HCMI 4225: Health and Social Insurance
Spring 2021 9:30 PM – 10:45 AM Mon & Wed Room BUSN 202
Instructor: Shane Murphy; Email: shane@uconn.edu; Office: BUSN 460
Office Hours: Mon & Wed 11:00 AM – 12:30 PM and by appointment
This is the website for HCMI 4225: Health and Social Insurance. The syllabus can be found here.
On this page you can find a calendar which includes links to materials from each week and the weeks readings. Homework assignments are here.
Quiz make-up assignment description is here. Articles for quiz make-ups should be chosen from Health Affairs Blog, News@JAMA, or Kaiser Health News
Information about the midterm exam is here.
Information about the final exam is here.
Information about the final paper is here.
Course Schedule:
January 22: Health Landscape and Health Costs(slides)
Readings:
*(optional) Mokdad, Ali H., Katherine Ballestros, Michelle Echko, Scott Glenn, Helen E. Olsen, Erin Mullany, Alex Lee et al. “The state of US health, 1990-2016: burden of diseases, injuries, and risk factors among US states.” Jama 319, no. 14 (2018): 1444-1472.
*(optional) Fuchs, Victor R. “Major trends in the US health economy since 1950.” New England Journal of Medicine 366, no. 11 (2012): 973-977.
January 27: Health insurance and social insurance as public goods (slides
Readings:
*Galea, Sandro. “Public health as a public good.” Boston University School of Public Health, January 10, 2016, https://www.bu.edu/sph/2016/01/10/public-health-as-a-public-good/
*(optional) Karsten, Siegfried G. “Health care: private good vs. public good.” American Journal of Economics and Sociology 54, no. 2 (1995): 129-144.
January 29: Economics of insurance – utility, expected utility, and pooling (Worksheet – slides – worksheet solutions)
Readings:
*(optional) Klein, Robert. (2014). A Primer on The Economics of Insurance.
*Nyman, John A. “Is ‘moral hazard’ inefficient? The policy implications of a new theory.” Health Affairs 23, no. 5 (2004): 194-199.
*(optional) Cutler, David M., and Richard J. Zeckhauser. “Adverse selection in health insurance.” In Forum for Health Economics & Policy, vol. 1, no. 1. De Gruyter, 1998.
February 3: The Right(?) to Health and to Health Care (slides)
Readings:
*Choose one philosopher from the google sheets signup, add your name, and listen to the related podcast. You can only make a choice if slots are still available (up to 3 for most, 1 or 2 for a couple).
*Gawande, Atul. “Is health care a right?” New Yorker, October 2, 2017
*Section I (pages 5-10) of Ruger, Jennifer Prah. “Toward a theory of a right to health: capability and incompletely theorized agreements.” Yale Journal of Law & the Humanities 18, no. 2 (2006): 3.
*(optional) Hamel, Mary Beth, Jennifer Prah Ruger, Theodore W. Ruger, and George J. Annas. “The elusive right to health care under US Law.” N Engl J Med 372, no. 26 (2015): 2558-63.
February 5: Industrial Organization and Finances of Insurance Companies (slides)
* Reinhardt, Uwe. “Where does the health insurance premium dollar go?.” Jama 317, no. 22 (2017): 2269-2270.
* America’s Health Insurance Plans (AHIP), Where does the health insurance premium dollar go? May 22, 2018
* (optional) Rosenthal, Elisabeth. “Those indecipherable medical bills? They’re one reason health care costs so much hospitals have learned to manipulate medical codes—Often resulting in mind-boggling bills.” New York Times Magazine (2017).
February 10: History of Insurance: Social Insurance (slides)
Readings:
* Conclusion – Americas First Modern Social Policies and Their Legacies in Skocpol, Theda. Protecting soldiers and mothers. Harvard University Press, 1995. – available on HuskyCT
* (optional) Cutler, David M., and Richard Johnson. “The birth and growth of the social insurance state: Explaining old age and medical insurance across countries.” Public Choice 120, no. 1-2 (2004): 87-121.
* (optional) Hu, Aiqun, and Patrick Manning. “The global social insurance movement since the 1880s.” Journal of Global History 5, no. 1 (2010): 125-148.
February 12: History of Public Health Insurance in the US: Social Insurance (slides)
Readings:
*video: Wilbur J.. Cohen, and Milton Friedman. Social Security: Universal or Selective?. American enterprise institute for public research, 1972.
on youtube (Rough transcript avalable in print)
*Also read the Wikipedia pages on Cohen and Friedman
*DeWitt, Larry. “Research Note #25: Ponzi Schemes vs. Social Security.” Historians Office, Social Security Administration.
*(optional) Cutler, David M., and Richard Johnson. “The birth and growth of the social insurance state: Explaining old age and medical insurance across countries.” Public Choice 120, no. 1-2 (2004): 87-121.
*(optional) Goss, Stephen C. “The future financial status of the social security program.” Soc. Sec. Bull. 70 (2010): 111.
February 17: History of Public Health Insurance in the US: New Deal/Social Security (slides)
*video: Wilbur J.. Cohen, and Milton Friedman. Social Security: Universal or Selective?. American enterprise institute for public research, 1972.
on youtube (Rough transcript avalable in print)
*Also read the Wikipedia pages on Cohen and Friedman
*DeWitt, Larry. “Research Note #25: Ponzi Schemes vs. Social Security.” Historians Office, Social Security Administration.
