| October 01, 2009 |
| | State Impact: Expanding Medicaid and What it Could Mean for Texas By The Honorable Talmadge Heflin, The Honorable Arlene Wohlgemuth, James Quintero, and Elizabeth YoungTo be successful, reforming the nation’s health care system must be patient-centered, not government-centered. That’s why our elected officials should consider alternatives to expanding the already massive state-federal Medicaid program.
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| September 10, 2009 |
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| Nationalized Health Care: Cure Worse than the Disease By Elizabeth Young
Click here for video introduction
Some American policymakers want to emulate the nationalized health care systems that currently exist in other countries. This paper examines nationalized health care systems to determine whether universal coverage actually translates into better health care outcomes for participants in such a system.
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| September 03, 2009 |
| | Key Fact Sheet: A Texas Perspective The Effects of Proposed National Health Care Reform on Texas By Texas Public Policy FoundationThis Texas-specific shapshot highlights key facts from Dr. Arthur Laffer's new report, "The Prognosis for National Health Insurance: A Texas Perspective."
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| August 18, 2009 |
| | The Prognosis for National Health Insurance A Texas Perspective By Arduin, Laffer & Moore EconometricsThe health care reform plans pending in the U.S. Congress would cause more harm than good—weakening the Texas economy and increasing health care costs on Texas families. The path to true health care reform is through patient-centered solutions, which emphasize the patient-doctor relationship, allowing patients and doctors to make more effective and economical health care choices.
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| August 04, 2009 |
| | Key Fact Sheet From "The Prognosis for National Health Insurance" By Texas Public Policy FoundationThis document highlights key facts from Dr. Arthur Laffer's new report, "The Prognosis for National Health Insurance."
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| August 04, 2009 |
| | The Prognosis for National Health Insurance By Arduin, Laffer & Moore EconometricsAn effective approach to reforming the health care system begins by addressing the incentives driving the
unsustainable rise in health care expenditures. Reforms based on President Obama’s priorities fail to do this. Rather than expanding the role of government in the health care market, Congress should implement a patient-centered approach to health care reform.
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| July 23, 2009 |
| | America's Health Care Challenge It's Not About Insurance By The Honorable Arlene WohlgemuthBy incorporating free market principles to make private insurance more affordable and pushing government programs toward efficient models of care rather than insurance, Texas can lead the way in hitting the right target—a healthy state with a healthy economy.
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| July 23, 2009 |
| | FAQs: President Obama's Health Care Plan vs. Patient-Centered Approach By Elizabeth YoungBoth government-run and patient-driven health care concepts have been tried before, but not all aspects of these plans are easy to understand. This paper draws from multiple sources to educate the public about the current health care reform options from a national perspective.
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| July 21, 2009 |
| | Prescription for a Cure A Patient-Centered Approach to Fixing America's Health Care System By Texas Public Policy FoundationWithin the health care debate, there are striking differences in the solutions proposed by the various participants in addressing access, cost, and quality. Proposals gaining momentum in Washington D.C. advocate for government control of health care, but the only reforms proven to be successful are patient-centered.
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| June 24, 2009 |
| | Health Care Policy 81st Legislative Session in Review By Andrea WhitmanA review of the 81st Texas Legislature’s work on the Children's Health Insurance Program (CHIP), Medicaid, private health insurance, and health care regulations.
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| May 12, 2009 |
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| Testimony to the Senate State Affairs Committee For SB 2416: Purchasing Health Insurance Across State Lines By Andrea Whitman
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| April 14, 2009 |
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| Testimony to the House Public Health Committee Expanding Scope of Practice for Advanced Practice Registered Nurses By Andrea Whitman
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| March 25, 2009 |
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| Testimony to the House Pensions, Investments, & Financial Services Committee on HB 1176 Regarding Voluntary Consumer-Directed Health Plan for State Employees By Andrea WhitmanThe creation of an optional HSA plan will create competition among health plans and provide state employees with more choices and a more affordable monthly option.
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| February 26, 2009 |
| | Snapshot: TANF & Texas By The Honorable Arlene WohlgemuthThe federal government’s move to provide TANF funds as a block grant to states has allowed Texas to spread its TANF funds in a fiscally responsible way across a number of programs and state agencies.
