Open-Source Tools for Value Assessment

While many advancements have been made thus far in the progression toward value-based health care, there are persistent challenges in the measurement of value. In order to deliver value-based care, health care decision makers, eg, insurers and health system administrators, need value data at their fingertips—data that are relevant to their own context and reflect…

Is Medicare Advantage risk adjustment fair? And if not, what should we do about it?

While most patients in Medicare use the traditional fee-for-service route, a growing percentage of Medicare beneficiaries are relying on managed care plans through Medicare Advantage.  Medicare Advantage provides beneficiaries with additional choice and also serves as a competitive alternative to traditional Medicare.  In theory, Medicare should just allocate a beneficiary’s funding to a managed care…

Will Medicare Advantage be the future of Alternative Payment Models

CMS has focused in recent years on payment reform–especially alternative payment models–in Medicare’s fee-for-service (FFS) reimbursement system, but much less has been paid to beneficiaries enrolled in Medicare’s managed care program (i.e., Medicare Advantage).  Currently, however, more than 1 in 3 beneficiaries are enrolled in an Medicare Advantage plan, and by 2028 that number could…

Friday Links

Who has more scientific publications: the U.S. or China? Is digital health a social science? How do U.S. healthcare prices compare to the rest of the world? Does continuing medical education work? What is the cost of defensive medicine fears? What does an effective lobbyist look like?

Midsummer Night’s Health Wonk Review

Hank Stern has posted A Midsummer Night’s Health Wonk Review at InsureBlog.   The HWR reviews the latest and greats posts from the health wonk-o-sphere.  In this edition, you can learn about Association Health Plans, the pros and cons of a number of mega-mergers in the health sector, and the effect of GOP plans to end Obamacare, among others.…