Studies & Research
New Mexico Studies
Mathematica Health Reform Comparison Study (2007)
In fall 2006, Governor Bill Richardson’s Health Coverage for New Mexicans Committee commissioned a study of three health care reform models. Two of the models were based on the private insurance system, and the third was based on the Health Security Plan. The study, performed by Mathematica Policy Research, Inc., concluded that only the Health Security Plan would save money. The other proposals all cost more than the current system even when projections were made over a five-year period.
Lewin Health Reform Comparison Study (1994)
The Lewin-VHI, Inc., study of 1994, which focused on New Mexico, and numerous studies around the country have concluded that covering all or most residents of a state under one health risk pool would result in hundreds of millions of dollars, if not billions of dollars, in savings over time.
The Future of the Affordable Care Act (Fall 2016)
The Affordable Care Act (ACA) has been the law of the land for more than six years. Now, however, due to the results of the 2016 election, its future is in doubt. The articles below discuss some of the issues around Republican proposals to repeal all or parts of the ACA:
“Republican ACA Repeal Bill Would Unravel the Market Even Before It Goes into Effect,” Center for American Progress, November 16, 2016.
“Repealing Obamacare May Be Easy. Replacing It Won’t Be,” Bloomberg View, November 10, 2016.
“Introduction to Budget ‘Reconciliation,’” Center on Budget and Policy Priorities, November 9, 2016.
The Affordable Care Act’s Waiver for State Innovation
Section 1332 (Waiver for State Innovation) of the Affordable Care Act allows states to develop and implement alternatives to the health insurance exchange approach. One such alternative, of course, is the New Mexico Health Security Plan. For more information about how the Health Security Plan would fit into the Affordable Care Act, click on the links below:
Health Insurance Exchanges
Current Situation: New Mexico
“NM Health Insurers Seek Increases from 3 Percent to Double Digits,” Albuquerque Journal, May 18, 2016.
“Significant Premium Hikes Expected Under Obama Health Law,” Albuquerque Journal, April 28, 2016.
“NM Uninsured Rate Drops But Still High,” Albuquerque Journal, September 17, 2015.
Current Situation: Nationally
“Where America Gets Its Health Coverage: Everything You Wanted to Know in One Handy Chart,” Los Angeles Times, March 28, 2016.
“Even with Insurance, Mass. Residents Often Can’t Afford Care,” Boston Globe, March 23, 2016.
“Almost Half of Obamacare Exchanges Face Financial Struggles in the Future,” Washington Post, May 1, 2015.
Potential Problems with Health Insurance Exchanges
Population, Enrollment, Economic Viability, and State Budget Issues
“Too Small for Health Exchanges?” (Politico, June 10, 2012) discusses whether health exchanges will be financially sustainable for small-population states.
A Washington State briefing paper raises concerns about exchange participation rates. (“Issue Brief #5: Keeping an Exchange Healthy: the Role of Participation and Sustainable Administrative Revenue,” Washington State Health Care Authority: Health Benefits Exchange Program, January 1, 2010.)
A small-population state, Delaware came to the conclusion that it would be too costly for the state to run its own exchange. (“Exchange Model Feasibility Study,” Public Consulting Group [for the State of Delaware Department of Health and Social Services], January 26, 2012.)
Other Articles & Research
“Drug Prices Keep Rising Despite Intense Criticism,” New York Times, April 26, 2016.
“U.S. Health Care vs. the World,” Just Care, March 9, 2016.
“U.S. Spends More Per Person on Health with Far Poorer Outcomes Than Other Wealthy Nations,” Just Care, October 14, 2015.
“Health Insurance Deductibles Outpacing Wage Increases, Study Finds,” New York Times, September 22, 2015.
“Cumulative Increases in Health Insurance Premiums, Workers’ Contributions to Premiums, Inflation, and Workers’ Earnings, 1999‐2015” [slide 3 in Employer Health Benefit Survey 2015 release slides], Kaiser Family Foundation, September 22, 2015.
“Employer Family Health Premiums Rise 4 Percent to $17,545 in 2015, Extending a Decade-Long Trend of Relatively Moderate Increases,” Kaiser Family Foundation, News Release, September 22, 2015.
“Health Care Gobbling Up Resources for Other Government Services” [focus on California], The Incidental Economist, June 10, 2015.
“The Problem of Underinsurance and How Rising Deductibles Will Make It Worse: Findings from the Commonwealth Fund Biennial Health Insurance Survey, 2014,” The Commonwealth Fund, May 20, 2015.
“Health Care Spending Straining State and Local Budgets,” The Incidental Economist (AcademyHealth blog), September 26, 2014.