Author Jim Kahn Frequently asked questions. 81 items HJM with the US Political Shift November 13, 2024 HJM is refining its mission in light of political realignment in the U.S. Half Measures Won’t Cure Health Insurance October 23, 2024 Two prominent health economists get the health insurance story half right: cost-sharing doesn’t control system costs and harms patients. But they miss the lesson that “very basic” coverage lacks a functional real-world version … what actually works (for equity, effectiveness, & efficiency) is universal comprehensive coverage. Medicare Advantage Plans Protect High Profit Scams October 10, 2024 Medicare Advantage is a cash cow for insurers, and they know how to milk the system: boost profits via overcharge schemes, block government regulation, and when push comes to shove, abandon costly insurance markets. Twenty Years of Failing Health System Report Cards September 24, 2024 Since 2004, the Commonwealth Fund has done annual comparisons of health system performance among wealthy nations. The US consistently underperforms the others, and 2024 extends the streak: we are the worst, by a wide margin. Replacing our massively dysfunctional insurance morass is long overdue. Health Policy Issues in the Presidential Race September 13, 2024 Donald Trump would replace the ACA, he says, but with what? His past proposals suggest ACA and Medicaid tightening. Kamala Harris would strengthen the ACA, she says, and limit out-of-pocket drug costs in Medicare and beyond. Neither supports single payer. Incredible (Terrible) Shrinking Physician Supply September 7, 2024 Waiting times for physician appointments are growing. The immediate cause is contraction of the physician workforce. The root cause is clinician burnout, in large part due to fragmented insurance and resulting make-work inefficiencies. Single payer will help. The Pursuit of Single Payer: Toppling, or Tipping Point? August 26, 2024 November 2024 is thirty years after we lost California’s single payer ballot initiative. I look back at what has happened since, and see promise ahead. Project 2025 Health Policy Critique Redux August 15, 2024 Today I recap three recent HJM detailed critiques of Project 2025 health policy proposals. The goal is to provide maximally digestible and clarifying responses to this deeply problematic but often obscure agenda. There remains a fair amount of technical content. So, if you prefer, here’s a high-level summary: The Project 2025 health policy roadmap is designed to increase the role of for-profit insurers, place a greater burden on individuals to pay for care, and cut public funding for health care for the poor, seniors, and the disabled. This will mean more medical debt and bankruptcies, less access to care, and worse health. The plan also targets abortion access, even where legal. Or, more succinctly, perhaps social-media ready: Project 2025 will weaken Medicare for seniors and people with disabilities, Medicaid for the poor, and private insurance for everyone. Insurance companies will do just fine, with a big boost to profits. Not-for-Profit Care Begets Profits July 29, 2024 In our profit-permeated health care system, even charitable care often covers for raking in massive profits and exorbitant CEO salaries. Three Crumbling Health Insurance Pillars July 19, 2024 Three recent stories remind us that fundamental pillars of successful health insurance – affordability, provider payment, and use of resources for care – are egregiously failing. Posts pagination 1 2 3 … 9 Older
