Tag Archives: Medicare Advantage

Making The Exchanges More Competitive By Bringing Medicare Into The Fold

There is a better approach to bring more insurers into the individual market: allow Medicare to enter the market in counties where fewer than three health insurers participate on the exchange.

August 9, 2017

Spurring Provider Entry Into Medicare Advantage

Innovative provider groups have shown it is possible to launch a Medicare Advantage plan even when it may not be possible to launch a commercial insurance product.

July 6, 2017

Medicare’s Programs Should Compete

Fielding three Medicare programs might make sense if they were designed to compete against one another.

June 15, 2017

Loathing And Loving As A Pathway To Meaningful Health Care Reform

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.

April 21, 2017

The Future Of Delivery System Reform

There is bipartisan agreement on the goal of promoting more efficient and effective health care. The debate is over the best way to accomplish the goal, not the goal itself.

April 20, 2017

Innovation In Serious Illness Care Payment: Progress To Date And Opportunities For The New Administration

Discern Health recently developed a framework of principles for payment models to promote the delivery of community-based, comprehensive, high-quality, affordable serious illness care. Here are some key opportunities for policymakers to continue progress toward high-value care for the seriously ill.

March 8, 2017

Court Blocks Aetna-Humana Deal: The Mega-Mergers Meet The Trump Administration Next

The Department of Justice's ruling, in which the court described the deal as part of the current health care merger “frenzy,” was extremely important.

January 30, 2017

To Get Dems On Board With ACA Replacement, Republicans Should Take Medicare Off The Table

With two relatively straightforward acknowledgements, Republicans could create a pathway for bipartisan reconsideration of health care coverage in America.

January 10, 2017

Calculating Medicare Advantage/Fee-For-Service Price Differences Is Harder Than It Looks

The fundamental problem is that payments to hospitals from fee-for-service have Indirect Medical Education included in them, but payments from Medicare Advantage plans do not.

November 28, 2016

How Could a New Administration Tackle Affordable Care Act Challenges? Look to Medicare

How government officials responded to the Medicare Advantage crisis could hold lessons for policymakers’ response to developments in the ACA’s marketplaces. What were the key policy solutions?

November 7, 2016