Without being able to depend on delivery system reform, states will be left with reductions in eligibility, covered services, and provider reimbursement to stay within their federal Medicaid allocation.
September 7, 2017
As the CHRONIC Care Act and other health care delivery and payment reforms are considered, policy makers must recognize system shortcomings and consider how to better integrate care and improve health outcomes for our sickest and most vulnerable Americans.
June 1, 2017
Palliative care has been increasing in prevalence, in part due to new value-based care incentives. However, there is a significant misunderstanding about what defines effective palliative care among patients and providers.
May 19, 2017
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
We stand behind our original analysis and remain convinced that DYNASIM, the model used to generate our simulations, is a valuable tool for projecting LTSS spending and evaluating alternative financing options.
March 17, 2017
With the focus of Congress once again turning to health reform, we have an opportunity to fix the problems with the ACA, and find solutions to health care challenges that the ACA failed to address. One such challenge is the looming crisis of aging and long-term care.
March 16, 2017
In this post, I make the case that there are serious flaws in a recent Urban Institute attempt at modeling, employed in Health Affairs, for new public insurance programs for financing LTSS.
February 15, 2017
Given the states’ role in funding safety-net programs, as well as the fact that early signs indicate a push towards more privatization of Medicare and Medicaid, states should consider levers to expand local access to palliative care.
January 30, 2017
As currently structured, most ACOs contain a serious flaw: the vast majority of ACO financing structures, including most of those promoted by CMS and state Medicaid programs, carve out the largest drivers of health: social, environmental, and community factors.
January 25, 2017
Following the US presidential election on November 8, what are foundation staffers saying? Colleagues from one national funder, for example, said they hope that the election results "will not alter the nation's commitment to improving insurance coverage and health care."
November 22, 2016