Analysis of Options

Explore the effects of commonly proposed health care reforms. Click on the links to understand how changes in insurance coverage, benefit design, payment rules, and other policy options will affect overall spending, consumer financial risk, health, and other dimensions of performance.

Compare Selected Items Show AllClear Selections	Spending	Consumer Financial Risk	Waste	Reliability	Patient Experience	Health	Coverage	Capacity	Operational Feasibility
Change Insurance Coverage
Individual Mandate	No Effect	No Effect	Uncertain	No Effect	Improve	Improve	Increase	No Effect	Difficult
Employer Mandate	No Effect	No Effect	No Effect	No Effect	Uncertain	Improve	Increase	No Effect	Moderate
Purchasing Pools	No Evidence	Uncertain	Uncertain	Uncertain	Improve	No Evidence	Uncertain	No Evidence	Difficult
Refundable Tax Credit	No Effect	No Effect	Uncertain	No Effect	Uncertain	Improve	Increase	No Effect	Moderate
Medicaid/SCHIP Eligibility	No Effect	Decrease	Uncertain	No Effect	Uncertain	Improve	Increase	No Effect	Easy
Open Access to Government Employee Program	No Effect	Uncertain	No Evidence	No Effect	Uncertain	Improve	Increase	Uncertain	Uncertain
Change Benefit Design
High Deductible Health Plans	Decrease	Uncertain	Uncertain	Uncertain	Uncertain	Uncertain	Uncertain	No Effect	Easy
Change Payment Rules
Physician Pay for Performance	Uncertain	Not Applicable	No Evidence	Uncertain	Uncertain	Uncertain	Not Applicable	Not Applicable	Difficult
Hospital Pay for Performance	Uncertain	Not Applicable	No Evidence	Increase	Uncertain	Uncertain	Not Applicable	Not Applicable	Difficult
Bundled Payment	Decrease	Decrease	Decrease	No Evidence	No Evidence	Uncertain	Not Applicable	Not Applicable	Difficult
Comparative Effectiveness	Uncertain	Uncertain	Uncertain	Uncertain	Improve	Uncertain	Not Applicable	No Evidence	Moderate
Change Health Services Delivery
Health IT	Uncertain	No Evidence	Uncertain	Uncertain	Uncertain	Uncertain	Uncertain	Uncertain	Difficult
Disease Management	Uncertain	No Evidence	No Evidence	Increase	Uncertain	Uncertain	Not Applicable	No Evidence	Easy
Change Legal Environment
Medical Malpractice	Uncertain	No Evidence	Decrease	No Evidence	No Evidence	Uncertain	No Evidence	Uncertain	Easy
	Spending	Consumer Financial Risk	Waste	Reliability	Patient Experience	Health	Coverage	Capacity	Operational Feasibility