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news releases
Gail R. Wilensky: Exclusive Editions

PERSPECTIVE, New England Journal of Medicine Read More

JAMA Forum
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JAMA Viewpoint
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"Eye on Washington" Column, hfm Magazine
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Room for Debate
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Gail R. Wilensky:
Special Editions


"Health Care Reform Version 1.0" Read More


"The Future of Medicare" Read More


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November 2016 Dr. Wilensky selected for NACD Directorship 100 Read More


March 2007: Dr. Wilensky named to President's Commission on care for America's Returning Wounded Warriors View Photo


THE MILBANK QUARTERLY | A Multidisciplinary Journal of Population Health and Health Policy
By: Gail R. Wilensky
Old Medicaid Is Gone; Expanded Medicaid Is Here to Stay

With control of both houses of Congress and the White House, many Republicans, as well as a large segment of the American public assumed Republicans would make good on their pledge to "repeal and replace" the Affordable Care Act (ACA)—including its expansion of the Medicaid program to anyone below 138% of the ...Read More

CMS, Demonstration Projects, and the Future of Value-Based Payments

In August, the Centers for Medicare and Medicaid Services (CMS) announced a proposed rule that eliminated or changed its mandatory bundled-payment models.1 Although this change, at least directionally, had been widely ...Read More

The Economics and Politics of the American Health Care Act

On May 4th, the House of Representatives passed the American Health Care Act (ACHA) by a vote of 217 to 213 with 20 Republicans (mostly moderates from the Northeast and Midwest) and all the Democrats voting against it. The legislation, which would replace some but not all of the Affordable Care Act (ACA), has moved on to ...Read More

Lets Not Forget About Medicare

With so much attention focused on Affordable Care Act (ACA) and its potential replacements or reforms, it is easy to forget about other looming health care challenges ...Read More

When Political Imperatives Collide With Policy Objectives

The Republican Party has been adamantly opposed to the Affordable Care Act (ACA) since it was signed into law in March 2010. The Republican House has repeatedly voted to repeal the ACA and after Republicans regained control of the Senate in 2014, the Senate voted to repeal it as well. However, Republicans in both ... Read More

Prescription Drug Pricing Is Not Just an Election Issue

It is hardly surprising that rising prescription drug pricing found its way into the 2016 election. Prescription drug costs frequently get more attention than their share of the health care dollar would ... Read More

The VA Continues to Struggle—Especially in Terms of Improved Access

VA Secretary Robert A. McDonald’s comment in May comparing the wait time for care at the VA with those at a Disney theme park may be one of the more politically tone-deaf remarks from a cabinet member in recent memory. The secretary was correct in saying that... Read More

Robotic Surgery: An Example of When Newer Is Not Always Better but Clearly More Expensive

When the US Food and Drug Administration (FDA) first approved the da Vinci surgical robot for clinical use in 2000, many people assumed that robotic surgery... Read More

Presidential Politics and Health Policy

Although the country remains in the run-up period to the political conventions, it is already clear that health care is going to play a very different and smaller... Read More

Meeting the ACA's Goals (Volume 93, Issue 43, 2015)

Whether and to what extent the Affordable Care Act is meeting its goals continues to be debated, especially in this election season. Here’s my take on these questions. ... Read More

Employer-Sponsored Insurance: Is It Eroding Under the ACA, and Should We Care? (Volume 93, Issue 3, 2015)

Concerns have been raised that the Affordable Care Act (ACA) could reduce the dominance of employer-sponsored insurance for those not on Medicare or Medicaid. There are 2 ironies associated with these concerns. First, this was one of the ... Read More

Co-ops Discover the Challenges of Starting an Insurance Business (Volume 93, Issue 2, 2015)

Just before Christmas 2014, the Iowa insurance commissioner took over the management of CoOportunity Health, the Iowa-based health insurance co-op serving Iowa and Nebraska, because of an inadequate amount of... Read More


Jonathan Gruber's unwise and widely quoted comments about the "stupidity" of the American voter and the deliberate use of obfuscation to secure passage of the Affordable Care Act (ACA) should serve as an important lesson for those who... Read More


One of the most contentious health care issues of the past decade—aside from debating the merits of the Affordable Care Act (ACA)—is whether there is a looming shortage of physicians and, if so, what its magnitude will be. What appears to be clear is that past studies and projections have produced highly variable and frequently contradictory responses and that past projections have sometimes not even been directionally correct. For example... Read More

IS SLOWER HEALTH CARE SPENDING A PART OF OUR FUTURE? (Volume 92, Issue 3, September 2014):

There is no disagreement that over the last several years, health care spending has been growing at an unusually slow rate. It began to slow in 2007 and has been growing at historically low rates since then, at least until the fourth quarter of 2013. The question is whether the slower growth in spending from 2007 through mid-2013 or the... Read More

Medicare Physician Payment Reform in 2014 Is Looking Unlikely (Volume 92, Issue 2, June 2014):

After more than two decades of paying physicians using a resource-based relative value scale (RBRVS) in combination with a spending limit, there has been a growing convergence of views in Congress about the next steps needed to reform how physicians are reimbursed by Medicare. Despite this and a decade of frustration over... Read More


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Meet Dr. Gail Wilensky video

Gail Wilensky Opinion: Trump's Drug Pricing Plan Is Practical, but Is It Enough?

Gail Wilensky: The World Health Care Congress 4/30/2017 Interview Studio

C-SPAN August 3, 2015 - Gail Wilensky: 50th Anniversary of Medicare, Is It Working?

March 22, 2010: Bloomberg News, Comments on “America’s Health-Care Overhall Bill”.

March 18, 2010: PBS NewsHour with Jeffrey Brown, CBO Estimates for Health Care Reform.

January 26, 2010: Bloomberg News, What the Budget Numbers Mean.

November 1, 2009: PBS NewsHour with Judy Woodruff, Counting the Cost of Health Care Reform.

September 26, 2009, NewsHour w/Jim Lehrer: The Future of Medicare Advantage.

August 10, 2009, NewsHour w/Jim Lehrer: What Healthcare Reform Might Mean for Senior Citizens.

June 22, 2009, Bloomberg News, Challenges Ahead for Health Care Reform.

June 10, 2009 Bloomberg News, The $1 Trillion Question: Health Care Reform.

December 21, 2007, Washington Journal: Future of Military Health Care.

December 10-12, 2007, ABC World News with Charles Gibson: Dr. Tim Johnson - Critical Condition.


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