Our Latest Thinking
We are constantly scanning the health care market for new and interesting developments; then we write about them here. Check out our latest thinking.
Implications of the 2018 Midterm Elections
Health care was a central issue in this year’s midterm elections. In the days after the election, many have speculated on what the results mean for U.S. health care policy. Since the Republicans maintained control of the Senate, while the Democrats took control of the House, some see the next two years as a time […]Read More >
The Future of Medicare Telehealth Coverage: CBO Hesitates, Congress Inches Forward
As telehealth gains traction as a way to deliver health care, Medicare reimbursement remains a major obstacle to broad implementation due in part to scoring methodology from the Congressional Budget Office (CBO). Rather than decreasing health care costs, CBO’s scoring methodology assumes that telehealth increases utilization and therefore overall costs. Recent legislation on the Hill, […]Read More >
Overview, Impact & Strategic Considerations of the Quality Payment Program
In April 2015, Congress enacted a law that alters the method by which physicians and other health care providers are paid for Medicare Part B services.Read More >
State-Based Health Care Innovation: What Flexibility Exists Under Section 1115 and 1332 Waiver Opportunities?
While a significant amount of uncertainty surrounding the content and timing of a replacement still exists, some Congressional leaders have reached out to states to explore options that would encourage innovative health care solutions at the state level.Read More >
State Innovation Waivers, the Next Wave of Health Care Reform?
One potential ACA replacement strategy could include punting health care reform to the states. The incoming administration could accomplish this is by significantly relaxing the 1332 innovation waiver requirements.Read More >
MACRA: Quality Incentives, Provider Considerations, and the Path Forward
In April 2015, a divided Congress almost unanimously passed a landmark law that will permanently change the way physicians and other health care providers are paid for Medicare services. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the sustainable growth rate formula with physician payments tied to quality.Read More >
King vs. Burwell Contingency Planning: A Framework for Governors and State Legislators to Consider
This analysis provides four options available to governors and state legislators in the event that Congress and the administration do not succeed in a legislative remedy.Read More >