wadsworth (LinkedIn 7/18/18)

How Do the Hospital Prices Paid by Medicare Advantage Plans and Commercial Plans Compare with Medicare Fee-for-Service Prices? by Jared Lane K. Maeda, PhD, MPH, Lyle Nelson, PhD (PubMed/Sage 4/30/18)

It’s time to move past employer-based health insurance by Ezra Klein (Vox 4/9/2020)

Key Facts about the Uninsured Population (KFF.org – December 2019)

Key Facts about the Uninsured Population by Jennifer Tolbert, et. al. (KFF 12/13/2019)

Medicare Advantage 2020 Spotlight: First Look (KFF.org 10/214/19)

Medicare Advantage Achieves Better Health Outcomes and Lower Utilization of High-Cost Services Compared to Fee-for-Service Medicare by Dan Mendelson, Christie Teigland & Sean Creighton (Avalere 7/11/18)

Medicare Advantage and fee-for-service performance on clinical quality and patient experience measures: Comparisons from three large states by Timbie, Justin W., Bogart, Andy, Damberg, Cheryl et al. – Health Services Research 52(6), Part I: 2038-2060. December 2017.

Medicare Advantage for All by Ken Janda and Vivian Ho (The Hill 8/27/19)

Medicare Advantage Plans Expanding (Kaiser Health News 10/2/2020)

Medicare Advantage Premiums Continue to Decline While Plan Choices and Benefits Increase in 2019 (CMS September 28, 2018)

Medicare Spending after 3 Years of the Medicare Shared Savings Program (NEJM 9/30/2018.)

Medicare-for-All Part III: Assessing the Alternatives by Peter A. Wadsworth (LinkedIn 6/18/20)

New Research Finds Beneficiaries with Medicare Advantage Spend Less than Those in Medicare Fee-for-Service (UnitedHealth Group Newsroom 1/21/2020)

One Proven Way to Improve U.S. Health Care: Expand Medicare Advantage by John S. Toussaint (Harvard Business Review 2/14/2018)

‘Pennie’-Pinching States Take Over Obamacare Exchanges From Feds (KHN 8/17/20)

Sustaining Universal Coverage: Lessons from California’s Integrated Delivery System by Stephen M. Shortell, et. al. (Health Affairs Blog 6/26/19)

Sustaining Universal Coverage: Lessons from California’s Integrated Delivery System by Stephen M. Shortell, Richard M. Scheffler, Shivi Anand & Daniel R. Arnold (Health Affairs 6/26/19)

The Comparative Advantage of Medicare Advantage (American Journal of Health Economics Spring 2019)

The Huge Advantage and Real Value Of Medicare For All (The 15 Percent Solution) by George Halvorson (Institute for InterGroup Understanding 5/1/20)

The Next Step in Medicare Reform by Brian Miller & Gail Wilensky, Ph.D. (The Heritage Foundation 9/16/2020)

The success of Medicare Advantage makes it a better policy choice than ‘Medicare for All’ by Geoffrey Joyce (Marketwatch 11/21/19)

To Control Costs Expand Managed Care & Managed Competition by Enthoven, Fuchs & Shortell (JAMA Published online November 7, 2019)

Trump Administration Drives Down Medicare Advantage and Part D Premiums for Seniors (CMS 9/24/2019)

Understanding the Latest ACO “Savings”: Curb Your Enthusiasm And Sharpen Your Pencils—Part 1 by J. Michael McWilliams & Alice Chen (Health Affairs 11/12/2020)

Understanding the Latest ACO “Savings”: Curb Your Enthusiasm And Sharpen Your Pencils—Part 2 by J. Michael McWilliams & Alice Chen (Health Affairs 11/13/2020)

U.S. Health Care System Reform Is Not Yet at the Tipping Point by Stephen M. Shortell (The Commonwealth Fund 1/14/20)

What drives health spending in the U.S. compared to other countries by Nisha Kurani and Cynthia Cox (Petersen-KFF Health System tracker 9/25/2020)

The Math of ACOs by Nikhil R. Sahni, Rachel Groh, David Nuzum, and Michael Chernew (McKinsey & Company Aug. 2020)

Spread of ACOs And Value-Based Payment Models In 2019: Gauging the Impact of Pathways to Success by David Muhlestein, William K. Bleser, et. al. (Health Affairs 10/21/2019)

The Public-Private Option in Germany and Australia: Lessons for the United States by Richard M. Scheffler and Taylor L. Wang (Milbank Quarterly Opinion 9/21/2020)

The Public Option: From Hacker to Biden by Richard M. Scheffler and Taylor L. Wang (The Nicholas C. Petris Center 9/21/2020)

International comparisons of health care prices from the 2017 iFHP survey by John Hargraves and Aaron Bloschichak (Health Care Cost Institute 12/17/2019