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| December 31, 2008 |
| | Free Nurse Practitioners to Practice By Kalese HammondsConsidering Texas’ growing need for lower cost alternatives in health care, policymakers should look for every opportunity to give Texans a diversified provider field that offers a variety of health care options at a range of prices. Easing regulations on nurse practitioners would give consumers more choices and more affordable options.
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| December 16, 2008 |
| | State Employee Health Benefits 2009-2010 Legislators' Guide to the Issues By Kalese HammondsThe cost of providing health benefits to Texas’ state employees has been climbing for years. In an effort to control mounting costs, the Legislature should readjust cost sharing for state employees and offer the option of a high deductible health plan and health savings account to control cost and allow employees to share in the premium savings.
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| December 16, 2008 |
| | Temporary Assistance for Needy Families (TANF) 2009-2010 Legislators' Guide to the Issues By Kalese HammondsAs a result of welfare reform and the emphasis on work, Texas has been a leader among the states for moving people off welfare and into the workplace. A July 2006 USA Today article shows the number of families receiving welfare in Texas declined by 68 percent between August 1996 and December 2005.
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| December 05, 2008 |
| | Children's Health Insurance Program (CHIP) 2009-2010 Legislators' Guide to the Issues By Kalese HammondsCongress established the Children’s Health Insurance Program (CHIP) in 1997, in response to mounting pressure to address the number of uninsured children in the United States. Proponents of the plan argued that CHIP would deliver health insurance coverage to half of the nation’s 10 million uninsured children by 2000. Through federal FY 2005, however, the CHIP program had never reached enrollment of even 4 million children at any given time.
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| December 05, 2008 |
| | Consumer-Driven Health Care 2009-2010 Legislators' Guide to the Issues By Kalese HammondsConsumer-driven health care has become a popular term with the creation and wide spread adoption of personal health accounts, such as Flexible Spending Accounts (FSAs), Health Reimbursement Arrangements (HRAs), and Health Savings Accounts (HSAs). However, as the popularity of these accounts has grown, so have issues that impact the ability of individuals to make decisions about their health care.
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| November 20, 2008 |
| | Health Insurance Regulations 2009-2010 Legislators' Guide to the Issues By Kalese HammondsHealth insurance mandates ultimately harm consumers by making health insurance more expensive and requiring individuals to buy health benefits that they would not choose if they had the option. Additionally, they limit the opportunity for insurers to develop new and innovative products tailored to the individual.
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| November 14, 2008 |
| | Medicaid 2009-2010 Legislators' Guide to the Issues By Kalese HammondsSince Medicaid was established by Congress in 1965, and in Texas in 1967, more than four decades of incremental policy expansion has created the largest government health program, providing benefits to more people and at a higher cost than even the Medicare program.
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| November 12, 2008 |
| | Mandating College Student Health Insurance: A Costly Idea for Texas By The Honorable Arlene Wohlgemuth and Tiffiny BrittonMandating student health insurance would do little to actually reduce the rate of uninsured young adults and would add extra cost to the already high and rising cost of higher education, making higher education unaffordable to more Texans.
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| November 07, 2008 |
| | Health Care Regulations 2009-2010 Legislators' Guide to the Issues By Kalese HammondsAs the cost of health care in Texas rises, the prohibition on the corporate practice of medicine has become a hotly contested topic, raising questions about whether physician employment compromises a physicians’ ability to make medical decisions in the best interest of their patients.
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| October 14, 2008 |
| | It's Not About Insurance By The Honorable Arlene WohlgemuthAs we gear up for another legislative session the rallying cry to “insure the uninsured” becomes louder and louder, but should crafting additional insurance programs be the focus of public policy?
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| October 13, 2008 |
| | Cost of Hospital Regulations By Kalese Hammonds and Thomas ConnerThe cost of health care is expensive enough, but burdensome Texas hospital regulations drive up the operating cost of hospitals and increase the price patients pay for health care.
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| September 29, 2008 |
| | Influential Issues Health Care By Kalese HammondsReal change for our health care system means addressing the rising cost of health care and making it more accessible by taking actions to lower costs without incurring more government expenses or increasing the burden to taxpayers. The most effective way to do that is with a healthy dose of competition and free market forces.
