Perspective
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Physician Payment in Medicare is Changing: Three Highlights in the MACRA Proposed Rule That Providers Need to Know
The newly released proposed rule provides answers regarding the specifics of implementation of MIPS and the APM incentives.
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What the Candidates Don’t Get About Drug Prices
Currently, Medicare lets private payers negotiate for drug discounts, and Medicare just pays its part of the cost.
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A Medication Lock-In Program May Not Be the Easy Solution to the Opioid Abuse Epidemic That Congress Thinks It Is
Before anyone can propose effective solutions to this problem, we need to accurately quantify prescription opioid use and abuse in Medicare and continue to analyze the trends in opioid prescriptions as well as the characteristics of utilization.
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Drop Medicaid ‘Best Price’ Rule Drug Rules in Favor of Value-Based Strategies
The Medicaid Drug Rebate Program contributes significantly to a dysfunctional pricing process that undermines competition and inflates drug costs for those insured through employers, the individual market and government employee health benefit programs.
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Moving Beyond Price-Per-Dose In The Pharmaceutical Industry
Editor’s note: The blog was first published on Health Affairs on September 30, 2015. The United States has experienced extraordinary gains in treating cardiovascular disease over the last few decades. Statins, introduced in the 1980’s, are an important part of the story. Hundreds of thousands of deaths, heart attacks, and strokes have been prevented due to lower […]
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Vaccine-Preventable Diseases in Adults are Costly
It’s easy to get distracted by the controversy and politicizing that all-too-often occupies vaccine debate, but regardless of ones stance on the issue, the high costs associated with the diseases they prevent are indisputable.
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Ending Suffering by Ending Persons
Because physician-assisted suicide does not just end suffering but also ends a person, it trusts that in the future we would be the same person that we are now—the person who wants to commit suicide, says Jason Doctor.
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Medicare’s Big Fat Problem, Fiscal and Otherwise
You can’t draw a straight line between growing Medicare spending and expanding American waistlines. But policymakers would be wise to keep both in mind as they ponder how to pay for the health care of 75-million-plus baby boomers who likely will live longer in worse health.
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It’s Time For Value-Based Payment In Oncology
Editor’s note: This blog was first published in Health Affairs on April 28, 2015. Value-based health care has risen to the top of the health policy agenda, as public and private payers search for ways to improve outcomes. The value principle—reimbursing hospitals, physicians, and other health care providers for quality or quality improvement that also help […]
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