What do you see as the advantage of an employer being self-insured for employee health benefits compared to the employer purchasing a group policy for employees on the insurance market? Are there any?

Is there an advantage to using comparative effectiveness research as a method for structuring medical payment/reimbursement? What about disadvantages? Refer to provisions in the ACA.

What has been the impact of the ACA's Medicaid Expansion provisions on hospitals, LTC facilities, or physician practices, especially looking at uncompensated care and the financial well-being of the organization? You might compare this to states that did not praticipate in the expansion. Some states have come on since the pandemic.