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| July 17, 2008 |
| | State Employee Health Benefits By Kalese HammondsWith almost 560 state employees per 10,000 Texas residents, the increasing cost of health insurance benefits means state lawmakers must allocate considerable funding for these benefits. While health insurance benefits are an appropriate benefit for state employees, there are things lawmakers can do to help control these costs.
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| June 20, 2008 |
| | Massachusetts Health Care Reforms The Wrong Path for Texas By Kalese HammondsMassachusetts’ health care reform promised to provide universal health care coverage for the entire state and reduce health care costs, but two years after its implementation, it has accomplished neither. Not only has the program failed to insure the entire population, but it is running hundreds of millions of dollars over budget.
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| May 15, 2008 |
| | Innovations in the Business of Health Care The Role of Specialty Hospitals By Sean ParnellSpecialty hospitals create a competitive environment that leads to higher quality health care and expanded consumer choice. However, prohibitive government regulations threaten these innovative facilities—ultimately threatening choice, affordability, and improved quality for all health care consumers.
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| April 17, 2008 |
| | Expanding the Health Insurance Market Giving Texans More Choices By Kalese HammondsTexas has the opportunity to lead the way in creating a more competitive health insurance market while giving Texas consumers more health insurance options. Ultimately, more competition will give Texans more choices in both benefits and prices.
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| February 21, 2008 |
| | Individual or Group Coverage? Regulating Health Reimbursement Arrangements in Texas By Kalese Hammonds and Mary Katherine StoutFor many small group employers priced out of the insurance market, Health Reimbursement Arrangements offer an affordable alternative to traditional health insurance. Unfortunately, current regulations prevent HRAs from being used to their full potential.
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| February 20, 2008 |
| | 2008-09 Budget Snapshot Texas Medicaid and the State Children's Health Insurance Program By Mary Katherine StoutPublic health care makes up a huge portion of the Texas budget. This brief provides a snapshot of just how much of the state’s budget is spent on health care.
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| November 29, 2007 |
| | Comparing State Regulation of Nurse Practitioners By Mary Katherine Stout and Jonathan EltonIn comparison to other states, Texas nurse practitioners are among the most highly regulated in the country. Given the need for lower cost alternatives in health care, it is essential that policymakers look for opportunities to ease regulations on nurse practitioners in order to offer more choices and affordable options for patients.
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| November 06, 2007 |
| | Medicaid Reform Comment By Mary Katherine StoutThe Foundation’s comments in response to the Health and Human Services Commission’s concept paper on Medicaid reform and a federal Medicaid waiver.
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| September 13, 2007 |
| | Funding SCHIP with Tobacco Taxes What the Higher Tobacco Taxes Would Mean for Texas By Mary Katherine StoutIf the U.S. Congress increases federal cigarette taxes and faces long-term declines in the sale of cigarettes as a result of the increases, so too will Texas face declining state tax revenue.
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| July 31, 2007 |
| | What SCHIP Reauthorization Means for the States By Mary Katherine Stout & Tarren BragdonThis presentation given at the American Legislative Exchange Council's meeting in July 2007 answers key questions about SCHIP reauthorization and offers better solutions to improve the program during reauthorization.
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| June 14, 2007 |
| | 80th Texas Legislature in Review Center for Health Care Policy By Mary Katherine StoutA review of the 80th Texas Legislature’s work on the Children's Health Insurance Program (CHIP), Medicaid, Health Savings Accounts (HSAs), health care mandates, and deregulation.
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| May 08, 2007 |
| | Survey of State Employee Benefits Comparing Traditional Health Benefits & Health Savings Accounts in the States By Mary Katherine StoutAs the Texas Legislature considers giving state employees an HSA option, at least 10 other states have already given their state employees this chance. As each of these states demonstrates, the plan design and savings for both the state employees and the state can vary.
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| May 03, 2007 |
| | Facts About Health Savings Accounts By Mary Katherine StoutWhile HSAs are an important step in reforming state employee benefits and offer state employees more choice and significant savings, persistent myths misrepresent how HSAs work and their effect on state employee benefits. State employees and legislators need the facts.
