Healthcare Reform
Our work in Healthcare Reform
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Health Technology Assessment with Diminishing Returns to Health: The Generalized Risk-Adjusted Cost-Effectiveness (GRACE) Approach
Generalized Risk-Adjusted Cost-Effectiveness (GRACE) approach helps align HTA practice with realistic preferences for health and risk.
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Capping Prices or Creating a Public Option: How Would They Change What We Pay for Healthcare?
Sharp and large differences in prices for commercial health insurers and Medicare have led some policymakers to propose a larger public role in determining provider prices in commercial coverage.
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Understanding The Latest ACO “Savings”: Curb Your Enthusiasm And Sharpen Your Pencils—Part 2
In this post, the authors lay out key considerations for improving the MSSP over the long haul with the objective of helping get a repeatedly derailed conversation back on track.
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Understanding The Latest ACO “Savings”: Curb Your Enthusiasm And Sharpen Your Pencils—Part 1
Did the MSSP save Medicare $1.2 billion in 2019? No—not even close. Might the true net savings be close to zero? Quite possibly.
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Federal Policy Options to Realize the Potential of All Payer Claims Databases
An all-payer claims database (APCD) is a system that collects health care claims and related data from all (or nearly all) entities that pay for health care services in a geographic area, including private and public health plans.
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What Can Be Done to Improve All-Payer Claims Databases?
A new report that discusses important limitations with all-payer claims database (APCD) along with actions federal policymakers can take to resolve these limitations.
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A Supreme Court Decision to Strike Down the ACA Would Create Chaos in the Healthcare System
On November 10, the Supreme Court will hear oral argument in California v. Texas, the case in which the Trump Administration and a group of Attorneys General are challenging the constitutionality of the Affordable Care Act (ACA).
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Ideas About Resourcing Health Care in the United States: Can Economic Evaluation Achieve Meaningful Use?
In a study published in Annals of Internal Medicine, we suggest several ways that economic evaluation could become an effective component of value-based decision-making.
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GAO Report Sheds Additional Light on Misleading and Deceptive Marketing Practices Among Non-Compliant Health Plans
The GAO report underscores three key themes: misleading information is shockingly prevalent, a wide variety of junk plans are sold and may frequently be bundled together, and fixed indemnity plans appear to play a large role.
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NEJM: Competing Visions for the Future of Health Policy
Beyond Covid-19, two other health policy issues are poised to feature prominently in the 2020 U.S. elections: what role government should play in ensuring broad health insurance coverage, and how to cope with the lack of competition in many health care provider markets.
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