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.

Congress

Implications of the 2018 Midterm Elections

November 16th, 2018

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 […]

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The Future of Medicare Telehealth Coverage: CBO Hesitates, Congress Inches Forward

June 8th, 2017

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, […]

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Overview, Impact & Strategic Considerations of the Quality Payment Program

March 31st, 2017

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.

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State-Based Health Care Innovation: What Flexibility Exists Under Section 1115 and 1332 Waiver Opportunities?

January 31st, 2017

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.

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State Innovation Waivers, the Next Wave of Health Care Reform?

November 17th, 2016

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.

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MACRA: Quality Incentives, Provider Considerations, and the Path Forward

December 21st, 2015

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.

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King vs. Burwell Contingency Planning: A Framework for Governors and State Legislators to Consider

June 15th, 2015

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.

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