Unbiased Analysis of Today's Healthcare Issues
In 2011, CMS created a demonstration to have competitive bidding for durable medical equipment (DME). Prior to the implementation of this program, CMS used an administrative fee schedule, similar to how physicians are currently reimbursed. How did this market-based solution fare? A paper by Newman, Barrette, and McGraves-Lloyd (2017) answers this question. We compared…
While we are waiting for the King v. Burwell verdict, which could repeal large sections of Obamacare, the house of representatives has already approved rolling back some ACA provisions. Modern Healthcare reports: Lawmakers postponed final passage of the proposed Protecting Seniors’ Access to Medicare Act despite a majority voting in favor of the bill. The…
How do public payers set device reimbursement in the U.S. and Europe? A Health Affairs article by Sorenson, Drummond and Burns answers this question. Compared to the United States, Europe more formally and consistently considers value to determine which technologies to cover and at what price, especially for complex, costly devices. Both the United States and Europe have…