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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Far-Reaching Medicare Part B Changes Violate Separation Of Powers — And With CBO’s Blessing

Members of Congress expressed outrage at the Congressional Budget Office during a recent House hearing for assuming that sweeping, untested changes to Medicare will save $34 billion “even before you know what the project is,” Rep. Scott Garrett (R-NJ) said. “There is no cost-benefit analysis, there is no testing done, you don’t even know what […]

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Competition in Medicare Advantage, Part D, and “Extra Help”/ Working together for seniors and taxpayers

Seniors are beginning to get fliers in the mail alerting them to the upcoming open season for enrollment in Medicare Advantage and Medicare Part D prescription drug plans.  Both programs rely on competition and consumer choice to increase options and hold down costs for seniors.  Open season begins October 15 for those planning to enroll […]

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More Competition is the Best Cure

The most interesting thing about the PR disaster involving Mylan’s life-saving EpiPen is probably the least discussed—namely that drugs don’t cost what people think they do. Faced with a barrage of criticism for EpiPen price hikes, from about $100 in 2009 to more than $600 today, Mylan’s CEO Heather Bresch explains that her company gets less than […]

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Obamacare’s ‘Crown Jewel’ Loses Its Luster

Former Obama Administration official Donald Berwick once called the Center for Medicare and Medicaid Innovation (CMMI) “the jewel in the crown of health-care reform.” The metaphor is apt: CMMI, more than any other aspect of Obamacare, is an imperial enterprise. Congress established CMMI in the Obamacare statute with the goal of finding ways to reduce federal spending on medical […]

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