markmerlis.com
home        about me        fiction        health policy        other writing        contact me

MARK MERLIS

 

SELECTED PUBLICATIONS

 

NOTE: Links are usually to the website of the organization that published the paper or report.  A link may no longer work if the organization has redesigned its site.  Try searching for "Merlis" on the organization's site before contacting me.

 

  

 

Medigap Reforms: Potential Effects of Benefit Restrictions on Medicare Spending and Beneficiary Costs, Kaiser Family Foundation, 2011 [PDF]

 

Adding Up the Numbers: Understanding Medicare Savings in the Affordable Care Act, Center for American Progress, 2010 [PDF]

 

Health Coverage for the High-Risk Uninsured: Policy Options for Design of the Temporary High-Risk Pool, National Institute for Health Care Reform, 2010 [PDF]

 

Health Care Reform and Employer Health Benefits for Non-Medicare Retirees, AARP, 2010 [PDF]

 

Resource Tests and Eligibility for Federal Assistance Programs: Effects of Current Rules and Options for Change, AARP, 2010 [PDF]

 

Health Insurance Exchange: Prototypes and Design Issues, National Health Policy Forum, 2009 [PDF]

 

Cost Containment and Coverage Expansion, National Academy of Public Administration/National Academy of Social Insurance, 2009 [PDF]

 

Simplifying Administration of Health Insurance, National Academy of Public Administration/National Academy of Social Insurance, 2009 [PDF]

 

The Value of Extra Benefits Offered by Medicare Advantage Plans in 2006, Kaiser Family Foundation, 2008 [PDF]

 

Medicare Advantage Payment Policy, National Health Policy Forum, 2007 [PDF]

 

Health Care Price Transparency and Price Competition, National Health Policy Forum, 2007 [PDF]

 

Medicare Payments and Beneficiary Costs for Prescription Drug Coverage, Kaiser Family Foundation, 2007 [PDF]

 

Health Benefits in Retirement: Set for Extinction?, National Health Policy Forum, 2006 [PDF]

 

Rising Out-of-Pocket Spending for Medical Care: A Growing Strain on Family Budgets, Commonwealth Fund, 2006 [PDF]

 

Eligibility Standards for Medicare/Medicaid Dual Eligibles: Issues and Options for Reform, National Academy of Social Insurance, 2005 [PDF]

 

Fundamentals of Underwriting in the Nongroup Health Insurance Market: Access to Coverage and Options for Reform, National Health Policy Forum, 2005. [PDF]

 

Home Equity Conversion Mortgages and Long-Term Care, Georgetown University Long-Term Care Financing Project, 2005.  [PDF]

 

Medicaid Reimbursement Policy, Congressional Research Service, 2004.  [PDF]

 

Long-Term Care Financing: Models and Issues, National Academy of Social Insurance, 2004 [PDF]

 

Medicaid and an Aging Population, Georgetown University Long-Term Care Financing Project, July 2004.  [PDF]

 

Private Insurance and End-of-Life Care, Last Acts Program, 2003.

 

The Federal Employees Health Benefits Program: Program Design, Recent Performance and Implications for Medicare Reform, Kaiser Family Foundation, May 2003.  [HTM]

 

Private Long-Term Care Insurance: Who Should Buy It and What Should They Buy?, Kaiser Family Foundation, Mar. 2003.  [PDF]

 

Regulation of Private Long-Term Care Insurance: Implementation Experience and Key Issues, Kaiser Family Foundation, Mar. 2003.  [PDF]

 

Expanding Health Coverage for the Uninsured: Fundamentals of the Tax Credit Option, National Health Policy Forum, Aug. 2002 (co-author with Beth Fuchs and Julie James). [PDF]

 

Family Out-of-Pocket Spending for Health Services: A Continuing Source of Financial Insecurity, The Commonwealth Fund, June 2002.  [PDF]

 

Principles for Regulatory Reform, report prepared for the Department of Health and Human Services, Secretary's Advisory Committee on Regulatory Reform, April 2002.

 

Medicare+Choice: Recent Experience and Issues for the Future, report prepared for the Department of Health and Human Services, Assistant Secretary for Planning and Evaluation, Aug. 2001.  [PDF]

 

Opening the Federal Employees Health Benefits Program to Individual Purchasers, report prepared for the Department of Health and Human Services, Assistant Secretary for Planning and Evaluation, Aug.  2001.  [PDF]

 

“Public Subsidies for Employees’ Contributions to Employer-Sponsored Insurance,” Inquiry, v. 38, n. 2 (summer 2001), p. 121-132.  [PDF]

 

Explaining the Growth in Prescription Drug Spending: A Review of Recent Studies, report prepared for the Department of Health and Human Services Conference on Pharmaceutical Pricing Practices, Utilization, and Costs, August, 2000.  [HTM]

 

“Caring for the Frail Elderly: An International Review,” Health Affairs, v. 19, n. 3 (May-June 2000), p. 141-149.  [PDF]

 

“Administration of a Medicare Premium Support Program,” in Marilyn Moon, ed.,  Competitions with Constraints: Challenges Facing Medicare Reform, Washington, Urban Institute, Feb. 2000.

