The ‘Tanning Tax’ Is A Public Health Success Story

A CDC report found that the number of high school students who reported having artificially tanned has decreased by more than half since the enactment of the ACA, from 15.6 percent in 2009 to 7.3 percent in 2015.

August 15, 2017

If The Trump Administration Terminates Cost-Sharing Reduction Payments, States Can Use 1332 Waivers To Fund Their Own

Creating a State-administered CSR mechanism will undoubtedly require expenditure from the State. While some will argue that the limited resources in State budgets would render the idea all but theoretical, it would be beneficial to examine how States can use Section 1332 to fund CSRs.

August 15, 2017

What Should We Conclude From ‘Mixed’ Results In Payment Reform Evaluations?

It is true that evaluation results of payment reform models so far are not cause for celebration, but there are some positive cost and quality results and lessons are accumulating that can inform the next set of program parameters, incentive structures, and tools to help clinicians succeed.

August 14, 2017

The Future Of Value-Based Payment—Time To Reexamine And Refocus Our Efforts

How does Medicare learn from the current programs to remain focused on improving patient care while maintaining relevance for clinicians and hospitals that are ever-improving their metrics and health care delivery?

August 11, 2017

Three Ways President Trump Can Make Good On His Promise To Bring Down Drug Prices

The public has a right to expect that Trump will use that business prowess and the federal government’s leverage as the world’s largest purchaser of prescription drugs to stop the pharmaceutical industry from “getting away with murder” on drug prices.

August 9, 2017

The Many Problems With Medicare’s MIPS Exclusion Thresholds

If the Medicare Access and CHIP Reauthorization Act is ever to be a catalyst for change, the proposal to increase the exclusion thresholds is neither right nor effective.

August 3, 2017

The Latest Motion In House v. Price Has A Significant Impact On The Future Of CSR Payments

The court's decision means that the Trump administration cannot unilaterally stop the CSR payments, dismiss the appeal, and claim judicial imprimatur for its doing so.

August 1, 2017

Professional Athletes And Back Surgery: A Teachable Moment On Overuse In Health Care?

Since the early 1990s, overuse of high-cost procedures for low back pain has contributed to a steady rise in costs but has done little to improve outcomes. This overuse directly contradicts longstanding clinical practice guidelines.

August 1, 2017

ACA Round-Up: A Double-Threat Presidential Tweet, Cassidy-Graham-Heller, Bipartisan Market Stabilization Ideas, And Good News From Ohio

Although the high drama of the Senate debate on repeal of the Affordable Care Act seems to be over for the time being, health care reform remains in the headlines.

July 31, 2017

Physician Workforce Trends And Their Implications For Spending Growth

In an era when we might have expected rapid primary care physician growth, the share of the physician workforce devoted to primary care actually decreased from 44 percent to 37 percent, and the number of primary care physicians per capita has remained roughly flat.

July 28, 2017