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| April 26, 2007 |
| | Strengthening Welfare Reform's Work Requirements Testimony to the House Committee on Human Services on SB 1096 By Mary Katherine Stout
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| April 02, 2007 |
| | Testimony to the House Insurance Committee on HB 1269 Offering an HSA Option to State Employees By Mary Katherine Stout
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| March 27, 2007 |
| | Testimony on Insurance Mandates Presented before the House Insurance Committee By Mary Katherine StoutTestimony presented before the House Insurance Committee explains how insurance mandates drive up the cost of health insurance.
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| March 15, 2007 |
| | Don't Mess With Texans' Long-Term Care -- Fix It! Questions and Answers From a Case Study of Medicaid and Long-Term Care Financing in Texas By Stephen A. MosesThis report is an examination of the Lone Star State's current Medicaid long-term care program, its prognosis, and areas for possible reform.
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| March 06, 2007 |
| | Reforming the Children's Health Insurance Program Expanding Coverage Without Expanding CHIP By Mary Katherine StoutThis brief examines the issue of the uninsured, providing recommendations on how states should be looking not only to ensure a robust and competitive private marketplace for health insurance, but for opportunities to create a bridge between public programs and private coverage.
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| March 06, 2007 |
| | CHIPing Away at Reform By Mary Katherine StoutSince the Texas Legislature passed a series of reforms to the Children’s Health Insurance Program (CHIP) in 2003, a strong contingent of legislators, advocacy organizations, and special interests has lobbied to reverse these essential reforms.
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| October 10, 2006 |
| | Surveying State Employee Health Benefit Plans How Texas State Employee Health Benefits Compare to Other States By Mary Katherine StoutAs the Legislature prepares to meet in 2007, it is likely that state employee health insurance will again require new money to keep pace with current benefit levels and increased costs. This growth is within the state's control if it introduces consumer-driven health care models, sharing both cost and savings with state employees.
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| October 09, 2006 |
| | White Paper Accompanying Testimony on Medicaid Reform Presented before the House Appropriations Subcommittee on Health and Human Services By Mary Katherine StoutMary Katherine Stout, director of the Center for Health Care Policy at the Texas Public Policy Foundation, presented testimony before the Texas House Appropriations Subcommittee on Health and Human Services regarding Medicaid reform, October 9, 2006.
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| September 19, 2006 |
| | White Paper Accompanying Testimony on Medicaid Reform Presented before the Senate Committee on Health and Human Services By Mary Katherine StoutMary Katherine Stout, director of the Center for Health Care Policy at the Texas Public Policy Foundation, presented testimony before the Texas Senate Committee on Health and Human Services regarding Medicaid reform, September 19, 2006.
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| September 01, 2006 |
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| Legislators Guide to the Issues 2007-2008 Health Care By Texas Public Policy Foundation
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| September 01, 2006 |
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| Legislators Guide to the Issues 2007-2008 Welfare By Texas Public Policy Foundation
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| July 27, 2006 |
| | Continuing Welfare Reform in Texas By Mary Katherine StoutTexas has successfully met many of the goals of welfare reform, yet work remains to be done. To meet new federal laws, Texas must continue to strengthen the relationship between welfare and work by more fully engaging TANF recipients in work activities.
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| June 12, 2006 |
| | Consumer-Driven Price Transparency Making Health Care Prices Transparent Through the Free Market By Mary Katherine StoutToday's health care system needs a strong dose of consumerism and market competition-- resulting in a more sensible, visible pricing structure for patients.
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| May 04, 2006 |
| | Sorting the Facts about the Uninsured By Mary Katherine StoutBefore expanding government programs to address the issue of the uninsured, policy makers must take a closer look at the data to identify the real reasons -- and provide effective solutions -- to reduce the number of uninsured.
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| April 27, 2006 |
| | Pocket Facts Children's Health Insurance Program in Texas By Mary Katherine Stout
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| April 20, 2006 |
| | The Children's Health Insurance Program in Texas A Look at CHIP Policy and Program Trends By Mary Katherine StoutThis report looks at the design of the CHIP program, whether CHIP is meeting the goal of covering uninsured children, and the impact of policy changes coupled with an improving economy as they relate to the decline in CHIP enrollment.
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| March 28, 2006 |
| | Medicaid: Yesterday, Today, and Tomorrow A Short History of Medicaid Policy and Its Impact on Texas By Mary Katherine StoutThis comprehensive report puts growth in spending and caseload in context with policy changes at the federal and state levels over the life of the Medicaid program.
