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


July 24th, 2009
by Paul B. Ginsburg

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 for acute care, or capitation for chronic care. In his response... Read the rest of this entry »

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


February 12th, 2008
by Paul B. Ginsburg

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 Robert Berenson, Jay Crosson, Mina Matin, Frank Opelka, Eugene Rich, and Gail Wilensky. The Sustainable Growth Rate (SGR) system is intended to keep... Read the rest of this entry »

HEALTH SPENDING: Paul Ginsburg Continues The Discussion


January 22nd, 2008
by Paul B. Ginsburg

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 Actuary. Ginsburg’s article, which warned, “Don’t Break Out The Champagne” in celebration of slower health spending growth, prompted a response on the Health Affairs Blog by... Read the rest of this entry »

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