A Response To A Critique Of The Urban Institute Model Of Financing Long-Term Services And Supports

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

In This Next Phase Of Health Reform, We Cannot Overlook Long Term Care

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

The Urban Institute Model Of Financing Long-Term Services And Supports: A Critical Review

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

How States Can Expand Access To Palliative Care

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

Weaving Whole-Person Health Throughout An Accountable Care Framework: The Social ACO

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

Foundation Reactions To The 2016 Presidential Election: Round-Up

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

What Bipartisan Opportunities Will The Next Congress And President Have To Improve Health Policy?

We examine the current political divides and opportunities for action in health policy in the coming years.

October 11, 2016

A Unified Medicare Payment System For Post-Acute Care Is Feasible

Congress requested that the Medicare Payment Advisory Commission (MedPAC) recommend features of a unified payment system and consider the effects of moving to such a system. Our work found that a unified payment system is possible and would reduce current distortions.

September 28, 2016

Embracing The Role Of Family Caregivers In The U.S. Health System

As individuals age, their need for both medical and nonmedical services and supports increases. In a recent report, we review current policies addressing the needs of family caregivers, evaluate emerging evidence on the effectiveness of these policies, and suggest some potential new policy...

September 8, 2016

Three Steps Congress Can Take To Accelerate Medicare’s Delivery Transformation

Underlying Medicare law was built for a purely fee-for-service system. As alternative payment models evolve and grow, they are encountering significant statutory barriers to their success — barriers that only Congress can bring down.

August 2, 2016