America’s health care prices are out of control. These 11 charts prove it. by Sarah Kliff & Soo Oh (Vox 5/10/2018

The Case for Capitation by Brent C. James, MD and Gregory P. Poulsen (HBR July-August 2016)

California Dreamin’: Integrating Health Care, Containing Costs, and Financing Universal Coverage by Richard Scheffler & Stephen Shortell (School of Public Health, UC Berkeley 2/24/2019)

Spread of ACOs And Value-Based Payment Models In 2019: Gauging the Impact of Pathways to Success by David Muhlestein, et. al. (Health Affairs Blog 10/12/2019)

Number Of ACOs Taking Downside Risk Doubles Under ‘Pathways To Success’ by Seema Veram (Health Affairs 1/10/2020)

Bibliography from Medicare-for-all Series

This bibliography was taken from a recent article by Peter (Medicare-for-All Part III: Assessing the Alternatives (revised 6/18/20). It would benefit from contributions from other members of the group.

Medicare-for-All

Medicare Advantage for All, Perhaps? Stuart M. Butler, PhD (JAMA 7/30/2020)

Medicare-for-All Part I: Financial Analysis (LinkedIn 4/21/19)

116th Congress, 1st Session S. 1129: ‘‘Medicare for All Act of 2019’’.

Costs of a National Single-Payer Healthcare System, by Charles Blahous (The Mercatus Center at George Mason University)

“Economic Analysis of Medicare-for-All” by Robert Pollin et. al. (Political Economy Research Institute (PERI), University of Massachusetts, 199 pp – November 2018)

Medicare-for-all: Rep. Pramila Jayapal’s new bill, explained by Sarah Kliff (Vox 2/26/19)

‘Death by a thousand lawsuits’: The legal battles that could dog ‘Medicare for All’ By Darius Tahir & Alice Miranda Ollstein (Politico 06/10/2019)

Insurers Intensify Contrast with Bernie’s Medicare For All by Bruce Japsen (Forbes 5/5/19)

‘Medicare for All’ backers find biggest foe in their own backyard (Politico 05/25/19)

The Cost of ‘Medicare-for-All’ by Robert Farley (Factcheck.org 8/10/18)

The inconvenient truth behind ‘Medicare-for-All’ by Betsy McCaughey (The Hill, 2/11/19).

Would ‘Medicare-for-All’ really double every American’s tax bill? by D.L. Davis (PolitiFact Wisconsin 10/11/18)

Jayapal to roll out sweeping Medicare-for-All bill by month’s end, by Paige Winfield Cunningham (Washington Post 2/14/19)

Single-Payer National Health Insurance, Physicians for a National Health Program

Unpacking the Sanders Medicare-For-All Bill (Health Affairs 9/14/17)

Estimating the Cost of a Single-Payer Plan by John Holahan, Linda J. Blumberg (Urban Institute Oct. 2018)

Taking Medicare For All Seriously by John Foley (Health Affairs Blog 6/11/19)

An Analysis of Senator Sanders Single Payer Plan by Kenneth E. Thorpe, PhD (Emory University 1/27/16)

Health Economics

Accounting for the Cost of Health Care in the United States by Diana Farrell et. al. (McKinsey Global Institute, December 2008)

Health Insurance Coverage in the United States: 2017 (U.S. Census Bureau)

Health Insurance Coverage Eight Years After the ACA (Commonwealth Fund 2/7/19)

U.S. Health Care from a Global Perspective: Spending, Use of Services, Prices, and Health in 13 Countries by David Squires & Chloe Anderson (The Commonwealth Fund October 2015)

Private health insurance exists in Europe and Canada. Here’s how it works. By Sarah Kiff (Vox 2/12/19)

NHE Fact Sheet Centers for Medicare & Medicaid Services (CMS)

The Best Health Care System in the World: Which One Would You Pick? by Aaron E. Carroll & Austin Frakt, NY Times Sept. 18, 2017

Billing and insurance-related administrative costs in United States’ health care: synthesis of micro-costing evidence by Aliya Jiwani et. al. (BMC Health Serv Res. 2014; 14: 556. Published online 2014 Nov 13. doi: 10.1186/s12913-014-0556-7)

Insurers’ Medical Loss Ratios and Quality Improvement Spending in 2011 by Mark A. Hall and Michael J. McCue (The Commonwealth Fund 3/2013)

Medicare Payment Policy Medicare Payment Advisory Commission (MedPAC March 2019)

Health Insurance Coverage Eight Years After the ACA (The Commonwealth Fund 2/7/19)

TrendWatch Chartbook 2018: TrendsAffectingHospitalsandHealthSystems (American Hospital Association)

Single-payer vs Multi-payer

Why Vermont’s single-payer effort failed and what Democrats can learn from it (Washington Post 4/29/19)

Key Design Components and Considerations for Establishing a Single-Payer Health Care System (Congressional Budget Office 5/1/19)

