Gregg Bloche, Neel Sukhatme, et al.
April 26, 2017
Josh Archambault, Joel Allumbaugh, et al.
April 25, 2017
The central, intractable obstacle to long-term cost containment is the near impossibility of saying “no” to ever-more-expensive care that yields small marginal benefits.
Negotiations have been underway with respect to an amendment to the GOP’s American Health Care Act that has been proposed by Rep. Tom MacArthur (R.N.J.) A summary of this amendment became available on April 20, 2017. On the evening of April 25, the actual language of the amendment became available.
An amendment to the AHCA draws in part from a proposal to include an invisible high-risk pool. Based on an independent analysis, there are a few misconceptions that should be corrected and changes that could improve the invisible risk-sharing program.
The US health care system is transforming how it pays for and delivers care. However, the transition to new models is not easy. Initial results on the impact of payment reforms found large gaps in evidence for state and commercial-based payment reforms.
A novel strategy to improve access to hepatitis C medicines recommends that the firms producing hepatitis C treatments compete to license their patent to the federal government for use in neglected patients.
Because they cover more people than Medicare and Medicaid combined, employers could have a great deal of power over health care system reforms. But they need to use it.
MACRA threatens to push many providers out of fee-for-service before they have a safe place to land. Policy makers should consider both making the Merit-Based Incentive Payment System less onerous and greatly accelerating the development and implementation of viable alternative payment models.
Democrats and Republicans each need to decide what they want so much that they would be willing to accept something they really loathe in exchange in order to reach consensus on a plan to replace the Affordable Care Act.
On April 20, a one-page summary of amendments to the AHCA proposed by Rep. Tom MacArthur (R NJ) surfaced. Reportedly a compromise between House Republican moderates and conservatives, it could be reduced to legislative language and considered when Congress returns from its spring recess next week.