Unbiased Analysis of Today's Healthcare Issues

Archive for the 'Health Reform' Category

CBO Scores Better Care

The Congressional Budget Office (CBO) recently scored the Better Care Reconciliation Act of 2017.  What did they conclude? The good news: The Better Care Reconciliation Act of 2017 is a fiscally responsible bill.  According to the Congressional Budget Office (CBO), Better Care cuts taxes by $701 billion between 2017-2026 but would also cut spending by […]

Read the rest of this entry »

Wise words on State vs. Federal Administration of Medicaid

Yuval Levin has an interesting article in The Nation on Obamacare and the Senate’s most recently proposed bill, the Better Care Reconciliation Ace.  There has been a lot of arguments on both sides of the aisle about Better Care especially in terms of the provisions to decrease Medicaid funding and devolve more power to the States. […]

Read the rest of this entry »

Will Better Care deliver better care?

The Senate’s new health care bill, the Better Care Reconciliation Act of 2017, proposes a number of changes to the Affordable Care Act.  The Kaiser Family Foundation has a detailed breakdown of the bill and compares it with the Affordable Care Act that President Obama passed and the American Health Care Act that was proposed […]

Read the rest of this entry »

Are bundled payments the solution? Five key barriers to implementation

Alternative payment models, bundled payment and episode-based payments are the latest trend in reducing unnecessary care and making sure care is delivered efficiently.  However, what is a “bundle”?  Based on a recent report from the Health Care Payment Learning and Action Network (HCP LAN), bundled payment can be designed at three levels: At the setting […]

Read the rest of this entry »

Interpreting evidence on value

Value is the latest jargon to hit the health care sector.  One potential way value could manifest itself is through value-based insurance design (VBID).  Under VBID, patients would pay lower copayments for treatments that are highly effective and/or low cost would pay higher payments for treatments that have low effectiveness or high cost to the […]

Read the rest of this entry »

Do Incentives for Healthy Behaviors Work? A Case Study of Medicaid in Iowa

One of the primary changes in the healthcare system directed by the Affordable Care Act was providing funding for states to expand Medicaid.  Many states did so; many others did not.  Some states expanded Medicaid but put additional hurdles in front of beneficiaries to receive this coverage at no cost.  Consider the case of the State of Iowa. […]

Read the rest of this entry »

How does payment reform affect providers in competitive vs. non-competitive markets?

How does payment reform affect access to care?  And what does payment reform mean? Payment reform can mean manythings but in this context we will mean substituting fee-for-service or cost-plus reimbursement schemes for fixed reimbursement for a fixed episodes of care or fixed bundles of services during a specific time frame. One example of how payment reform worked, […]

Read the rest of this entry »

Small business in limbo and other health care stories

The ACA is here…for now.  The AHCA is dead…for now.  Where will the health insurance market be 1 year from now, let alone in 5 or 10 years?  These questions have not yet been answered and the uncertainty is especially taxing for small businesses, especially as their premiums have risen. Marketplace has an interesting story […]

Read the rest of this entry »

Supply side health reform

Alex Tabarrok of Marginal Revolution notes that designing a health care system that focuses on benefits to consumers and is important, but one should not ignore how any health care system design affects the supply of health care, in particular incentives to create innovative goods and services. By greater spending on medical research, I mean not […]

Read the rest of this entry »

How the AHCA will affect the Federal Budget

On the positive side, the American Health Care Act (AHCA) will decrease the federal budget deficit due largely to reductions in Medicaid spending and subsidies for the Health Insurance Exchanges enacted by the Affordable Care Act (ACA).  On the other hand, the AHCA will greatly increase the number of people without health insurance. Federal Spending […]

Read the rest of this entry »