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Tag Archives: Medicare

Congress Should Replace Medicare’s Merit-Based Incentive Payment System

While the first performance year of the MIPS program has just ended, some observers have already raised concerns that MIPS will fail to improve patient care, even as it generates substantial administrative burdens. In this blog post, we argue that these concerns are well founded and that MIPS or a similar value-based purchasing program is unlikely ever to achieve its goals.  (more…)

Treatment-Specific Payment Approaches: The Case Of Macular Degeneration

Treatment for neovascular or wet age-related macular degeneration (nAMD) is an area where a change in Medicare Part B payment specific to this procedure has far more potential for substantial reductions in spending. (more…)

Financial “Side Effects” of Medicare: Public Health Insurance and Household Portfolio Choices

In this post we discuss whether individuals experiencing a reduction in out-of-pocket medical expenses risk when they become Medicare eligible are more likely to invest in the stock market.


How Should The Trump Administration Handle Medicare’s New Bundled Payment Programs?

There is room to modify the bundled payment models to address concerns raised by Secretary Price and others without damaging the integrity of the models. (more…)

Four Recommendations to Advance Medicare Delivery System Reform

MACRA assumes a wide range of attractive APM opportunities available to physicians, but the reality is that the opportunities are limited, especially for physicians in specialties outside of primary care. (more…)

What Medicare Advantage’s Success in Delivering Post-Acute Care Means for Medicare Reform

A recent study found Medicare Fee-for-Service and Medicare Advantage patients have hospitalization and post-hospitalization costs and outcomes that are generally different. How do these outcomes translate to policy recommendations? (more…)

What will happen when PCPs are paid like Quarterbacks?

As payment models move towards non-fee-for-service systems, primary care providers will increasingly be positioned as the quarterbacks for the healthcare team. Guest contributors Bob Kocher and Anuraag Chigurupati discuss what this change means for specialists, hospitals, and health systems. (more…)

5 Takeaways from the 2016 Medicare Trustees Report

Alice Rivlin and Loren Adler outline five major takeaways from the 2016 Medicare Trustees Report. This blog post is part of the Schaeffer Initiative for Innovation in Health Policy, a collaboration between the Brookings Institution and the USC Schaeffer Center for Health Policy & Economics.   (more…)

CMMI’s New Comprehensive Primary Care Plus: Its Promise And Missed Opportunities

CPC+ has some very promising components, but also misses some compelling opportunities to further advance payment for primary care services.  (more…)

A Comprehensive Strategy for Primary Care Payment Reform in Medicare

The CPC+ACO model should be evaluated now as a possible path for smaller, independent physician practices.

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