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Bending the Health Care Cost Curve in New York State: Options for Saving Money and Improving Care : Modeling Results Technical Appendix

July 2010

NYS Health Foundation

Client Area: Foundations
Expertise Area: Health Reform


Bending the Health Care Cost Curve in New York State: Options for Saving Money and Improving Care

July 2010

NYS Health Foundation

This report, commissioned by the NewYork State Health Foundation, is designed to inform a State-level discussion of health care savings opportunities in New York. This paper outlines the estimated impact of 10 scenarios that could help to contain escalating health care costs in New York State over the next decade while also improving health care quality. Of the 10 policy options analyzed, high-level implementation plans were developed for four scenarios:  Expanding Palliative Care, Integrating Care for Dual Eligibles, Adopting Bundled Payment Methods and Rebalancing Long-Term Care.  Those plans and the technical appendix to this report can be found as separate publication entries on this website.

Client Area: Foundations
Expertise Area: Health Reform


Patient Protection and Affordable Care Act (PPACA): Long Term Costs for Governments, Employers, Families and Providers

June 2010

Lewin Contact: John Sheils

In this study we provide estimates of the cost and coverage impacts of the Patient Protection and Affordable Care Act (PPACA). We estimate the program’s impact on sources of health insurance coverage and spending for the federal government, state and local governments, private employers, consumers and providers. We estimated the impact of the Act over a 10 year period from 2010 through 2019, which is consistent with the “budget window” used by the Congressional Budget Office (CBO). However, we also provide estimates for 2020 through 2029.

We developed these estimates using the Group Health Benefits Simulation Model (HBSM) developed by the Lewin Group. Our revenue and spending estimates over the 20-year period reflect the actual phase in of coverage provisions and expected lags in enrollment for newly eligible people. However, to illustrate the program’s impact on sources of coverage and family spending, we present estimates assuming that Act is fully implemented and that enrollment has fully matured in 2011.

Expertise Area: Health Reform


Will Health Reform Slow Cost Growth?

March 2010

Lewin Contact: John Sheils

Expertise Area: Health Reform


Comparing the House and Senate Health Reform Bills: Long Term Costs for Governments, Employers, Families and Providers

February 2010

Lewin contact: John Sheils

The purpose of this analysis was to compare the effects of two major proposals to reform the U.S. health care system. These include the Senate “Patient Protection and Affordable Care Act” and the “Affordable Health Care for America Act” passed by the House of Representatives. This study provides estimates of the programs' impact on coverage and spending for the federal government, state and local governments, private employers, consumers and providers. We estimated the impact of both bills on federal spending over a 20 year period from 2010 through 2029. The Congress uses 10-year forecasts for budgeting purposes, which is currently 2010 through 2019. To better understand the long-term budget implications of the bill, we present spending estimates for both the 2010 through 2019 budget window and the 2020 through 2029 period.

Expertise Area: Health Reform


Health Reform and Employer Costs -- Presentation to Cleveland Health Action Council

January 2010

Lewin Contact: John Sheils


Expertise Area: Health Reform


Clarification Regarding The Lewin Group Analysis of House and Senate Bills

December 2009

Affordable Healthcare for America Act (H.R. 3962) as passed by the U.S. House of Representatives, and the Patient Protection and Affordable Care Act (H.R. 3590, being considered in the U.S. Senate)
Lewin Contact: John Sheils

The Lewin Group does not advocate for or against any legislation, and maintains editorial independence with respect to all work products.  This document provides further clarifications about the recent study.

Expertise Area: Health Reform


Comparing the Cost and Coverage Impacts of the House and Senate Leadership Health Reform Bills

December 2009

Long Term Costs for Governments, Employers, Families and Providers
Lewin Contact: John Sheils

Prepared for: The Peter G. Peterson Foundation

The purpose of this analysis was to compare the effects of two major proposals to reform the U.S. health care system. These include the Senate Leadership “Patient Protection and Affordable Care Act” and the “Affordable Health Care for America Act” passed by the House of Representatives.

In this study we provide estimates of the program’s impact on coverage and spending for the federal government, state and local governments, private employers, consumers and providers. We estimated the impact of both bills on federal spending over a 20 year period from 2010 through 2029. The Congress uses 10-year forecasts for budgeting purposes, which is currently 2010 through 2019. To better understand the long-term budget implications of the bill, we present spending estimates for both the 2010 through 2019 budget window and the 2020 through 2029 period.

Expertise Area: Health Reform


Appendices - Comparing the Cost and Coverage Impacts of the House and Senate Leadership Health Reform Bills

December 2009

Long Term Costs for Governments, Employers, Families and Providers
Lewin Contact: John Sheils

The appendices for the main report.

Expertise Area: Health Reform


Key Findings - Senate Finance Health Reform Bill

November 2009

Lewin Group Analysis of Long Term Costs of The America’s Healthy Future Act of 2009
Lewin Contact: John Sheils

Expertise Area: Health Reform

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