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

Deploying The Cascade Of Care Framework To Address The Opioid Epidemic Means Taking A Closer Look At Quality Measures

The Cascade of Care is a useful framework to address the opioid epidemic, however to make this vision a reality, we need to develop the framework’s quality measures.

June 21, 2017

Reaching Beyond Delivery System Walls To Improve Colorectal Cancer Screening

Many value-based payment arrangements hold delivery systems accountable for achieving population health goals, which can best be met by engaging people who may never enter a medical office. Kaiser Permanente learned to reach beyond its walls to engage healthy members in colorectal cancer screening.

March 24, 2017

Taming Health Care Spending: Could State Rate Setting Work?

For more than three and a half decades health care expenditures in the United States have grown at a much higher rate than those in other wealthy nations. To get a handle on prices, policymakers should seriously consider rate regulation.

March 20, 2017

To Battle The Opioid Overdose Epidemic, Deploy The ‘Cascade of Care’ Model

Revisiting how the public health community established the systems needed to US AIDS mortality rate in half can serve as a useful guide for states and policymakers to set up the most effective response to the current crisis.

March 13, 2017

Invisible High-Risk Pools: How Congress Can Lower Premiums And Deal With Pre-Existing Conditions

Maine’s experience in creating an invisible high-risk pool and relaxing its premium rating bands can inform Congress and the Trump administration as they work to repeal and replace the ACA.

March 2, 2017

The Changing Payment Landscape Of Current CMS Payment Models Foreshadows Future Plans

To understand the bigger picture of how CMS is driving change, one must zoom out from the program-level and evaluate the tapestry of CMS models and initiatives in their entirety.

February 3, 2017

Oregon’s High-Risk, High-Reward Gamble On Medicaid Expansion

Health policy in Oregon is like football in the SEC: not only a contact sport but also a source of intense civic pride. The state's Medicaid expansion was similarly turbulent.

January 10, 2017

How Value-Based Payment Arrangements Should Measure Behavioral Health

There is a way forward for behavioral health performance measurement strategies that psychiatrists, agency directors, payers, and providers should consider as they enter into VBP arrangements.

November 29, 2016

An Urgent Call For A National Surveillance System For Inpatient Psychiatric Facilities

We describe the scant data available on the quality of inpatient psychiatric care and propose policy mechanisms that have been adopted in other parts of the health care system to promote improved quality of inpatient psychiatric care, monitor harm, and inform the development of best practices.

October 19, 2016