Bowen Garrett is a senior fellow in the Health Policy Center at the Urban Institute. His research focuses on health reform and health policy topics, with current research examining effects of the ACA on labor market outcomes and risk adjustment under the ACA. He previously led the development of the Urban Institute’s Health Insurance Policy Simulation Model (HIPSM) and conducted numerous studies of the likely effects of alternative health reform proposals. He has written extensively on employer-sponsored insurance, Medicaid and the uninsured, and Medicare’s prospective payment systems. Dr. Garrett was chief economist of the Center for US Health System Reform and McKinsey Advanced Health Analytics (MAHA) at McKinsey & Company from 2010 to 2013. He was a post-doctoral research fellow in the Robert Wood Johnson Foundation’s Scholars in Health Policy Research Program at the University of California, Berkeley (1996-1998), and received his Ph.D. in economics from Columbia University in 1996.
Recent Posts by Bowen Garrett
If insurers are unable to forecast their overall cost exposure under a risk-adjustment regimen, they might limit their offerings, raise premiums to create a margin of financial protection, or avoid the market entirely.
Congress requested that the Medicare Payment Advisory Commission (MedPAC) recommend features of a unified payment system and consider the effects of moving to such a system. Our work found that a unified payment system is possible and would reduce current distortions.
Opponents of the ACA have been claiming that the law would be a job killer since its passage, and the claims have not subsided with time. However, we have a growing body of empirical evidence that the ACA has had little, if any, adverse effect on employment.