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.…

Health insurance is not enough

Having health insurance is great.  It largely protects people against financial losses that accrue when you become ill.  It provides coverage for medical services.  And improves patients health. Well, that last one is only true if health insurance allows you to access care.  When health insurance provider reimbursement is low as is the case for…