Policy Briefs

Policy briefs published by the Center for Health Economics and Policy are intended to offer an accessible snapshot of key issues.

The Economics of Pre-Exposure Prophylaxis for HIV Prevention Care: Implications for Service Delivery
Rupa Patel, MD, MPH, John Crane, BA, Christian Farag, Zachary Feinstein, PhD, MS,  Philip Chan, MD, MS, and Timothy D. McBride, PhD | November 2017

This study identified that out-of-pocket costs for PrEP care of over $35/month created a barrier to continuing PrEP among individuals at risk of contracting HIV. Variability in an individual’s willingness to pay and the actual cost of PrEP care among populations with different insurance coverage, incomes and races should be considered when planning PrEP scale up.

Trends in Medicaid Enrollment and Spending in Missouri, 2011-2016
Kelsey A. Huntzberry, MPH, Abigail R. Barker, PhD, Leah Kemper, MPH, and Timothy D. McBride, PhD | May 2017

This brief examines Missouri enrollment and expenditure increases by category over time in order to understand the potential impact of redesigning Medicaid funding as a block grant or per-capita cap system. Additional data may be viewed through our interactive data visualizations.

The Tradeoffs of High-Risk Pools
Abigail R. Barker, PhD, Timothy D. McBride, PhD, and Lyndsey Wilbers, BA | May 2017

This brief analyzes high-risk pools that are being considered again to replace portions of the ACA and illustrates the mathematics of high-risk pools. For an interactive version of the data used in this brief, click here.

2017 Health Insurance Marketplaces in Missouri and Illinois
Lyndsey Wilbers, BA, Leah Kemper, MPH, Abigail R. Barker, PhD, and Timothy D. McBride, PhD | November 2016

This brief focuses on the regional impact in Illinois and Missouri by describing the average monthly premiums, the number of insurance firms offering HIM plans, and changes in both state Marketplaces since last year.

2016 Missouri Enrollment in the Health Insurance Marketplace
Lyndsey Wilbers, BA, Leah Kemper, MPH, Abigail R. Barker, PhD, and Timothy D. McBride, PhD | October 2016

This brief discusses the impact that Health Insurance Marketplaces established by the ACA have had in Missouri, analyzing 2016 enrollment rates within the state and making comparisons with national data.

Health Policy Issues and the Presidential Election
CHEP Side-By-Side Comparison of the Clinton and Trump Platforms

This infographic illustrates a side-by-side comparison of the Clinton and Trump platforms related to health policy issues.

The Effects of Smoking on Health Insurance Decisions Under the Affordable Care Act
Denise Monti, BA, Marie Kuzemchak, BA, and Mary Politi, PhD | July 2016

This brief analyzes data from a health insurance literacy study to show that tobacco users are very likely to face premiums that are unaffordable to them under the Health Insurance Marketplaces established by the ACA.

Affordability of Health Insurance Marketplace Plans for Uninsured Adults in the St. Louis Area
Abigail R. Barker, PhD, and Timothy D. McBride, PhD | April 2016

This brief outlines why the set of Health Insurance Marketplace policies currently in effect produce uneven results, with the poorest uninsured ineligible for Medicaid and facing extremely high deductibles and out-of-pocket maximum expenses relative to their incomes.