Perspective
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Stopping Surprise Medical Bills: Federal Action is Needed
More than a dozen states have enacted various protective measures to protect patients from surprise medical bills. This post outlines why federal action is needed and recommendations on how to move forward.
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What Medicare Advantage’s Success in Delivering Post-Acute Care Means for Medicare Reform
A recent study found Medicare Fee-for-Service and Medicare Advantage patients have hospitalization and post-hospitalization costs and outcomes that are generally different. How do these outcomes translate to policy recommendations?
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Why Risk Adjustment is a Crucial Component of Individual Market Reform
In order to mitigate incentives for insurance companies to avoid sicker patients, policymakers will need to include a risk adjustment program in any replacement reforms that require insurers to issue insurance to any applicant and set limits on adjusting premiums to fully reflect an enrollee’s health status.
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Health Insurance as Assurance: The Importance of Keeping the ACA’s Limits on Enrollee Health Costs
The GOP replacement plans are split over or unclear about whether to keep the ACA’s requirement that plans include an annual out-of-pocket expense limit and no lifetime limit on how much health coverage the plan will cover. They shouldn’t be.
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Why Academics Consulting with Industry on Health Care May be an Idea Whose Time has Come
At a time of deep political division, an academic approach to policy making has never been more important.
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Paying for an ACA Replacement Becomes Near Impossible if the Law’s Tax Increases are Repealed
The tax cuts that would be enacted if Congress models its ACA repeal on the legislation that was passed early last year through the budget reconciliation process would make it much more difficult to achieve a sustainable replacement plan that provides meaningful coverage without increasing deficits.
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Why Repealing the ACA Before Replacing it Won’t Work, and What Might
Republicans have offered up no shortage of ACA replacement plans, but many are still in outline form or lack critical details. This post outlines why repealing with out a replacement won’t work and what policies should be considered.
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Key Takeaways From the Final MACRA Rule, Plus Remaining Challenges
There are three important takeaways from the Centers for Medicare and Medicaid Services final rule on implementation of Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
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Election Verdict: Pharma Needs a New Prescription
The pharma industry will need to get behind policy solutions that lower prices and improve access for patients today without discouraging investments into tomorrow’s valuable medical innovations.
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Move Beyond Drugs to Manage Pain
The government should prioritize integrative care to curb reliance on opioids.
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