Candidates Debate Healthcare Reform

Once again, healthcare reform is at the forefront of the U.S. political debate. CNN allotted healthcare the lead-off spot and 22 minutes on both nights of its Democratic Presidential Debates this week, more than for any other issue. Senator Cory Booker (D-NJ) perhaps best captured the key challenge -- unsustainable costs: In the United States … Continue reading Candidates Debate Healthcare Reform

Healthcare Reform: Where to Start?

Fixing U.S. Healthcare blog has made the case for reform that reins in spending in the whole system. But where possibly to start on such a massive undertaking?  Here are four ideas. Klein’s “Muddling incrementalism” Redefining Price’s “essential benefits” using Oregon-style cost-benefit analysis Rosenthal’s “Salami strategy” Emanuel’s “low-hanging fruit” Let’s look at each one. Idea #1:  … Continue reading Healthcare Reform: Where to Start?

New Data from AMA Journal Rekindles Calls for Healthcare Reform

The Journal of the AMA (JAMA) on March 21 released the most comprehensive study to date on U.S. healthcare spending. It confirms that Americans are spending too much, and getting too little. But it also gives us some new insights on what’s driving up costs. The study has been widely reported in mainstream media – … Continue reading New Data from AMA Journal Rekindles Calls for Healthcare Reform

Value-Based Care Conundrum for Reforming U.S. Healthcare – A Response

Healthcare Attorney Matt Fisher has recently described the “Cost Conundrum of Value-Based Care.” He provides a sober reality check for public and private healthcare sectors as well as healthcare investors. Question: Could cost-benefit analysis better achieve the same goal as value-based payment by attacking the cost problem more directly head on? Value-Based Payment Bandwagon As Attorney … Continue reading Value-Based Care Conundrum for Reforming U.S. Healthcare – A Response

FAQ: Could a Healthcare Reform Plan Designed for a Single State Work at a National Level?

Could an approach used 23 years ago by a single state, targeted only at its Medicaid program, be applied on a national scale for reforming the vast U.S. healthcare system? The answer is Yes. Oregon in 1994 decided to cut services instead of cutting patients in response to a Medicaid budget squeeze. The governor used … Continue reading FAQ: Could a Healthcare Reform Plan Designed for a Single State Work at a National Level?