 

Financing Long-Term Care in the Twenty-First Century: The Public and Private Roles, New York, The Commonwealth Fund, Sep. 1999.  [HTM]  [PDF]

 

Linked Medicare and Medicaid Data on Dually Eligible Beneficiaries: Progress and Challenges, Portland ME, Muskie School of Public Service, University of Southern Maine, Sep. 1999.

 

Public Subsidies and Private Markets: Coverage Expansions in the Current Insurance Environment, Washington, Henry J. Kaiser Family Foundation, 1999.  [PDF]

 

Medicare Restructuring: The FEHBP Model, Washington, Henry J. Kaiser Family Foundation, Jan. 1999.  [PDF]

 

“Medicare Consumer Information and Risk Selection,” in R. Kronick and J. de Beyer, ed., Medicare HMOs: Making Them Work for the Chronically Ill, Chicago, Health Administration Press, 1998.

 

Treatment of Flexible Benefit Plans Under Employer Coverage Subsidy Programs, Washington, Institute for Health Policy Solutions, Nov. 1998.

 

Coverage Shifting Under a Public Health Insurance Program for Modest-Income Adults and Families, report prepared for the U.S. Department of Labor, Pension and Welfare Benefits Administration, Apr. 1998.

 

Employer Coverage and the Children’s Health Insurance Program Under the Balanced Budget Act of 1997: Options for States, Washington, Institute for Health Policy Solutions, Aug. 1997.

 

A Premium Subsidy Program for Modest-Income Children, Washington, Institute for Health Policy Solutions, May 1997 (co-author with Richard Curtis).

 

Medicaid and Consumer Choice Healthplan Purchasing Groups, Washington, Institute for Health Policy Solutions, Feb. 1997.

 

“Finding Practical Solutions to ‘Crowding Out’,” Health Affairs, Jan.-Feb. 1997 (co-author with Richard Curtis and Ann Page).

 

Health Insurance: Reforming the Private Market, Washington, Congressional Research Service, 1995 (co-author with Beth Fuchs).

 

Health Care Reform: Managed Competition in the Inner City, Washington, Congressional Research Service, 1994.

 

Medicaid: Program and Demonstration Waivers, Washington, Congressional Research Service, 1994.

 

Health Care Reform: Rate Setting in the Small Group Market, Washington, Congressional Research Service, 1994 (co-author with Madeleine Smith).

 

President Clinton's Health Security Act: Summary and Analysis, Washington, Congressional Research Service, 1993 (co-author with Beth Fuchs).

 

Medicaid Source Book: Background Data and Analysis, Washington, House Committee on Energy and Commerce, 1993 (author of following chapters: Overview, Reimbursement, Alternative Delivery Options and Waiver Programs, Managed Care, Medicaid as Health Insurance, Medicaid and HIV Disease).

 

Health Care Reform: Managed Competition, Washington, Congressional Research Service, 1992.

 

Health Care Reform: Tax System Approaches, Washington, Congressional Research Service, 1992 (co-author with Beth Fuchs).

 

Medicaid: Provider Donations and Provider-Specific Taxes, Washington, Congressional Research Service, 1991.

 

Medicare: Payment for Hospital Capital Costs, Washington, Congressional Research Service, 1991.

 

Private Health Insurance: Options for Reform, Washington, House Committee on Ways and Means, 1990 (co-author with Beth Fuchs).

 

Taxation of Employer-Provided Health Benefits, Washington, Congressional Research Service, 1990 (co-author with Beth Fuchs).

 

“Controlling Health Care Costs”, in U.S. Bipartisan Commission on Comprehensive Health Care, A Call for Action (Pepper Commission final report), Washington, 1990.

 

Rural Hospitals, Washington, Congressional Research Service, 1989.

 

Insuring the Uninsured: Options and Analysis, Washington, House Committees on Education and Labor and Senate Committee on Finance, 1988 (co-author with Beth Fuchs).

 

Medicare Risk Contracts with Health Maintenance Organizations and Competitive Medical Plans, Washington, Congressional Research Service, 1988.

 

Medicaid Contracts with Health Maintenance Organizations and Prepaid Health Plans: A Handbook for State Managers, Washington, National Governors’ Association, 1987.

 

AIDS: Health Care Financing and Services, Washington, Congressional Research Service, 1987.

 

Recalculating Payment Rates Under Medicare's Prospective Payment System, Washington, Congressional Research Service, 1987.