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| March 28, 2006 |
| | Pocket Facts Medicaid: Yesterday, Today, and Tomorrow By Mary Katherine StoutFacts and recommendations taken from "Medicaid: Yesterday, Today, and Tomorrow" by Mary Katherine Stout, director of the Center for Health Care Policy Studies.
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| December 13, 2005 |
| | Drug Importation: A Solution to the Cost of Prescription Drugs? An Examination of Free Market Principles in Health Care By Mary Katherine StoutThere is no question that the rising cost of health care, and the cost of prescription drugs are creating a hardship for many Texans. But is importing pharmaceuticals from Canada really the best solution? This perspective explores the Canadian prescription drug system, and the myths surrounding drug importation in the context of legislation passed in the 79th Session.
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| May 16, 2005 |
| | Price Transparency Giving Control to Health Care Consumers By Mary Katherine StoutOne of the biggest problems facing the health care system
today is the emphasis on third party payment, which insulates
the individual from the price of health care services
and from important and personal health care decisions.
Ensuring that health care prices are transparent encourages consumers to make more informed decisions, with greater sensitivity to price.
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| April 14, 2005 |
| | Mandates: Making Health Care More Expensive For All Texans By Mary Katherine StoutMandates are no doubt well intentioned, but the unintended consequences are significant.
Mandates make health insurance and health care more expensive. The more expensive, the
harder it is for business and individuals to afford. The more difficult to afford, the more
businesses drop health insurance coverage and individuals decide to forego coverage, causing
the rate of uninsured to rise.
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| March 30, 2005 |
| | Health Savings Accounts Affordable, Portable, and Accessible Health Insurance By Mary Katherine StoutHealth Savings Accounts offer employers and individuals an affordable new option for health insurance coverage. Health Savings Accounts (HSAs) have grown in popularity since Congress authorized their use in 2003. The forerunner to HSAs, Medical Savings Accounts (MSAs), were first established in 1996 and had extensive restrictions that impeded their use and success. HSAs are free of those restrictions, and anyone can own one.
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| March 30, 2005 |
| | Testimony on HB1290 Creating Health Care Cost Fee for Convicted Criminals Texas House Criminal Jurisprudence Subcommittee on Enhancements By Marc LevinThe costs of inmate health care are enormous. The state estimates that it costs over $500 a day to keep a prisoner in the hospital and the prison hospital at the University of Texas Medical Branch at Galveston recently announced they will run out of money in a matter of months. County jails face these same skyrocketing health care costs.
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| February 28, 2005 |
| | Reforming Medicaid in Texas By Michael Bond and Ron LindseyIn recent years, Texas Medicaid spending has doubled, on the average, every six to seven years, an eightfold increase in less than 20 years. At this explosive rate of unprecedented growth, the present $17 billion annual Texas Medicaid budget will exceed $136 billion annually — more than one-quarter of a trillion dollars ($272 billion) a biennium in less than 20 years. That amount is more than double the state’s budget today.
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| February 17, 2005 |
| | Testimony Before House Committee on Human Services On a proposal to increase spending on "personal allowance" By Mary Katherine Stout
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| January 13, 2005 |
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| Legislators Guide to the Issues 2005-2006 Health Care By Texas Public Policy Foundation
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| December 10, 2004 |
| | Reforming Medicaid A PowerPoint Presentation By Michael BondPresented at the Policy Primer on December 10, 2004, in Austin, Texas.
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| December 10, 2004 |
| | Reforming Medicaid A PowerPoint Presentation By John GoodmanPresented at the Policy Primer on December 10, 2004, in Austin, Texas.
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| December 10, 2004 |
| | Reforming CHIP A PowerPoint Presentation By Devon M. HerrickPresented at the Policy Primer on December 10, 2004, in Austin, Texas.
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| November 22, 2004 |
| | Health Savings Accounts Defining The Future Of Health Care For Texans By Devon M. HerrickFor most Americans, purchasing health care services is unlike the buying experiences in other areas of our lives. We pay very little — only about 15 percent — of our health care costs, and generous “all you can eat buffet” insurance plans give us a strong incentive to maximize payouts from insurance providers. But not only are such plans good for individuals, they should be carefully considered as a way to improve the care and reduce costs for Medicaid beneficiaries and government employees.
