Administration Meets Challenge to Risk-Adjustment Payments, Counter to Critics’ Assumptions

An announcement issued by the Centers for Medicare & Medicaid Services (CMS) in July that the agency had stopped, or at least put on hold, collections and payments under the risk-adjustment program established by the Affordable Care Act (ACA)—along with the announcement that payments to navigators would be substantially reduced—led to a chorus of comments…

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US Faces a Challenging Road to Recovery After COVID 19

Gail Wilensky, Ph.D.

There is little question as to why President Biden is so focused on the COVID-19 crisis, especially the vaccine rollout, in addition to the economy. Had it not been for the pandemic, the subsequent shutdown of an economy that had the lowest unemployment rate in 50 years (3.5% in February 2020) and the economic consequenses…

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Policy Lessons from Our Covid Experience

Perspective As of August 24, 2020, nearly 5.7 million cases of Covid-19 had been reported in the United States, with more than 176,000 deaths. Although there is debate about the accuracy of these specific numbers — many people with mild symptoms are never tested for Covid, for example, and especially early in the epidemic, the…

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Time to Consider a New Look at Physician Owned Hospitals to Increase Competition in Health Care

stethoscope and building in background

In most sectors of the economy, competition is regarded as the way to improve quality and efficiency, lower costs, and increase innovations. Whether competition effectively achieves these improvements in health care, particularly with respect to hospital services, which remains the largest sector of spending for health care, is open to debate. Alsodebated, at least among…

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The growing challenge of Medicare

The Congressional Budget Office projects Medicare spending will grow at an average annual rate of 9 percent over the next 10 years, reaching $766 billion by 2015. The Bush administration released an estimate that total spending for Medicare Part D (the new prescription drug benefit) over the period 2006 to 2015 will be about $720…

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Medicare bill sets precedent for future funding

Almost all seniors are better off under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, signed into law by President Bush on December 8, 2003. Given the closeness of the vote—220 to 215 in the House of Representatives and 54 to 44 in the Senate—and the nearness to the next election, it is…

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