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

Memo To The President: The Pharmaceutical Monopoly Adjustment Act Of 2017

Extra monopolies have caused US consumers to pay higher prices for medicines for longer periods of time while making the pharmaceutical industry far more profitable than any other industry. The next president and Congress should take several key steps to roll back costly, unnecessary monopolies.

September 13, 2016

Graduate Medical Education For The 21st Century

The Association of Academic Health Centers convened seven regional roundtables across the U.S. to identify key priorities that must be addressed by a new 21st Century paradigm for GME.

August 16, 2016

Time To Fix The Black Hole In Medicare Data

Medicare pays for nearly 500,000 hip and knee replacement surgeries every year, while at the same time 25,000 patients undergo procedures to remove and replace a previous artificial joint. Remarkably, and largely due to inadequate data collection, the program is unable to identify product...

June 29, 2016

Does A ‘One-Size-Fits-All’ Formulary Policy Make Sense?

The rapid growth in the use of step therapy policies in recent years---from 27 percent in 2005 to 73 percent in 2013 among employers---indicates a misunderstanding about the direct and indirect harms of this approach.

June 2, 2016

Paying For Value: Perspective From The Front Lines

The concept of value-based health care is rapidly gaining traction in the U.S., yet implementation remains a significant challenge. We propose that in a true pay-for-value system, a national payment rate should be established and rooted in reality and adjusted for three factors.

May 24, 2016

Medicare Help At Home

Nine million community-dwelling Medicare beneficiaries require long-term services and supports that are not covered by Medicare. Gaps in Medicare coverage and lack of integration have serious consequences. A policy proposal, Medicare Help at Home, aims to to enhance financial protection and...

April 13, 2016

Medicare Payment Reform: Hospitals Cannot Succeed Without Medicare Data

The shift from CMS to alternative payment models includes bundled payments, which reimburses hospitals for services provided to patients during an episode of care. However, CMS does not supply hospitals with basic information necessary to analyze their historical performance during an episode.

April 1, 2016