Invited Presentation: Participatory Research and IRBs

Posted by CHPRE Staff Presentations Friday, May 30th, 2003

Eckenwiler, L. “Participatory Research and IRBs,” Dialogues for Improving Research Ethics in Environmental Health, Collaborative Initiative for Research Ethics in Environmental Health, Brown University, Providence, Rhode Island, May 30-June 1, 2003

A New Approach to Risk Spreading via Coverage-Expansion Subsidies - Len M. Nichols with John Holahan, Linda J. Blumberg, and Yu-Chu Shen

Posted by CHPRE Staff Publications Thursday, May 1st, 2003

Introduction:

The persistently large number of uninsured, roughly 40 million per year since 1993, continues to elicit bipartisan policy interest. Coverage expansion proposals without mandates, by far the most common since the defeat of the Clinton plan, must address risk-pooling realities in private markets. Insurers have strong financial incentives to segment risks and minimize pooling of heterogeneous risks, and narrow risk-pooling will diminish the adequacy of premium subsidies based on income alone, at least for higher risk individuals. The current debate over flat tax credits and the non-group market is a case in point (Blumberg, 2001; Center for Studying Health System Change, 2002; Jack Hadley and James D. Reschovsky, 2002). We, along with nine other teams, were asked to develop a proposal that would expand coverage in a large and creative way (see Holahan et al., 2001). The proposal we developed would subsidize low income individuals and families but also addresses the issue of inefficient and inequitable risk-pooling.

“A New Approach to Risk Spreading via Coverage-Expansion Subsidies,” American Economic Review v. 93, #2 (May 2003) with John Holahan, Linda J. Blumberg, and Yu-Chu Shen.

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