You have JavaScript turned off! Javascript is required for the best experience on this site.

Papers

Framing Paper Jun 29, 2016

The Changing Landscape of American Life Expectancy

During the past 100 years, life expectancy at birth has increased by about 25 years in the United States. However, certain groups—notably older whites and low-income Americans—find their mortality rates either stagnating or rising in recent years. In a new framing paper, The Hamilton Project examines the widening gap in life expectancy and explores policy reforms aimed at extending life expectancy gains for more Americans.

Policy Proposal Oct 7, 2015

Getting the Most from Marketplaces: Smart Policies on Health Insurance Choice

Substantial evidence shows that consumers often lack the high-quality information to select the best insurance plan, and once they have selected a plan they are less likely to switch, even as better plans become available. In response, Ben Handel and Jonathan Kolstad propose that exchanges develop a personalized decision support tool to give consumers the information they need to select the best plan. Additionally, they propose that exchanges establish a system of smart defaults, where an algorithm is used to move consumers to new plans if those plans deliver more value. 

Policy Proposal Oct 7, 2015

A Floor-and-Trade Proposal to Improve the Delivery of Charity-Care Services by Nonprofit Hospitals

Substantial evidence shows that consumers often lack the high-quality information to select the best insurance plan, and once they have selected a plan they are less likely to switch, even as better plans become available. In response, David Dranove, Craig Garthwaite and Christopher Ody propose that exchanges develop a personalized decision support tool to give consumers the information they need to select the best plan. Additionally, they propose that exchanges establish a system of smart defaults, where an algorithm is used to move consumers to new plans if those plans deliver more value. 

Economic Facts Oct 6, 2015

Six Economic Facts about Health Care and Health Insurance Markets after the Affordable Care Act

It is still too soon to completely know the effects of the Affordable Care Act on the health-care system. But looking beyond these considerations, it appears that many enduring economic challenges persist in the markets. In particular challenges like accessing care, delivering high-quality care without waste, and managing new technology. The Hamilton Project offers six economic facts that highlight continuing challenges and complexities in health care and health insurance markets on which the policy debate should focus.

Policy Proposal Oct 5, 2015

Correcting Signals for Innovation in Health Care

When Americans select health insurance, they cannot choose what technologies and treatments to include in their coverage. The fact that Americans have little choice but to buy widely-inclusive coverage sends a distorted signal to medical technology developers—that society is willing to pay practically any price for treatments that offer only incremental health benefits over existing technology. Nicholas Bagley, Amitabh Chandra and Austin Frakt propose three reforms to make health insurance, and ultimately medical innovation, reflect what consumers value.