To make greater strides towards value-based payment models in Medicare, Paul Ginsburg recommends that those who are testing alternative payment models at CMS should work directly with the team managing the existing fee-for-service payment system.
Researchers from the USC-Brookings Schaeffer Initiative for Health Policy discuss the negative effects of allowing firms to subsidize the purchase of individual market coverage and why the associated costs are likely to outweigh the benefits to employers and their workers.
The researchers find that rising education levels—even if minority-white college education gaps were eliminated completely—would only partially reverse the steep declines in young-adult homeownership attainment witnessed since the onset of the housing bust.
The number of physicians excluded from participation in Medicare and state public insurance reimbursement owing to fraud, waste, and abuse increased on average, 20 percent per year, between 2007 and 2017.
Goldman, Van Nuys and colleagues propose a three-part pricing (TPP) model that ties prices to value but removes the need to monitor efficacy in each patient. The model creates a tiered system, with prices varying over fixed time intervals.
Schaeffer Initiative experts describe the recent proposed rule by HHS that would loosen the rules governing Health Reimbursement Arrangements and its likely effects on insurance markets, employers, workers, and Marketplaces.