As MACRA Implementation Proceeds, Changes Are Needed

MACRA threatens to push many providers out of fee-for-service before they have a safe place to land. Policy makers should consider both making the Merit-Based Incentive Payment System less onerous and greatly accelerating the development and implementation of viable alternative payment models.

April 21, 2017

Loathing And Loving As A Pathway To Meaningful Health Care Reform

Democrats and Republicans each need to decide what they want so much that they would be willing to accept something they really loathe in exchange in order to reach consensus on a plan to replace the Affordable Care Act.

April 21, 2017

The Future Of Delivery System Reform

There is bipartisan agreement on the goal of promoting more efficient and effective health care. The debate is over the best way to accomplish the goal, not the goal itself.

April 20, 2017

How Should The Trump Administration Handle Medicare’s New Bundled Payment Programs?

HHS has several options for addressing Secretary Price’s prior objections to the hospital-at-risk structure of the CJR and EPM models that could maintain the integrity of these payment reform initiatives. However, the Department does not have a good alternative to the mandatory structure used...

April 10, 2017

How Dorothy Rice Helped Transform Health Care In America And Inspired A Generation of Researchers

Dorothy Rice, who passed away on February 25, 2017, was a giant in the field of health services research, conducting groundbreaking studies and mentoring others who continue to contribute to the field.

April 7, 2017

Modernizing And Strengthening Existing Laws To Control Drug Costs

If President Trump truly intends to control drug costs, fixing drug pricing formulas and enhancing existing penalties could reduce costs for both public and private payers.

March 31, 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

Private Payer Participation In Coverage With Evidence Development: A Case Study

Coverage with Evidence Development is a promising solution to funding investigations of experimental services. Blue Shield's participation in the Wisdom study shows that private payers can help address the critical funding gap for comparative effectiveness studies.

March 14, 2017

Medicare Premium Support Proposals Could Increase Costs for Today’s Seniors, Despite Assurances

Speaker Ryan has said that, under the House Republican approach, Medicare would remain essentially the same as it is today for seniors already on Medicare and those over age 55. But would today’s seniors really be unaffected by a transition to a premium support system?

March 9, 2017

Innovation In Serious Illness Care Payment: Progress To Date And Opportunities For The New Administration

Discern Health recently developed a framework of principles for payment models to promote the delivery of community-based, comprehensive, high-quality, affordable serious illness care. Here are some key opportunities for policymakers to continue progress toward high-value care for the seriously ill.

March 8, 2017