Managing The Beginning Of The End: Advanced Disease Management And Concurrent Care Under Current Financing

If predicting six-month mortality is hard, trying to identify patients with life-limiting diagnoses who are candidates for “pre-hospice” services makes eligibility determinations even more ambiguous.

April 28, 2017

Value-Based Pricing For Pharmaceuticals In The Trump Administration

A bipartisan consensus has emerged that something must be done to tackle drug prices. There’s less consensus about what that something ought to be. One alternative, “value-based pricing,” may hold promise.

April 27, 2017

Rethinking The United States’ Military Health System

Critics of the military health system want the DoD to close most of its remaining facilities, outsource care to the private sector, and position more military providers in civilian hospitals. Before these ideas receive serious thought, it is worth examining the assumptions on which they are based.

April 27, 2017

Health Policy’s Gordian Knot: Rethinking Cost Control

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.

April 26, 2017

Correcting Misconceptions About Invisible Risk-Sharing

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.

April 25, 2017

Evidence on Payment Reform: Where Are The Gaps?

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.

April 25, 2017

A Good Deal For Eliminating Hepatitis C: Saving Money And Lives

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.

April 24, 2017

The Payment Reform Landscape: For Employers, Keep Pushing Ahead

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.

April 21, 2017

As MACRA Implementation Proceeds, Changes Are Needed

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.

April 21, 2017

A New Attempt Emerges To Bridge GOP Divisions On AHCA (Updated)

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.

April 20, 2017