Jack Meyer

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Hospital Quality: Ingredients for Success—A Case Study of El Camino Hospital

As part of their study on quality improvement initiatives in U.S. hospitals, the Economic and Soc... more As part of their study on quality improvement initiatives in U.S. hospitals, the Economic and Social Research Institute and The Severyn Group conducted in-depth site visits at four top-performing hospitals from around the country to identify the factors that drive and challenge these institutions in their realization of quality goals. El Camino Hospital, located in Mountain View, Calif., was one of the hospitals selected for the study. The researchers determined that El Camino's success is primarily the result of two factors-an internal environment that constantly focuses on quality and a set of practical tools that promote good outcomes and quality improvement on a daily basis. Elements of these factors include strong leadership, high-quality nursing and physician staff, leading-edge technology and information systems, and sophisticated data analysis and performance monitoring systems. Click here to see the overview report.

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Strategies For Covering the Uninsured: How California Policymakers Could Build on Lessons Learned at the Federal Level

Outlines possible health insurance coverage expansions in California that build on specific appro... more

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Increasing Access: Building Working Solutions

Outlines the problem of access to basic healthcare services in the U.S. Cites local efforts to en... more

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Assessing State Strategies for Health Coverage Expansion: Case Studies of Oregon, Rhode Island, New Jersey, and Georgia

Support for this research was provided by The Commonwealth Fund. The views presented here are tho... more Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and should not be attributed to The Commonwealth Fund or its directors, officers, or staff. Copies of this report are available from The Commonwealth Fund by calling its toll-free publications line at 1-888-777-2744 and ordering publication number 565. The complete report can also be found on the Fund's website at www.cmwf.org. The authors gratefully acknowledge the support of The Commonwealth Fund. They would like to thank the people with whom they met in each of the states profiled in this report who were generous with their time and provided valuable information about the state coverage programs. The Economic and Social Research Institute (ESRI) is a nonprofit organization that conducts research and policy analysis in health care and in the reform of social services. ESRI specializes in studies aimed at enhancing the effectiveness of social programs, improving the way health care services are organized and delivered, and making quality health care accessible and affordable. Rutgers Center for State Health Policy (CSHP) informs, supports, and stimulates sound and creative state health policy in New Jersey and around the nation. CSHP provides impartial policy analysis, research, training, facilitation, and consultation on important state health policy issues.

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Oregon's Options to Overhaul Health Care Financing: Health Care Reform 2.0?

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Federal Subsidy for Laid-Off Workers' Health Insurance A First Year's Report Card for the New COBRA Premium Assistance

This brief assesses a temporary but important new federal subsidy for laid-off workers and depend... more This brief assesses a temporary but important new federal subsidy for laid-off workers and dependents. Most working-age Americans and their families obtain health care coverage at the workplace and often lose it when they leave or lose their job. 1 The Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA) addressed this gap by requiring sizeable group health plans to continue jobbased coverage for people losing eligibility. 2 COBRA enrollees have to pay the average cost of the employer plan, however, which deters enrollment. 3 In February 2009, Congress reduced this barrier to COBRA take-up by enacting a new, temporary federal subsidy of 65 percent of premium for job losers under the American Recovery and Reinvestment Act (ARRA). 4 The ARRA subsidies have increased participation in COBRA, but to different extents in different populations. The first impact was a doubling of take-up, as reported by Hewitt Associates in

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A Federal Tax Credit to Encourage Employers to Offer Health Coverage

Inquiry, 2001

Many firms that employ low-wage workers cannot afford to offer an employee health plan, and many ... more Many firms that employ low-wage workers cannot afford to offer an employee health plan, and many of the uninsured work for such firms. This article makes the case for an employer tax credit, administered by the Internal Revenue Service, as a way to extend health coverage to uninsured workers and their families. The permanent, fixeddollar, refundable credit would be available to all low-wage employers (those with average wages of $10 per hour and less), including those already offering coverage. The credit would be graduated depending on average wage: the maximum credit would equal 50% of the cost of a standard benefit package; the minimum would equal 30% of the package. It also would vary by family size and could be used to cover part-time and temporary workers. Participating employers would be required to pay at least 50% of the health insurance premium, proof of which would be shown on firms' tax returns. The paper provides justification for this approach. It closes with a discussion of strengths and weaknesses of this approach and alternative design features.

