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Everything Old Is New Again: Will Narrow Networks Succeed Where Hmos Failed?, Deborah R. Farringer
Everything Old Is New Again: Will Narrow Networks Succeed Where Hmos Failed?, Deborah R. Farringer
Law Faculty Scholarship
As health insurers try to navigate the new limitations set forth under the ACA, including prohibitions on denying individuals with pre-existing conditions and limitations on the rating of patients, insurers are looking towards models that will enable them to control costs without access to their usual tools. What they have developed is not so much a new insurance model, but actually a concept that first arose during the rise of managed care; that is, limited provider networks utilized within health maintenance organizations (“HMOs”). These “new” insurance products, often referred to as narrow networks or high-performance networks, offer beneficiaries a more …
Keeping Our Eyes On The Prize: Examining Minnesota As A Means For Assuring Achievement Of The 'Triple Aim' Under The Aca, Deborah R. Farringer
Keeping Our Eyes On The Prize: Examining Minnesota As A Means For Assuring Achievement Of The 'Triple Aim' Under The Aca, Deborah R. Farringer
Law Faculty Scholarship
A little more than four years after enactment of the Patient Protection and Affordable Care Act of 2010 (“ACA”), daily headlines still abound on newspapers and websites across the country highlighting both successes and failures of the ACA. In analyzing those successes and failures, especially in the context of care delivery, it is important to take a step back to consider the stated goals of the ACA, which goals have their origins in a premise first proposed by Dr. Donald M. Berwick and the Institute for Healthcare Improvement (“IHI”) in 2006 referred to as the “Triple Aim.” The Triple Aim …
Menu Labeling: The Unintended Consequences To The Consumer, Ellen A. Black
Menu Labeling: The Unintended Consequences To The Consumer, Ellen A. Black
Law Faculty Scholarship
Why are Americans, along with the rest of the most populous nations, more overweight than twenty or thirty years ago? Most nutritionists and scientists agree that the answer is complex and multifaceted, with genetics, exercise, and diet all playing at least a partial role. Americans, for the last thirty years, have been reportedly eating out at restaurants more frequently than they have been eating at home; as a result, the restaurant industry has been blamed, in part, for the rise in obesity, based upon the presumption that more calories are consumed at restaurants than at home. Yet determining the underlying …
What Implications Will The Supreme Court's Taxing Power Decision Have On The Goals Of The Affordable Care Act And Healthcare?, Alberto R. Gonzales, Donald B. Stuart
What Implications Will The Supreme Court's Taxing Power Decision Have On The Goals Of The Affordable Care Act And Healthcare?, Alberto R. Gonzales, Donald B. Stuart
Law Faculty Scholarship
One of the signature achievements of the Obama Administration is the Affordable Care Act. The Act represents a massive change to the country's healthcare system that includes an individual mandate requiring certain individuals to purchase health insurance or pay a penalty. In 2012, the U.S. Supreme Court upheld this individual mandate under Congress's taxing power. This Comment will examine the implications of the Court's decision on the individual mandate and the Court's taxing power analysis. A primary objective of the Act is to have more Americans covered by health insurance. This Comment suggests the Court's decision may ultimately result in …