• Alaska's $5 Billion Health Care Bill - Who's Paying?

      Goldsmith, Scott; Foster, Mark (Institute of Social and Economic Research, University of Alaska., 2006)
      Spending for health care in Alaska topped $5 billion in 2005. Just how big is $5 billion? It is, for perspective, one-third the value of North Slope oil exports in 2005—a year of high oil prices. It’s nearly one-sixth the value of everything Alaska’s economy produced last year. In 1991, health-care spending in Alaska was about $1.6 billion. Even after we take population growth into account, spending for health care increased 176% per Alaskan in 15 years. These soaring costs are taking a growing share of family and government budgets, increasing labor costs, and putting businesses at a competitive disadvantage.
    • How Has the 80th Percentile Rule Affected Alaska's Health-Care Expenditures?

      Guettabi, Mouhcine (Institute of Social and Economic Research, University of Alaska Anchorage, 2018-05-16)
      We use the Health Expenditures by State of Residence data (1991-2014) compiled by Centers for Medicare & Medicaid Services to examine the causal effect of the 80th percentile rule on Alaska's health care expenditures. We find evidence that Alaska's expenditures would have been lower in the absence of rule. The share of the overall increase in expenditures that we attribute to the 80th percentile rule is between 8.61% and 24.65%. It is important to note that using expenditures as a proxy for costs has limitations as it is the product of both quantity of services used and prices.
    • Trends in Alaska's Health-Care Spending

      Frazier, Rosyland; Guettabi, Mouhcine; Passini, Jessica (Institute of Social and Economic Research, University of Alaska, 2018)
      All Americans spend a lot to get health care—but Alaskans spend the most per resident, face the highest insurance premiums, and have seen overall spending grow much faster. Here we highlight some trends in Alaska’s health-care spending since the 1990s, based on existing publicly available data that allow us to compare changes in Alaska and nationwide. A chart book with much more detail is available on ISER’s website. We hope this broad information on trends in health-care spending will help Alaskans better understand what happened, consider possible reasons why, and think about potential ways to change the upward spiral.
    • The University of Alaska: How Is It Doing?

      Kassier, Theodore; Hill, Alexandra (Institute of Social and Economic Research, University of Alaska., 2008)
      Recent reports on higher education in the U.S. say it’s in trouble— that it’s too expensive, doesn’t offer enough need-based aid, isn’t educating people for today’s jobs, doesn’t demand enough of instructors or students, and isn’t sufficiently accountable to policymakers and taxpayers.1 Is the University of Alaska (UA)—the state’s only public university —offering a good, affordable education for Alaskans? This paper looks at that question. It first presents the available data on various measures and then summarizes successes and continuing challenges for UA. It ends with a discussion of how UA and the state are addressing higher-education issues and what other steps they might consider. UA has made substantial progress on a number of goals in the past decade. For example, it’s attracting a growing share of Alaska’s college-bound freshmen, and it’s educating many more students for jobs in high-demand areas like health care and technology. The school’s overall retention and graduation rates are improving. But UA also faces many of the same issues as other public universities— like sharp increases in tuition and significant numbers of students who come out of high school unable to read, write, or do math at college-level.