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Surprise: Workers, Not Their Bosses, Pay For Health Coverage

Health Affairs, 1998

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Cost Shifting in Health Care: An Economic Analysis

Health Affairs, 1983

The commercial health insurance industry and, to some extent, large employers have sharply attack... more The commercial health insurance industry and, to some extent, large employers have sharply attacked government policies that have led hospitals to shift costs to private patients because of inadequate payment from Medicare and Medicaid. The industry estimates that these cost shifts now total $6 billion. But the industry has not paid much attention to another question. If American society has decided, as surely it has, to provide at least a minimum level of protection to its most vulnerable citizens, how should that protection be financed? Jack Meyer, an economist at the American Enterprise Institute, and William Johnson, an associate professor of economics at the University of Virginia, provide some illumination on that question by assessing some alternative forms of financing. Their article represents the first time that the cost-shifting issue has been examined from a public financing point of view. Meyer and Johnson bring to the work professional backgrounds in health economics and public finance. Meyer's professional work generally has favored greater use of market principles to address health resource allocation issues. While he has devoted time to analysis of programs on the national, state, and local levels, Meyer generally favors the national level as the locus for health financing programs. Johnson, too, is a market-oriented economist, but the bulk of his work has been in public finance and labor issues. Indeed, this paper is his first foray into health policy concerns. Johnson's interest in health stems in part from a year at Stanford University, where he came in contact with Victor Fuchs. Johnson also has written, with Edgar Browning, an important book entitled The Distribution of the Tax Burden.

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Adopting Market Incentives in Public-Sector Policies

Care and Cost

The Role of Local Governments in financing Safety Net Hospitals: Houston, Oakland, and Miami

... Alameda County, and Jackson Memorial Hospital provides close to 80 percent of the charity car... more

Market reforms in health care: Current issues, new directions, strategic decisions, edited by Jack A. Meyer. Washington, DC: American Enterprises Institute for Public Policy Research, 1983, 331 pp. Price: $19.95 cloth, $10.95 paper

J Policy Anal Manag, 1983

Health care cost increases

Toward ending poverty among the elderly and disabled through SSI reform

... I. Meyer, Jack A, 1944-II. Title. III. Series. ... Page 5. BOARD OF TRUSTEES URBAN INSTITUTE ... more

Prospects for a Reduction in the Number of Uninsured Americans

Health Policy for Low-Income People in Illinois: Highlights from State Reports

Business Initiatives to Expand Health Coverage for Workers in Small Firms Volume I: Overview and Lessons Learned

Virginia. She specializes in conducting research on health care purchasing, coverage, and managem... more Virginia. She specializes in conducting research on health care purchasing, coverage, and management issues, with an emphasis on the activities of business coalitions and private employers. Rybowski has authored numerous reports on the challenges and achievements of employer groups, the development of health care performance information, and the role of purchasers in improving health care quality.

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Assessing State Strategies for Health Coverage Expansion: Summary of Case Studies of Oregon, Rhode Island, New Jersey, and Georgia

research focuses on issues of health care financing and delivery at the state and local levels. H... more research focuses on issues of health care financing and delivery at the state and local levels. His recent work includes studies of the effect of health care market competition on access to care, the organization of the health care safety net for the uninsured, and the role of minority physicians in improving access to care of underserved populations. Dr. Cantor has published widely on health policy topics and serves on the editorial board of the policy journal Inquiry.

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Assessing State Strategies for Health Coverage Expansion: Profiles of Arkansas, Michigan, New Mexico, New York, Utah, and Vermont

The Economic and Social Research Institute (ESRI) is a nonprofit organization that conducts resea... more The Economic and Social Research Institute (ESRI) is a nonprofit organization that conducts research and policy analysis in health care and in the reform of social services. ESRI specializes in studies aimed at enhancing the effectiveness of social programs, improving the way health care services are organized and delivered, and making quality health care accessible and affordable.

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Hospital Performance Improvement: Trends in Quality and Efficiency a Quantitative Analysis of Performance Improvement in U.S. Hospitals

This report presents results of a quantitative examination of the dynamics of hospital performanc... more This report presents results of a quantitative examination of the dynamics of hospital performance: the degree to which hospitals are improving (or deteriorating) in quality and efficiency over time. Results indicate significant improvements across hospitals in reducing mortality and increasing efficiency over 2001-2005, with mixed results in complication and morbidity rates. Reduced mortality is likely due to improvements in care,

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