It won’t make the headlines, but Congress was hard at work this week producing health reform legislation around ideas that have bi-partisan support and which actually could become law. But that apparently is not Speaker Pelosi’s goal. Pelosi strong-armed her drug pricing bill, H.R. 3, through the House yesterday, with unanimous Democratic support and two Republican defections (Reps. … [Read more...] about Politics Prevail Over Solutions To Drug Pricing
Hot topics: Drug prices and surprise bills
Amidst the deluge of impeachment coverage, Speaker Pelosi has announced she will be bringing her aggressive prescription drug pricing bill to a vote in the House on Wednesday. The bill would impose destructive price controls on medicines, levy crushing taxes of 95% on sales if companies that don’t play along, and extend the price controls to private plans. The Council … [Read more...] about Hot topics: Drug prices and surprise bills
A Targeted Approach to Surprise Medical Billing
New Paper By Badger & Blase Surprise medical bills are a source of frustration for many Americans, and legislation to address the problem appeared to be on a fast track early in the year. But action has since slowed, primarily due to a stand-off between the two powerful interest groups that often benefit from surprise medical bills: providers and insurers. Complicating this … [Read more...] about A Targeted Approach to Surprise Medical Billing
New York City is a hot spot for illegal Medicaid enrollment
New York state is grappling with a Medicaid shortfall in the billions of dollars. And one of the main reasons is improper enrollment. Using annual information from the Census Bureau to assess the demographic make-up of Medicaid enrollees over time, researcher Aaron Yelowitz and I estimated that 2.3 million to 3.3 million Medicaid enrollees nationally make an income in excess of what is … [Read more...] about New York City is a hot spot for illegal Medicaid enrollment
The ACA’s Medicaid Expansion: A Review of Ineligible Enrollees and Improper Payments
Enrollment in Medicaid has been much higher than expected in expansion states, significant errors and problems permeate state eligibility determinations, and many enrollees are ineligible, Blase and Yelowitz explain in a detailed analysis of the ACA’s Medicaid expansion. States are responsible for monitoring who enrolls in Medicaid, but the federal government foots … [Read more...] about The ACA’s Medicaid Expansion: A Review of Ineligible Enrollees and Improper Payments