Author Frequently asked questions. 534 items Posts pagination Newer 1 … 6 7 8 9 10 … 54 Older Are Medicare Advantage plans going to take over the food industry? February 19, 2021 By Karl T. Johnson, B.A.; Deepak Palakshappa, M.D.; Sanjay Basu, M.D., Ph.D.; Hilary Seligman, M.D., M.A.S.; Seth A. Berkowitz, M.D., M.P.H. HSR, Health Services Research, February 17, 2021 From the Discussion In this study of nationally representative data, we found support for both directions of the relationship between food insecurity and healthcare expenditures—food insecurity is […] Quote of the Day ‘Choosing Wisely’ has been disappointing February 18, 2021 By John N. Mafi, M.D., M.P.H.; Rachel O. Reid, M.D., M.S.; Lesley H. Baseman, B.A.; Scot Hickey, M.S.; Mark Totten, M.S.; Denis Agniel, Ph.D.; A. Mark Fendrick, M.D.; Catherine Sarkisian, M.D., M.S.P.H.; Cheryl L. Damberg, Ph.D. JAMA Network Open, February 16, 2021 Key Points Question: Have low-value care use and spending decreased over time with […] Quote of the Day CBO report on Medicare for All February 17, 2021 By CBO’s Single-Payer Health Care Systems Team Congressional Budget Office, December 2020 Abstract In this paper, CBO describes the methods it has developed to analyze the federal budgetary costs of proposals for single-payer health care systems that are based on the Medicare fee-for-service program. Five illustrative options show how differences in payment rates, cost sharing, […] Quote of the Day El-Sayed and Johnson: A citizen’s guide to Medicare for All February 16, 2021 By Abdul El-Sayed, M.D. and Micah Johnson, M.D. Sample excerpt: When analyzing how health reform proposals do (or do not) address these problems, it is also helpful to keep in mind the “active ingredients” of Medicare for All described in Chapter 3. To review the six key elements of M4A: Universal coverage. M4A guarantees health […] Quote of the Day Russell Mokhiber explains why private Medicare Advantage plans are a bad deal February 15, 2021 By Russell Mokhiber Corporate Crime Reporter, February 13, 2021 Carolyn Adessa worked for fifteen years as an art therapist for the Bronx Lebanon Hospital Center. When she retired in 2010, she went on traditional Medicare. But sometime in 2014 or 2015 her union, SEIU 1199, without her consent, switched her out of traditional Medicare. This […] Quote of the Day Beware out-of-network payments in Medicare Advantage February 12, 2021 By Austin Frakt and Tynan Friend The Incidental Economist, February 10, 2021 The complexity of Medicare Advantage (MA) physician networks has been well-documented, but the payment regulations that underlie these plans remain opaque, even to experts. If an MA plan enrollee sees an out-of-network doctor, how much should she expect to pay? The answer, like […] Quote of the Day Public policy and health in the Trump era February 11, 2021 By Steffie Woolhandler and David Himmelstein, Co-chairs, with 31 other authors The Lancet Commissions, February 11, 2021 Executive Summary (Short Version) Convened shortly after President Trump’s inauguration in 2017, the Lancet Commission on public policy and health in the Trump era offers the first comprehensive assessment of the detrimental legislation and executive actions during Trump’s […] Quote of the Day Broad Coalition of Health Industry Groups Calls for Obamacare Expansion February 10, 2021 By Reed Abelson The New York Times, February 10, 2021 In an unusual display of unity, groups representing nearly all the major players in the American health care system — hospitals, doctors, insurance companies and employers — are joining forces to urge Congress to embrace President Biden’s broad vision of building on the Affordable Care […] Quote of the Day Private insurers cannot simply adopt Medicare efficiencies February 9, 2021 By Robert P. Kocher, M.D. JAMA, February 2, 2021 The US health care system is famous for its expense and its waste. The US health care system is administratively complex by design. Inherently, a multipayer system offering many variations of benefits, paying for care in a fragmented delivery system, and using a multitude of different […] Quote of the Day Cost-Sharing Causes Death February 8, 2021 By Amitabh Chandra, Evan Flack, and Ziad Obermeyer National Bureau of Economic Research, February 2021 Abstract We use the design of Medicare’s prescription drug benefit program to demonstrate three facts about the health consequences of cost-sharing. First, we show that an as-if-random increase of 33.6% in out-of-pocket price (11.0 percentage points (p.p.) change in coinsurance, […] Quote of the Day Posts pagination Newer 1 … 6 7 8 9 10 … 54 Older