Author Archives

Gail Wilensky, PhD, is an economist and Senior Fellow at Project HOPE, an international health foundation.

• JAMA Forum: Why Does the Affordable Care Act Remain So Unpopular?

  By Gail Wilensky, PhD on January 7, 2015

  

  In mid-November, just as the second enrollment period for health insurance under the Affordable Care Act (ACA) was starting, a Gallup poll indicated that only 37% of the US public approved of the ACA—a record low percentage. Since the ACA… Read More ›

• JAMA Forum: The Challenges of Reforming Graduate Medical Education Payments

  By Gail Wilensky, PhD on October 2, 2014

  

  A recent report by an Institute of Medicine (IOM) committee on the financing and governance of graduate medical education (GME) considered an important question for health care in the United States: to what extent does the current GME system, which… Read More ›

• JAMA Forum: Reading the Tea Leaves on Proposed Health Insurance Premium Hikes in a Post-ACA World

  By Gail Wilensky, PhD on July 3, 2014

  

  Health economists and other experts generally expect that consumers will pay more for health insurance premiums year after year. That’s because 1 or more of the components of premiums—the cost of medical claims, administrative costs, or profits—are usually anticipated to… Read More ›

• JAMA Forum: What Do We Now Know About the Affordable Care Act?

  By Gail Wilensky, PhD on April 23, 2014

  

  Now that the 2014 enrollment period has (finally) ended for signing up for a plan in the Affordable Care Act’s (ACA’s) health insurance exchanges, many of us policy analysts and political observers are trying to figure out what we know… Read More ›

• JAMA Forum: What’s Happening as Obamacare Coverage Debuts?

  By Gail Wilensky, PhD on January 29, 2014

  

  With all of the ink that has been devoted to the Affordable Care Act (ACA), especially since the October 1 launching of the state and federally run insurance exchanges, remarkably little is being reported about what’s happening now that coverage… Read More ›

• JAMA Forum: With a Bumpier Rollout Than Expected, Better Transparency Needed on Health Insurance Exchanges

  By Gail Wilensky, PhD on October 30, 2013

  

  As we all now know, the start-up of the federally run insurance exchange websites and the first few weeks that the exchanges have been operating have been extremely bumpy—certainly bumpier than anyone (including me) had been predicting. The experience of… Read More ›

• JAMA Forum: How Serious Are the ACA Delays?

  By Gail Wilensky, PhD on August 23, 2013

  

  Once again, the Obama Administration has needed to announce the delay of a provision of the Affordable Care Act (ACA). The provision that limited out-of-pocket costs to $6350 for individuals and $12700 for families has been delayed for a year… Read More ›