The CBO Bludgeon

A Sliver of Savings from Per Capita Allocations

The dire effects some ascribe to normalizing the FMAP and limiting federal Medicaid spending through per capita allocations are not supported by data, according to a new analysis by Doug Badger updated to reflect new CMS data.

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The CBO Bludgeon

The CBO Bludgeon

CBO is detached from reality in its analysis of the House health reform bill.

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MACRA: Burden of Proof Continues

MACRA: Burden of Proof Continues

Physicians face significant challenges in complying with a complex barrage of new federal payment rules for Medicare that threaten the survival of private medical practices and could compromise the quality of patient care.

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CBO Is Wrong And Its Numbers Shouldn’t Deter Needed Reform

The Congressional Budget Office (CBO) launched its latest mistaken Obamacare-related estimate this week, predicting that a House-passed bill to repeal and replace the embattled law would lead to 23 million more uninsured people by 2026. Although CBO itself acknowledges that this latest prediction is “especially uncertain,” one thing is especially certain: CBO is wrong. We […]

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More and better information can enhance patient care

With Congress intensely focused on big decisions involving health reform legislation, it’s easy to miss other initiatives that are quietly moving through Congress which could make a major contribution to achieving the goals of health reform One example is a measure offered by Rep. Morgan Griffith (R-VA) that would open the lines of communication between […]

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New Taxes Won’t Lower Drug Prices

Prescription drug prices continue to be a hot political issue, with the Trump administration preparing to release an action plan as soon as repeal and replace legislation clears Congress. Mick Mulvaney, who heads the White House budget office and is participating in the talks, floated an idea last week that should quickly be crossed off […]

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Medicaid Per Capita Caps: When Democrats Supported and Republicans Opposed Them, 1995–1997

by Doug Badger ABSTRACT: Congressional Republicans have called for restructuring Medicaid, reviving a debate that has largely remained dormant for two decades. During the mid-1990s, Congress and President Clinton advanced competing Medicaid reform proposals. Republicans urged that the federal government issue Medicaid block grants to states. The White House and congressional Democrats proposed instead to […]

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