Considering “Single Payer” Proposals in the U.S.: Lessons from Abroad (The Commonwealth Fund, April 2019)

The German Health Care System by Miriam Blümel and Reinhard Busse (Berlin University of Technology)

International Profiles of Health Care Systems edited by Elias Mossialos and Ana Djordjevic, London School of Economics and Political Science & Robin Osborn and Dana Sarnak, The Commonwealth Fund (May 2017)

International Health Care System Profiles (The Commonwealth Fund)

HMOs/Medicare Advantage (MA)

The Case for Capitation by Brent C. James, MD & Gregory P. Poulsen (Harvard Business Review July-Aug. 2016)

From HMOs to ACOs: the quest for the Holy Grail in US health policy” Marmor, Theodore, and Jonathan Oberlander Journal of General Internal Medicine 27, no. 9 1215-1218.

Who Benefits from Medicare Advantage? (Wharton, Univ. of Pennsylvania, May 2014)

Market Concentration and Potential Competition in Medicare Advantage (The Commonwealth Fund 2/14/19)

Medicare Shared Savings Program Fast Facts (CMS Jan. 2018)

Medicare Advantage Achieves Cost-Effective Care and Better Outcomes for Beneficiaries with Chronic Conditions Relative to Fee-for-Service Medicare (Avalere 7/11/2018)

A Dozen Facts About Medicare Advantage (Henry J. Kaiser Family Foundation 11/13/2018)HMO-PPO Digest 2016 (Sanofi)

Report to Congress on Medicaid and CHIP Medicaid and CHIP Payment and Access Commission (MACPAC) June 2019

2017 Actuarial Report On The Financial Outlook For Medicaid (Centers for Medicare & Medicaid Services)

Do People Who Sign Up for Medicare Advantage Plans Have Lower Medicare Spending? by Gretchen Jacobson, Tricia Neuman & Anthony Damico (KFF 5/7/19)

Alternatives to MFA

Medicare Extra for All: A Plan to Guarantee Universal Health Coverage in the United States (Center for American Progress 2/22/18)

The Healthy America Program by Linda J. Blumberg, John Holahan, and Stephen Zuckerman (Urban Institute May 2018)

What is Medicare-X, Michael Bennet’s big idea to fix the American health insurance market? by John Ingold (The Colorado Sun 12/13/18)

The Impact of Medicare-X Choice on Coverage, Healthcare Use, and Hospitals prepared by KNG Health Consulting, LLC for the American Hospital Association – March 12, 2019

We Should Use Both Medicare Advantage for All and Medicaid As A Package to Cover Everyone and We Should Do It Now by George Halvorson (The Health Care Blog 4/16/18)

We read Democrats’ 8 plans for universal health care. Here’s how they work. by Sarah Kliff and Dylan Scott (Vox 12/19/18)

Side-by-Side Comparison of Medicare-for-All and Public Plan Proposals Introduced in the 116th Congress – (Kaiser Family Foundation)

Medicare-for-All and Public Plan Buy-In Proposals: Overview and Key Issues by Tricia Neuman, Karen Pollitz, Jennifer Tolbert (Kaiser Family Foundation Oct. 2018)

The Many Varieties of Universal Coverage (The Commonwealth Fund 4/24/19)

The Huge Advantage and Real Value of Medicare for All – The 15 Percent Solution (Institute for InterGroup Understanding 3/31/18)

Affordability

How Well Does Insurance Coverage Protect Consumers from Health Care Costs? By Sara R. Collins, Munira Z. Gunja, Michelle M. Doty, and Sophie Beutel (The Commonwealth Fund 2/1/17)

Medicare Beneficiaries’ Out-of-Pocket Health Care Spending as a Share of Income Now and Projections for the Future by Juliette Cubanski, et. al. (KFF 1/26/18)

Issue Brief: Reducing Individual Market Premiums to Expand Access to Coverage and Care (Blue Cross & Blue Shield Association March 2019

Prescription Drugs

US drug prices higher than in the rest of the world, here’s why by Dr. Anupam B. Jena (The Hill 01/19/18)

U.S. Drug Prices vs The World by Emily Miller (Drugwatch January 25, 2018

The Real Price Of Medications: A survey of variations in prescription drug prices by Reuben Mathew, Lance Kilpatrick & Adam Garber (MASSPIRG Education Fund, March 2019)

Other

Biden unveils health care plan: Affordable Care Act 2.0 (Politico 7/15/19)

The Healthy America Program, An Update and Additional Options by Linda Blumberg et. al. (Urban Institute 9/4/19)

From Incremental to Comprehensive Health Insurance Reform: How Various Reform Options Compare on Coverage and Costs (Urban Institute and The Commonwealth Fund – October 2019)

The Health 202: How Pete Buttigieg’s health-care strategy helped him gain traction in the Iowa caucus (The Washington Post 2/6/20)