Paul Ginsburg directs the Schaeffer Initiative for Innovation in Health Policy. He is the Leonard D. Schaeffer Chair in Health Policy Studies at the Brookings Institution and Professor of Health Policy at the University of Southern California and Director of Public Policy at the USC Schaeffer Center for Health Policy and Economics. Margaret Darling is a Senior Research Assistant at Brookings. Kavita Patel is a Nonresident Senior Fellow at Brookings.


Recent Posts by Paul B. Ginsburg

How Should The Trump Administration Handle Medicare’s New Bundled Payment Programs?

HHS has several options for addressing Secretary Price’s prior objections to the hospital-at-risk structure of the CJR and EPM models that could maintain the integrity of these payment reform initiatives. However, the Department does not have a good alternative to the mandatory structure used...

April 10, 2017Costs and Spending, Medicare, Quality

Stopping Surprise Medical Bills: Federal Action Is Needed

States cannot protect more than half of commercially insured consumers due to an arcane federal law, known as the Employee Retirement Income Security Act, which exempts almost 100 million people in private insurance plans from state regulation because their plans are self-funded by employers.

Refining The Framework For Payment Reform

Moving from a system that rewards volume over value is a complicated and messy process. No method is ever implemented in isolation---either one at a time or in a vacuum---and many payment methods do not yet have a sufficient track record to help us prioritize among them.

September 19, 2016Costs and Spending, Payment Policy

Obamacare Premiums Are Lower Than You Think

Since the ACA's health insurance marketplaces first took effect in 2014, news story after story has focused on premium increases. Missing from this narrative, however, is that average premiums in the individual market actually dropped significantly upon implementation of the ACA.

CMMI’s New Comprehensive Primary Care Plus: Its Promise And Missed Opportunities

The Center for Medicare and Medicaid Innovation recently announced an initiative called Comprehensive Primary Care Plus (CPC+). The program has some very promising components, but also misses some compelling opportunities to further advance payment for primary care services.

The BPC Health Care Reform Plan: A Response To Coulam, Feldman, and Dowd

We commend Robert Coulam, Roger Feldman, and Bryan Dowd for bringing attention to competitive bidding in Medicare, a meaningful strategy to constrain health care costs through reducing inefficiencies in the health care system. The authors have made valuable contributions to research in this...

All-Payer Rate Setting: A Response To A ‘Modest Proposal’ From Uwe Reinhardt

Editor’s Note: In a separate post, Uwe Reinhardt proposes to move from the present, price-discriminatory system of private-sector pricing of health services toward an all-payer system that could serve as a transition to an eventual system based on bundled payments per episode of illness...

July 24, 2009Hospitals, Medicare, Payment Policy

BITTER MEDICINE: Prescription To Fix SGR Requires A Commitment To Major Medicare Reform

Editor’s Note: In the post below, Paul Ginsburg, the president of the Center for Studying Health System Change (HSC), begins a Health Affairs Blog series on Medicare physician compensation and the Sustainable Growth Rate mechanism. In the coming days, the series will feature posts by...

February 12, 2008Health Professionals, Medicare

HEALTH SPENDING: Paul Ginsburg Continues The Discussion

Editor’s Note: In the Jan/Feb issue of Health Affairs, Paul Ginsburg, president of the Center for Studying Health System Change, offered a Perspective on the report on national health spending for 2006 by the Centers for Medicare and Medicaid Services Office of the...

January 22, 2008Costs and Spending