Transforming Health Care Through Evidence and Collaboration
Transforming Health Care Through Evidence and Collaboration
The NIHCM Foundation is a nonprofit, nonpartisan organization dedicated to improving the effectiveness, efficiency and quality of America's health care system.
  • News

    To help you find answers to questions concerning COVID-19, NIHCM is providing you with links to expert sources that are frequently updated. We will continually update this list.

    Learn More
  • Awards

    We are honored to announce the finalists for the 26th Annual Health Care Research and Journalism Awards. The winning entry in each category will be announced in late Spring and will receive a $15,000 to $20,000 cash prize.

    See the Finalists Press Release The NIHCM Awards
  • Data Insights

    As individuals around the world practice physical distancing and quarantine, some may begin to feel increased levels of loneliness and social isolation. This new Data Insights explores the risk factors and identifies key strategies to combat loneliness and social isolation. 

    Learn More
  • Grants

    NIHCM Foundation has awarded 14 grants for health care journalism including investigative reporting and educational opportunities for reporters.

    Press Release All Journalism Grantees
  • Grants

    NIHCM Foundation has awarded over $500,000 in grants to support nine investigator-initiated research studies.

    Press Release All Research Grantees
  • Briefing

    NIHCM Foundation led a briefing on Capitol Hill to discuss social determinants of health and the opioid crisis with Founding President and CEO Nancy Chockley, former CMS Administrator Don Berwick, Curtis Barnett of Arkansas Blue Cross Blue Shield, Craig Samitt of Blue Cross and Blue Shield of Minnesota, and Grant Baldwin from the CDC.

    Press Release Watch the Video
  • Advisory Board

    NIHCM Foundation is pleased to welcome Dr. Scott Gottlieb, Sherry Glied, PhD, and Katherine Baicker, PhD, to its distinguished Advisory Board. Their ideas and insights will advance NIHCM's mission to improve health care for millions of Americans.

    Press Release Advisory Board
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7

Events

April 15, 2020
USC-covid19-webinar-041520

In this webinar, speakers will discuss what questions journalists should ask providers and health systems to gauge their plans and preparedness and to understand the hard calls they are making on rationing care.

April 08, 2020
USC-covid19-webinar-040820

This webinar highlighted how a top reporter stays on top of the story every day and offered actionable tips that will bolster fellow journalists' coverage.

In the News

March 2020
Population Health Spotlight
newsletter rural urban new

Community Rating and Guaranteed Issue in the Individual Health Insurance Market

Anthony T. Lo Sasso, PhD, Professor, University of Illinois at Chicago

In this essay Dr. Anthony Lo Sasso provides empirical evidence of the adverse selection that resulted when states adopted community rating and guaranteed issue requirements in their individual health insurance markets but did not implement complementary mechanisms to keep lower risk individuals in the insurance risk pools. Such adverse selection can raise premiums, destabilize markets and even lead to market failure through the following cycle of events:

  • Community rating prohibits differential premiums based on health status, effectively lowering premiums for individuals in poorer health and increasing them for healthier individuals.
  • Guaranteed issue allows people to purchase coverage when they get sick, decreasing the need to maintain insurance coverage.
  • Healthy individuals respond by dropping coverage and entering the market only when they need coverage, thus the pool of enrollees becomes increasingly older and sicker.
  • This adverse selection pushes premiums for all remaining enrollees higher, provoking further departures by those at the healthier end of the spectrum.
  • Premiums increase again to reflect the ever-worsening risk pool of enrollees.
  • The cycles continue, further destabilizing the market and potentially leading to complete market collapse.

Dr. Lo Sasso’s findings highlight the importance of providing effective mechanisms to protect the integrity of the risk pool in conjunction with the community rating and guaranteed issue provisions contained in the Patient Protection and Affordable Care Act.

In this essay, Dr. Anthony Lo Sasso provides empirical evidence of the adverse selection that resulted when states adopted community rating and guaranteed issue requirements in their individual health insurance markets.

Events

April 15, 2020
USC-covid19-webinar-041520

In this webinar, speakers will discuss what questions journalists should ask providers and health systems to gauge their plans and preparedness and to understand the hard calls they are making on rationing care.

April 08, 2020
USC-covid19-webinar-040820

This webinar highlighted how a top reporter stays on top of the story every day and offered actionable tips that will bolster fellow journalists' coverage.

In the News

March 2020
Population Health Spotlight
newsletter rural urban new

Grants

Journalism GrantsJournalism Grant Program

NIHCM has announced its 2019 journalism grantees. We will begin accepting Letters of Inquiry for the 2020-2021 funding cycle in late spring 2020.

Read More


NYTUpshotLogo

Investigator-Initiated Research Grant Program

NIHCM has announced its 2019 research grantees. We will begin accepting Letters of Inquiry for the 2020-2021 funding cycle in late spring 2020.

Read More

Awards

The 26th Annual Research and Journalism Awards

Winners Announcment 2018 1

We are honored to announce the finalists for the 26th Annual Health Care Research and Journalism Awards.

Learn More