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Rider University Library

Health Economics: State of the State

State of the State Report PART 2

  1. Submission Part 2: Healthcare Delivery System: Due Oct 20th
    1. Medicaid Eligibility: Using this source: https://www.kff.org/medicaid/fact-sheet/where-are-states-today-medicaid-and-chip/ find the following information
      1. Income eligibility levels for Children in Medicaid/CHIP
      2. Income eligibility levels for pregnant women in Medicaid/CHIP
      3. Medicaid Income eligibility levels for Parents
      4. Medicaid Income eligibility levels for Other Adults
      5. If my state did not expand Medicaid, what is my coverage gap? https://www.kff.org/medicaid/issue-brief/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid/
    2. Health Insurance Marketplace (Nongroup and Group Insurance)
      1. Provide a brief history of health insurance within your state, recent (if any) legislative actions and possible impacts on the health insurance system;
      2. Non-group Insurance: Health Insurance Marketplace (Exchanges): Collect the following data: state/federal run exchange; number of insurance carriers; avg. premium; trends in premium prices; Select a few plans on the exchange and discuss the tradoffs between price and network exclusivity
        1. Sources:
          1. https://www.healthinsurance.org/obamacare/;
          2. http://acasignups.net/
      3. Using this website: https://www.kff.org/interactive/subsidy-calculator/ create 4 fictional people and investigate how much it would cost for each person to purchase an individual health insurance plan (** you do not need to complete this question until the final PowerPoint presentation)
      4. Group Insurance: Employer sponsored health insurance (ESI): https://www.kff.org/other/state-indicator
        1. Collect and report: Average annual single premium per enrolled employee; Employee contribution; Employer Contribution, Total Annual Premium.  Report the data for your state and the U.S. national averages
    3. Hospitals and Providers – The Landscape and Its Impact on Health Care Costs and Access (** section C is due on Nov 17th)
      1. Healthcare Costs:
        1. Using https://www.kff.org/state-category/health-costs-budgets/ collect the following data: (Use the U.S. National Rate as a comparison)
          1. Health Care Expenditures per capita by Service by State for Hospital Care; physician and clinical services, prescription drugs, nursing home care.
        2. Using this tool,  https://www.healthcostinstitute.org/research/hmi/hmi-interactive, Select a metro area in your state, and report the price, use, price& use, and the hospital concentration.  Make sure that you read the information about hospital concentration – discuss what the HHI means and its impact on your healthcare market. Provide this discussion as part of your Submission 3 Section C document.
      2. Quality: 
        1. Using this tool, https://www.medicare.gov/hospitalcompare/search.html, select your state then select (3) acute care hospitals from different geographic locations in your state and choose 5 different data measures and compare your hospitals.  Which hospitals had the highest ratings? Are these hospitals located in more urban settings? Higher income? Racially diverse?
        2. Using information for Leapfrog Hospital Safety Grade, https://www.hospitalsafetygrade.org/your-hospitals-safety-grade/state-rankings, how does your state rank compared to other states?
          1. Find 4 hospitals in your state where each hospital received a different grade (1 A level the remaining vary between B – F). Evaluate each hospital’s full score – what are the major problems with these hospitals who received a less than A rating?
      3. Access:
        1. Physician Workforce:
          1. Using this data source: https://www.aamc.org/data/workforce/reports/484392/2017-state-physician-workforce-data-report.html, describe the physician workforce in your state and how it compares to the country.
        2. Using the 2019 County Health Rankings data, collect the following information and summarize how these access to care measures impact the health of the residents in your state. https://www.countyhealthrankings.org
          1. Primary Care Physicians
          2. Dentists
          3. Mental Health Providers