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Creating Medicare Advantage Premium Support for All, Part 2: Benefit Design
Single Payer Is Not The Solution To The Problem Of Uninsured Americans
Salvaging MACRA Implementation Through Medicare Advantage
A Framework For Understanding ‘Savings’ From Accountable Care Organizations
A New Plan To Rescue The ACA: Medicare-At-55
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Three Ways President Trump Can Make Good On His Promise To Bring Down Drug Prices
A few months ago in Louisville , Kentucky, in one of his many attacks on drug prices, President Donald Trump stated: “The cost of medicine in this country is outrageous. Many times higher than in some countries in Europe and elsewhere. Why? Same pill...
Published
Wed, Aug 08 2017 7:59 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Costs and Spending
,
Medicaid and CHIP
,
Drugs and Medical Innovation
,
prescription drug prices
,
competitive pricing
,
price gouging
The Many Problems With Medicare’s MIPS Exclusion Thresholds
The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) allows the secretary of the Department of Health and Human Services, Tom Price, to define a low-volume threshold for the purpose of excluding some number of eligible clinicians from participating...
Published
Thu, Aug 08 2017 7:08 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Quality
,
Payment Policy
,
Insurance and Coverage
,
Costs and Spending
,
MACRA
,
Merit-Based Incentive Payment System
,
tom price
,
Medicare Access and CHIP Reauthorization Act
ACA Round-Up: Medicare Trustees Report Does Not Trigger IPAB, And More
All eyes yesterday were focused on the Senate, which released significant new amendments to the Better Care Reconciliation Act. But the Senate was not the only game in town. On July 13 the Medicare Trustees released their 2017 Medicare Trust Fund report...
Published
Fri, Jul 07 2017 10:38 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Following the ACA
,
Insurance and Coverage
,
Costs and Spending
,
CMS
,
IRS
,
cost-sharing reduction payments
,
advance premium tax credits
,
IPAB
,
Medicare Trustees Report
Spurring Provider Entry Into Medicare Advantage
Similar to private health insurance, there is little competition in Medicare Advantage (MA). T he US District Court ’s recent decision against the Aetna-Humana merger is a strong signal that the current Medicare Advantage market does not favor new entry...
Published
Thu, Jul 07 2017 7:35 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Health Policy Lab
,
Insurance and Coverage
,
value based care
,
Medicare Advantage
Making Practice Guidelines And ‘Choosing Wisely’ More Effective
I always thought I was an informed patient, favoring conservative treatment and helping to save Medicare and the health system money; but when push came to shove, I was a coward that did not speak up when unnecessary tests were ordered. I think my reaction...
Published
Tue, Jun 06 2017 6:45 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Quality
,
Featured
,
Costs and Spending
,
Choosing Wisely
,
practice guidelines
Savings Reported By CMS Do Not Measure True ACO Savings
While participation in Medicare accountable care organizations (ACOs) continues to grow—9 million Medicare beneficiaries are currently attributed to Medicare Shared Savings Program (MSSP) ACOs alone, up 1.3 million since 2016 —controversy...
Published
Mon, Jun 06 2017 9:11 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Payment Policy
,
Costs and Spending
,
ACOs
Medicare’s Programs Should Compete
Over the past two decades, Medicare has evolved into three separate programs or payment systems: fee-for-service (FFS), sometimes termed traditional Medicare; Medicare Advantage (MA); and the Medicare Shared Savings Program (MSSP), or accountable care...
Published
Thu, Jun 06 2017 9:57 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Featured
,
Payment Policy
,
Insurance and Coverage
,
Costs and Spending
,
Accountable Care Organizations
,
Medicare Advantage
,
Medicare Shared Savings Program
,
MACRA
,
MedPAC
,
AHCA
Finding Common Ground On Medicaid Reform For Dual Eligibles
Editor’s Note: This is the final post in a five-part Health Affairs Blog series, produced in conjunction with the Bipartisan Policy Center, examining current issues and care models in the delivery system reform effort. Each post is jointly authored by...
