Author Frequently asked questions. 531 items Posts pagination Newer 1 … 6 7 8 9 10 … 54 Older 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 Private Medicare Advantage plans continue to upcode for billions in extra payments February 5, 2021 By David J. Meyers, Ph.D., M.P.H.; Amal N. Trivedi, M.D., M.P.H. Medical Care, Official Journal of the Medical Care Section, American Public Health Association, February 2021 Abstract Background: In the Medicare Advantage (MA) program, private plans receive capitated payments that are adjusted based on their enrollees’ number and type of clinical conditions. Plans have the […] Quote of the Day Reining in health care costs February 4, 2021 By David Cutler, Ph.D. JAMA Health Forum, January 28, 2021 (Excerpts) From 2007 to 2019, the 2 most recent business cycle peaks, the growth of inflation-adjusted GDP per person averaged only 1.0% annually. That is down from 2.2% per year in the 1990s. An enormous share of this economic growth was taken by health care, […] Quote of the Day Clustering of out-of-pocket spending can produce financial hardship February 3, 2021 By Steven Chen, Paul R. Shafer, Stacie B. Dusetzina, and Michal Horný Health Affairs, February 2021 Abstract The distribution of out-of-pocket spending throughout the year is an important determinant of health care affordability that has received little attention. We used 2017 data from a large database of US commercial insurance claims to study the distribution […] Quote of the Day Posts pagination Newer 1 … 6 7 8 9 10 … 54 Older
