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Health Spending Projection Spin Cycle: Rinse And Repeat, Or Reset?


August 11th, 2011
by Thomas Miller

One of the annual rituals of Washington’s health policy calendar involves the release of projections for the next ten years of national health spending by actuaries at the Centers for Medicare and Medicaid Services (CMS). It then is followed immediately by desperate efforts by various interest groups and advocacy “analysts” to spin the new numbers... Read the rest of this entry »

Out-Of-Pocket Theory for Health Spending Cutbacks Is “Clueless”


September 24th, 2010
 
by Thomas Miller and Rohit Parulkar

The predictable lead sentence in a recent New York Times story proclaimed not only the obvious — that the economic crisis in the U.S. reduced use of routine medical care – but observed that such cutbacks are much deeper here than in countries with universal health care systems. And the supposed culprit was the usual... Read the rest of this entry »

Changing The Name — But Not The Political Game


July 30th, 2010
 
by Thomas Miller and James C. Capretta

Editor’s Note: Yesterday, the Obama administration announced interim final regulations governing the temporary Pre-Existing Condition Insurance Plan created by the Patient Protection and Affordable Care Act. Below, Thomas Miller and James Capretta criticize this portion of the Act and the design of the temporary health insurance pools for high-risk individuals that it creates. For more on... Read the rest of this entry »

Death Of A Sales Job (A Three Act Ploy)


March 5th, 2010
by Thomas Miller

With apologies to Arthur Miller … President Obama went back before the cameras again Wednesday, providing yet another recycling of fading rationales for his health reform product that more voters would rather leave on the Capitol Hill store shelves than purchase.   But “attention must be paid” whenever the president speaks.  He tried to claim that “we... Read the rest of this entry »

Health Exchanges: Different Political Railroad Tracks to the Same Station?


September 4th, 2009
by Thomas Miller

One by one, various cars are falling off the chugging legislative locomotive of Obama-style health “reform” as it tries to climb hills that are too steep.  The public plan option has checked in for rehab as a co-op and even some end-of-life counseling.  Bending-the-cost-curve measures were turned upside down by the Congressional Budget Office in July.  ... Read the rest of this entry »

Health Plan Scoring That Runs Out Of Bounds


September 25th, 2008
by Thomas Miller

Editor’s Note: Last week Health Affairs published critiques of the health plans put forward by Democratic presidential candidate Sen. Barack Obama (IL) and Republican presidential candidate Sen. John McCain (AZ). Health Affairs also published a third paper outlining a way that the best aspects of the two plans might be blended in a compromise package.... Read the rest of this entry »

Covering The Uninsured: Springing A Leak In The “Cost Shifting Hydraulic”


September 4th, 2008
by Thomas Miller

Editor’s Note: This post by Tom Miller of the American Enterprise Institute appears in tandem with last week’s publication on the Health Affairs Web site of an article by Jack Hadley of George Mason University, John Holahan of the Urban Institute, and coauthors, which estimates the cost of covering uninsured Americans. Miller’s post follows posts on the Hadley-Holahan article by Henry Aaron of the... Read the rest of this entry »

Measuring Disparities, Improving Health: Closing The Gap


March 17th, 2008
by Thomas Miller

Editor’s Note: This is the fourth in a series of posts on health and health care disparities that Health Affairs Blog is publishing in conjunction with the new March/April issue of Health Affairs on Disparities: Expanding The Focus, published with support from the Robert Wood Johnson Foundation. Brian Smedley, Richard Epstein, and Dora Hughes contributed earlier posts in the series, which... Read the rest of this entry »

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