Published
Thu, Jun 06 2017 9:00 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Quality
,
Payment Policy
,
Medicaid and CHIP
,
dual eligibles
,
bipartisan delivery system reform
The American Health Care Act Could Chip Away At The Medicare Savings Programs
The American Health Care Act (AHCA) is not just an alarming, slapdash effort to repeal the Affordable Care Act—it’s also a plan to radically weaken Medicaid, our nation’s health care safety net. Indeed, the US House-passed bill’s most dramatic savings—...
Published
Thu, Jun 06 2017 7:05 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Payment Policy
,
Following the ACA
,
Insurance and Coverage
,
Costs and Spending
,
Medicaid and CHIP
,
dual eligibles
,
ACA repeal and replace
,
American Health Care Act
Nursing Home Certificate-Of-Need Laws Should Be Repealed
Imagine if your state had a regulation explicitly limiting the number of hotels in a local area. Rather than letting the market dictate the supply of hotel beds, the number of beds would be set by a regulatory body. One does not need a degree in economics...
Published
Fri, Jun 06 2017 7:34 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Quality
,
Featured
,
Medicaid and CHIP
,
nursing homes
,
roemer's law
,
certificate-of-need laws
Confronting The Trade-Offs In Health Reform: What We Learned From The ACA
Implicitly or explicitly, all health care reform involves trade-offs, in which policy makers balance competing goals and interests to reach a preferred outcome. The US Senate may soon take up the US House’s American Health Care Act (AHCA), a bill that...
Published
Wed, Jun 06 2017 8:00 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Following the ACA
,
Insurance and Coverage
,
Costs and Spending
,
Medicaid and CHIP
,
Essential Health Benefits
,
ACA repeal and replace
,
American Health Care Act
,
Leonard Davis Institute of Health Economics
Replicating Effective Models Of Complex Care Management For Older Adults
Improving our system of care for older adults with complex, chronic illnesses requires wrestling with a vexing dilemma. Models of care that are readily scalable have limited effectiveness, and effective models are difficult to scale. As an example of...
Published
Wed, Jun 06 2017 6:44 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Costs and Spending
,
Diffusion of Innovation
,
Health Quality Partners
,
chronically ill older adults
,
complex care management
,
health and aging
For Patients With Multiple Chronic Conditions, Improving Care Will Be A Bipartisan Effort
Editor’s Note: This is the third in a five-part Health Affairs Blog series, produced in conjunction with the Bipartisan Policy Center, examining current issues and care models in the delivery system reform effort. Each post will be jointly authored by...
Published
Thu, Jun 06 2017 9:04 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Chronic Care
,
Medicare
,
Social Determinants of Health
,
Payment Policy
,
Insurance and Coverage
,
Costs and Spending
,
Medicaid and CHIP
,
Long-term Services and Supports
,
Alternative Payment Models
,
Bipartisan Policy Center
,
bipartisan delivery system reform
,
integrated models of care
,
CHRONIC Care Act
Looking At The Centers For Medicare And Medicaid Services Research Designs In A New Context
It’s time to take a fresh look at how the Centers for Medicare and Medicaid Services (CMS) designs its initiatives to test new models of provider payment and care delivery. As highlighted recently in the Health Affairs Blog by Tim Gronniger and colleagues...
Published
Tue, May 05 2017 8:23 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Payment Policy
,
Insurance and Coverage
,
Organization and Delivery
,
Costs and Spending
,
Medicaid and CHIP
,
Centers for Medicare and Medicaid Services
,
Alternative Payment Models
,
Center for Medicare and Medicaid Innovation
,
factorial experiments
CMS Should Continue Innovating Health Care Payment And Delivery
Editor’s Note: This is the second in a five-part Health Affairs Blog series, produced in conjunction with the Bipartisan Policy Center, examining current issues and care models in the delivery system reform effort. Each post will be jointly authored by...
Published
Thu, May 05 2017 9:30 AM
by
Health Affairs BlogHealth Affairs Blog
Filed under:
Medicare
,
Innovations in Care Delivery
,
Featured
,
Payment Policy
,
Insurance and Coverage
,
Medicaid and CHIP
,
value based care
,
Centers for Medicare and Medicaid Services
,
Center for Medicare and Medicaid Innovation
,
bipartisan delivery system reform
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