U.S. Healthcare Spending

The CMS Office of the Actuary released their 2016 estimates for U.S. health care spending.  We’re getting close to health care taking up 18% of the economy. Total nominal US health care spending increased 4.3 percent and reached $3.3 trillion in 2016. Per capita spending on health care increased by $354, reaching $10,348. The share of gross…

Will MIPS work?

CMS in the past was on a value-based binge. They aimed to reward physicians based on quality of care (PQRS), based on cost (a component in the value modifier), based on use of EHR (meaningful use bonuses).  However, this imposed a large reporting bonus on physicians, pulling them away from patient care.  To solve the…

CVS-Aetna merger

Many of you have already heard the news: CVS is buying Aetna for $69 billion.  As the New York Times reports: Together, the companies touch most of the basic health services that people regularly use, providing an opportunity to benefit consumers. CVS operates a chain of pharmacies and retail clinics that could be used by…