ACA Round-Up: Medicare Trustees Report Does Not Trigger IPAB, And More

All eyes yesterday were focused on the Senate, which released significant new amendments to the Better Care Reconciliation Act. But the Senate was not the only game in town.

July 14, 2017

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

Making Practice Guidelines And ‘Choosing Wisely’ More Effective

I believe one way to “preserve” Medicare is to stop paying for unnecessary care: Instead, we should Choose Wisely.

June 20, 2017

Savings Reported By CMS Do Not Measure True ACO Savings

The bottom line is that we should not pay attention to any analysis that uses the benchmarks as the basis for assessing the effects of accountable care organizations on Medicare spending.

June 19, 2017

Medicare’s Programs Should Compete

Fielding three Medicare programs might make sense if they were designed to compete against one another.

June 15, 2017

Finding Common Ground On Medicaid Reform For Dual Eligibles

Bipartisan agreement on Medicaid is rarely achieved. There is consensus, however, on the need and the opportunity to contain spending growth and improve care delivery for the nearly 11 million Medicare beneficiaries who are also eligible for Medicaid.

June 15, 2017

The American Health Care Act Could Chip Away At The Medicare Savings Programs

Eleven million Americans are enrolled in both Medicare and Medicaid. Of these dually eligible beneficiaries, roughly 80 percent qualify for help paying for their Medicare coverage through the Medicare Savings Programs.

June 15, 2017

Nursing Home Certificate-Of-Need Laws Should Be Repealed

Certificate-of-need laws diminish quality of care and reduces bed availability in nursing homes, while raising prices. It is time for states to repeal this pernicious policy.

June 9, 2017

Confronting The Trade-Offs In Health Reform: What We Learned From The ACA

Like most large pieces of legislation, the ACA got some things right and some things wrong. In evaluating how to move forward, we can benefit from seven years of research on its implementation.

June 7, 2017

Replicating Effective Models Of Complex Care Management For Older Adults

As the field of “complex care” or “advanced preventive care” for populations with complex health and social needs matures, innovations in replicating these models of care will need to develop in parallel to ensure that effective programs come into wider use.

June 7, 2017