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| October 19, 2004 |
| | Medicaid – Improving Care and Cutting Costs Testimony To The Senate Health and Human Services Committee By Chris PattersonText of prepared remarks by the Foundation's director of research, who was invited to address the Senate Health and Human Services Committee on the issue of Medicaid.
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| September 21, 2004 |
| | Pocket Facts Medicaid And the Uninsured By Texas Public Policy FoundationFacts and recommendations taken from "Medicaid And The Uninsured" by Beau Egert.
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| September 21, 2004 |
| | Medicaid And The Uninsured By Beau EgertMedicaid continues to drive state budgets across the country. Texas is no exception. Without reform, Medicaid threatens to consume an ever increasing share of the state budget, potentially jeopardizing every other important service. While spending on Medicaid has risen sharply – many argue drastically – Texas has remained at the very bottom of the rankings nationally in terms of the uninsured. Policymakers in Texas must take action both to contain Medicaid spending and decrease the number of uninsured. In addition to recommending changes to the Medicaid program, the report calls for incentives to encourage small businesses to provide health insurance plans to employees.
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| March 24, 2004 |
| | Testimony before the Select Committee on State Health Care Expenditures Effects of 'Crowd Out' in the Children’s Health Insurance Program By Chris PattersonPresented before the House Select Committee on State Health Care Expenditures, this is an outline of the testimony offered by the Foundation's director of research on the issue of government-subsidized insurance (in this case, the Children's Health Insurance Program) competing with private sector coverage.
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| January 29, 2004 |
| | Controlling Health Care Costs The Futility of Medical Necessity By Haavi MorreimOriginally published in 2001 in the journal Regulation, this article was distributed by Dr. Morreim at the 2nd Annual Policy Orientation.
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| January 29, 2004 |
| | Controlling Health Care Costs A Powerpoint presentation By Anne Dunkelberg
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| January 29, 2004 |
| | Controlling Health Care Costs A Powerpoint presentation By Haavi Morreim
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| May 12, 2003 |
| | Public School Employee Health Program Balancing the Budget and Improving Benefits By Chris PattersonHow can Texas reduce expenditures for the new public school employee health program while protecting and improving benefits? The Texas 78th Legislature faces this key question as members confront a $9.9 billion revenue shortfall. The health care program is targeted for legislative cuts. Funded for its first year only, the program was financed by revenues taken from a “one time” source; additional blows were delivered by a sagging state economy and rising insurance costs, estimated in the range of $2.5 billion for the 2004-2005 fiscal year.
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| April 08, 2003 |
| | Defined Contribution Health-Care Plans Benefits for Consumers, Employers, Physicans and Insurance Companies By Haavi MorreimHealth care is heading for the “perfect storm.” The confluence of skyrocketing health-care costs and a slowing economy threatens to destroy the quality and accessibility of health care for all Texans.
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| January 14, 2003 |
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| Legislators Guide to the Issues 2003-2004 Health Care By Texas Public Policy FoundationThis informative Guide covers the hottest topics facing the Legislature in concise, easy-to-read form. Presented here is the Health Care section.
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| January 15, 2001 |
| | The Future of Health Care Taken from Veritas By Kathi Seay
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| January 15, 2001 |
| | The Medicaid Problem in Texas Taken from Veritas By The Honorable Arlene Wohlgemuth
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| September 05, 2000 |
| | Anti-Plastic Agenda: Health Care With Harm A Policy Perspective By Angela Logomasini and Tracy WatesIf your child was critically ill, you'd demand the best medical treatment possible. You'd call not only for the best doctors, but for the best medical technology. After all, a simple kink in the tubing that provides medicine, nutrition, oxygen, and water to your child could prove deadly.Read the entire perspective.
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| June 15, 1999 |
| | Pension Liberation for Texas By Peter J. FerraraTexas should adopt the defined contribution reform plan that offers state and local government workers the choice of a defined contribution retirement plan in place of their current defined benefit plans. Such a plan offers great advantages for both workers and taxpayers. Over the past 20 years, private sector employers have shifted sharply towards “defined contribution” pension programs. The number of private sector employees in such plans soared from 11 million in 1975 to 43 million in 1995, an increase of about 300%.
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