News

Unraveled: Prescriptions to Repair a Broken Health Care System

A book review by Kevin Mowll, Executive Director, The RISE Association Drs. Willam Weeks and James Weinstein authored a book whose stories come straight from the office practice histories of two seasoned and concerned physicians. The anecdotes serve to make concrete the doctors’ illustrations of what is currently wrong with the U.S. healthcare system. These stories anchor the analysis and recommendations in human and empathetic terms, making it clear what gets lost in “wonkish” policy debates, and instead, bring it down to real people: patients, families, doctors, and caregivers. In this story-telling mode, nothing is lost in the acute description of the malfunctioning system, outdated incentives, perverse outcomes, and holistic view of what needs to be done to put things back on track. The insights captured in this book were acquired at a high personal cost. In some cases, the painful experiences were borne by the authors themselves. Yet their eyes remained focused on arriving at powerful diagnoses of the systemic ... Read More

 

Getting It Right: True North in Healthcare Reform

The movement to repeal and replace "ObamaCare" created so much political noise that clear thinking has been hard to come by. The 2010 legislation that created the marketplace for individuals and small business (the Affordable Care Act or ACA), has almost evolved into a political Rorschach test. The more that politicized options and alternatives to repealing, replacing, or repairing it were discussed, the harder it was to put into focus the original problems the legislation was designed to address. Nevertheless, the rancorous divisions over what needs to happen to fix problems in the individual insurance market remain a distraction from the real issue at hand: the cost of healthcare weighing down the economy and what we need to do to fix it. With all the intense debates swirling around this topic, an impression emerges that “solving the ObamaCare issues” is something that must be accomplished as an isolated matter, discrete and independent of other problems. The heated debates concentrate on the mechanics and tactics required to solve the "uninsured problem", the "under-insured problem", and for some, the federal budget problems created by the subsidies for low-income enrollees in these plans. This single-issue mono-vision obscures a reality that must be addressed. This perspective completely misses the fact that something is going on that is far more corrosive to the wellbeing of all of us as consumers of health care, as taxpayers, and as a nation: something that overshadows the tug ‘o war over ObamaCare. The critical and overlooked issue is that health care expenditures in the U.S are at least twice as expensive as other nations, which consume so much of the national economy... Read More

 

Repealing Obamacare Isn't Top Priority for Americans

House Republicans plan to hold a vote today on the Trump administration's plan to repeal and replace Obamacare (ACA). Having apparently won the support of more senators, House Majority Leader Kevin McCarthy was confident they now had the 216 yes votes required to pass the bill, saying: "Do we have the votes? Yes. Will we pass it? Yes.” Although a win for the Republicans here would be seen a great triumph for President Trump - delivering on one of his campaign's main promises - recent figures from the Kaiser Family Foundation suggest that for the American public, repealing the ACA isn't actually such a high priority. When asked how they would rate a number of health care issues in terms of importance, the most pressing matter for respondents was revealed to be 'lowering the amount individuals pay'. As the infographic below shows, in comparison to the 63 percent of respondents in support of putting lower personal costs at the top of Trump's health care agenda, repealing Obamacare is seen as being far less important, with a total of 32 percent. This chart shows the health care issues the U.S. public think President Trump should prioritise.... Read More

 

Repeal the ACA? Not So Easy to Do

Here is an interactive article posted by the New York Times on December 3, 2016. It does a nice job of succintly telling the story with visual, interactive cards. It begins... Republicans plan to repeal much of the Affordable Care Act, sometimes referred to as Obamacare. But the law’s parts are interdependent, and removing some aspects while keeping others will be very difficult.... Read More

 

Has Healthcare Reform Failed?

October 25, 2016 By Kevin Mowll, Executive Director, The RISE Association News articles announce retreats of large insurance companies from the public health insurance exchange markets, leaving many geographic areas served by only one insurance company option, and ask whether "Obamacare" is coming unraveled. Other postings point to the financial losses that these companies have suffered.... Read More

 

CMS Innovations Website

The Innovation Center develops new payment and service delivery models in accordance with the requirements of section 1115A of the Social Security Act. Additionally, Congress has defined – both through the Affordable Care Act and previous legislation – a number of specific demonstrations to be conducted by CMS.... Read More

 

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Unraveled: Prescriptions to Repair a Broken Health Care System

A book review by Kevin Mowll, Executive Director, The RISE Association Drs. Willam Weeks and James Weinstein authored a book whose stories come straight from the office practice histories of two seasoned and concerned physicians. The anecdotes serve to make concrete the doctors’ illustrations of what is currently wrong with the U.S. healthcare system. These stories anchor the analysis and recommendations in human and empathetic terms, making it clear what gets lost in “wonkish” policy debates, and instead, bring it down to real people: patients, families, doctors, and caregivers. In this story-telling mode, nothing is lost in the acute description of the malfunctioning system, outdated incentives, perverse outcomes, and holistic view of what needs to be done to put things back on track. The insights captured in this book were acquired at a high personal cost. In some cases, the painful experiences were borne by the authors themselves. Yet their eyes remained focused on arriving at powerful diagnoses of the systemic ...
Read More

Getting It Right: True North in Healthcare Reform

The movement to repeal and replace "ObamaCare" created so much political noise that clear thinking has been hard to come by. The 2010 legislation that created the marketplace for individuals and small business (the Affordable Care Act or ACA), has almost evolved into a political Rorschach test. The more that politicized options and alternatives to repealing, replacing, or repairing it were discussed, the harder it was to put into focus the original problems the legislation was designed to address. Nevertheless, the rancorous divisions over what needs to happen to fix problems in the individual insurance market remain a distraction from the real issue at hand: the cost of healthcare weighing down the economy and what we need to do to fix it. With all the intense debates swirling around this topic, an impression emerges that “solving the ObamaCare issues” is something that must be accomplished as an isolated matter, discrete and independent of other problems. The heated debates concentrate on the mechanics and tactics required to solve the "uninsured problem", the "under-insured problem", and for some, the federal budget problems created by the subsidies for low-income enrollees in these plans. This single-issue mono-vision obscures a reality that must be addressed. This perspective completely misses the fact that something is going on that is far more corrosive to the wellbeing of all of us as consumers of health care, as taxpayers, and as a nation: something that overshadows the tug ‘o war over ObamaCare. The critical and overlooked issue is that health care expenditures in the U.S are at least twice as expensive as other nations, which consume so much of the national economy...
Read More

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