*(optional) Cutler, David M., and Richard Johnson. “The birth and growth of the social insurance state: Explaining old age and medical insurance across countries.” Public Choice 120, no. 1-2 (2004): 87-121.
*(optional) Goss, Stephen C. “The future financial status of the social security program.” Soc. Sec. Bull. 70 (2010): 111.
February 19: History of Public Health Insurance in the US: 1940s, 1950s, 1960s and the Great Society (slides)
*Quadagno, Jill. “Why the United States has no national health insurance: Stakeholder mobilization against the welfare state, 1945-1996.” Journal of Health and Social Behavior (2004): 25-44.
*Blendon, Robert J., and John M. Benson. “Americans’ views on health policy: a fifty-year historical perspective.” Health Affairs 20, no. 2 (2001): 33-46.
February 24: History of Public Health Insurance in the US: Women’s health and Title X Don’t forget to sign up with your group to discuss your paper – sign up here (slides)
*Vamos, Cheryl A., Ellen M. Daley, Kay M. Perrin, Charles S. Mahan, and Eric R. Buhi. “Approaching 4 decades of legislation in the national family planning program: an analysis of Title X’s history from 1970 to 2008.” American journal of public health 101, no. 11 (2011): 2027-2037.
*(optional) Rosoff, Jeannie I., and Asta M. Kenney. “Title X and Its Critics.” Family planning perspectives 16, no. 3 (1984): 111-119.
*(optional) Bailey, Martha J. “Reexamining the impact of family planning programs on US fertility: evidence from the War on Poverty and the early years of Title X.” American Economic Journal: Applied Economics 4, no. 2 (2012): 62-97.
*CSPAN: Harry and Louise Ads, 1993
*Amadeo, Kimberly. Hillarycare, the Health Security Act of 1993 The Balance, March 13, 2019
*Mertens, Maggie. Chart: Comparing Health Reform Bills: Democrats and Republicans 2009, Republicans 1993. Kaiser Health News, February 24, 2010
February 26: Negotiating the Affordable Care Act (slides)
*ACA and AHCA: Don Berwick Breaks It Down, youtube.com
*“Summary of the Affordable Care Act.” KFF, April 23, 2013: http://files.kff.org/attachment/fact-sheet-summary-of-the-affordable-care-act
*Biskupic, Joan. “The inside story of how John Roberts negotiated to save Obamacare”. cnn.com, March 25, 2019
March 2: Legal and Legislative Challenges to the ACA (slides)
*“Summary of the Affordable Care Act.” KFF, April 23, 2013: http://files.kff.org/attachment/fact-sheet-summary-of-the-affordable-care-act
*Biskupic, Joan. “The inside story of how John Roberts negotiated to save Obamacare”. cnn.com, March 25, 2019
March 4: Exam Review (slides)
March 9: Midterm Exam
March 11: Covid-19 and System response to emergencies (slides)
March 23 – Recap Covid, discuss rest of semester (slides)
March 25 – Unemployment and sick leave (slides
March 30 – Effects of the ACA (slides)
*Obama, Barack. “United States health care reform: progress to date and next steps.” Jama 316, no. 5 (2016): 525-532.
*Courtemanche, Charles, James Marton, Benjamin Ukert, Aaron Yelowitz, and Daniela Zapata. “Early Effects of the Affordable Care Act on Health Care Access, Risky Health Behaviors, and Self‐Assessed Health.” Southern Economic Journal 84, no. 3 (2018): 660-691.
*Antonisse, Larisa, Rachel Garfield, Robin Rudowitz, and Samantha Artiga. “The effects of Medicaid expansion under the ACA: Updated findings from a literature review.” (2017). KFF
April 1 – Managed Care (slides)
* Mendelson, Aaron, Karli Kondo, Cheryl Damberg, Allison Low, Makalapua Motúapuaka, Michele Freeman, Maya O’neil, Rose Relevo, and Devan Kansagara. “The effects of pay-for-performance programs on health, health care use, and processes of care: a systematic review.” Annals of internal medicine 166, no. 5 (2017): 341-353.
*Kaufman, Brystana G., B. Steven Spivack, Sally C. Stearns, Paula H. Song, and Emily C. O’Brien. “Impact of accountable care organizations on utilization, care, and outcomes: a systematic review.” Medical Care Research and Review(2017): 1077558717745916
April 6 – Payment and payment reform (slides)
* Quinn, Kevin. “The 8 basic payment methods in health care.” Annals of internal medicine 163, no. 4 (2015): 300-306.
April 8 – Cost of Healthcare in the US (slides)
Please sign up for two readings at this link.
April 13 – Reform Proposals day 1 (slides)
April 15 – Reform Proposals day 2
Please sign up for two readings at this link.
April 20 – Healthcare around the world – sign up for one reading here as student 1 – read that for Wednesday. You should also put your name down for a second reading, but you do not need to read that at this time.
April 22 – Healthcare around the world (slides
April 27 – Healthcare around the world Covid response (slides)
April 29 – Review