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Articles by Adele Shartzer
Are Vision and Hearing Benefits Needed in Medicare?
As part of the budget reconciliation discussions, Congress has considered expanding traditional Medicare to cover preventive dental, vision, and hearing services. Current proposals under the Build Back Better legislation would expand Medicare to cover hearing services for enrollees. In this brief, we describe current use of and spending on routine vision and hearing services among all Medicare beneficiaries and select subgroups.
Is a Dental Benefit Needed in Medicare?
The fiscal year 2022 budget resolution proposes to expand Medicare coverage to include dental, vision, and hearing services. To better understand the context around a new proposed dental benefit, we examine dental care utilization and spending overall and for the Medicare population using two national databases. We first show that the highest total and out of pocket spending levels, aside from those in teenage years, occur at ages 65 to 79.
Medicare Solvency Roundtable: Insights from Leading Experts to Keep Medicare on Solid Financial Ground
The Congressional Budget Office (CBO) projects the Hospital Insurance (HI) Trust Fund, which pays for hospital and most institutional services under Medicare Part A, will be depleted in 2027. If this occurs, full payments to providers for services covered under Part A would be delayed, which could ultimately harm the level of care patients receive. From 2022 to 2031, HI Trust Fund revenues are projected to fall $494 billion short of spending.
The Mismatch of Telehealth and Fee-for-Service Payment
Responding to the duress caused by the COVID pandemic, telehealth is demonstrating its value by saving people from suffering and medical practices from bankruptcy. Patients and clinicians have lauded telehealth not only as a way to effectively provide care during the pandemic but also as a core element in care delivery.
Time for Plan B | Public Health Post
Emergency contraception (EC) is a birth control method that can prevent a pregnancy when used up to five days after having unprotected sex. EC pills were first approved by the FDA in 1998 and became available over the counter without age restrictions in 2013 under the brand name “Plan B.” Several generic versions of EC are available over the counter and one type requires a prescription. Since the FDA’s approval, use of emergency contraception increased from 4% in 2002 to 20% in 2011-2015.
Women’s Concerns About Future Birth Control Access
Recent policy changes and debates are altering the reproductive health landscape in ways that may affect women's perceptions about future birth control access. In this chartbook, we use data from the 2018 Survey of Family Planning and Women's Lives to analyze women's concerns about future birth control access.
Changes to Title X funding could affect access to health care for millions of women
On May 22, the department of Health and Human Services released proposed regulations, supported by the White House, that would place new restrictions on the use of Title X family planning program funding. Title X provides $286 million a year to safety net family planning clinics like Planned Parenthood and state public health departments to provide birth control services, pregnancy tests, screenings, and general medical care.
Employer-Sponsored Insurance Stable For Low-Income Workers In Medicaid Expansion States
We assessed rates of employer health insurance offer, take-up, and coverage in June 2013 and March 2017 among workers. Overall, offer rates remained stable, and take-up and coverage rates increased. In Medicaid expansion states, the share of workers with family incomes at or below 138 percent of the federal poverty level who had employer-based coverage held steady, while uninsurance rates declined. Read the full publication here (leaving Urban's web site)
Women want effective birth control
Access to birth control is critical to women’s reproductive health, and more than 8 in 10 women say birth control has a positive effect on women’s lives. Birth control prevents unplanned pregnancies and unplanned births and has broad health, social, and economic benefits for women and their families. But access to birth control may be at risk.
Sustained Gains In Coverage, Access, And Affordability Under The ACA: A 2017 Update
The significant gains in health insurance coverage and improvements in health care access and affordability that followed the implementation of the key coverage provisions of the Affordable Care Act in 2014 have persisted into 2017. Adults in all parts of the country, of all ages, and across all income groups have benefited from a large and sustained increase in the percentage of the US population that has health insurance.
Knowledge Gaps and Misinformation about Birth Control Methods Persist in 2016
Women’s use of long-acting reversible contraceptive (LARC) methods has increased, but current, nationally representative information is limited on women’s awareness and perceptions of birth control methods that inform efforts to further increase take-up of effective forms of birth control.
The Challenges Of Rewarding Value Over Volume Without Penalizing Safety-Net Hospitals
Public and private insurers are increasingly paying health care providers based on the quality of care they provide rather than volume. This shift has generated some concerns about how performance on quality is measured and how rewards or penalties should be structured.
Perceived Access to Abortion Among Women in the United States in 2018: Variation by State Abortion Policy Context
Measures The SFPWL addressed women’s experiences with family planning as well as their opinions about the effects of unplanned births and access to affordable contraception.
Access To Care And Affordability Have Improved Following Affordable Care Act Implementation; Problems Remain
Access To Care And Affordability Have Improved Following Affordable Care Act Implementation; Problems Remain
Employer-Sponsored Insurance Remains Stable While Uninsurance Drops Under The ACA
Despite concerns that the changes introduced under the Affordable Care Act (ACA) would lead to a decline in employer-sponsored insurance (ESI) coverage, the available evidence continues to show no changes in ESI offer rates, take-up rates, or overall ESI coverage for workers under the ACA.
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