Health Care

The Sequester’s Impact on Health Reform

The Murray-Ryan budget deal would mitigate some of the 2014 and 2015 sequester, but it actually still leaves the sequester’s cuts to mandatory programs entirely in place, including those to parts of the Affordable Care Act (ACA). While the subsidies to help people afford health insurance premiums at the core of the law are exempt from sequestration because they are structured as individual tax credits, little has been written about the other important aspects of the ACA that are still set to be sequestered.

3-Month SGR Fix Proposed

With the end of the year fast-approaching and the looming prospect of a 24 percent cut to Medicare physician payments on January 1, the House of Representatives has introduced a bill to delay the Sustainable Growth Rate (SGR) mechanism through the end of March.

Why Do Doctors Choose a $2,000 Drug Over a $50 One? $117

A good piece in the Washington Post over the weekend takes a look at why Medicare physicians continue to use an expensive drug to help prevent blindness when what appears to be an equally-effective drug is available for a fraction of the price.

According to the article, Lucentis costs Medicare about $2,000 per injection. Avastin costs only around $50.

Health Care's Black Friday Sale

Earlier this year, we discussed how the prospects for a permanent fix to the Sustainable Growth Rate formula had improved given CBO's dramatic reduction in its estimate of the cost of a fix.

Will ACA’s Uncompensated Care Payment Reductions be Made Permanent?

Among the proposals that the budget committee is rumored to be considering to replace a small part of the sequester is an extension of a reduction in Medicaid payments to hospitals that serve a high number of low-income patients to help offset uncompensated care costs.

CBO Director Examines Drivers of Health Care Spending Growth

As the conferees met yesterday, any doubt that we can afford to wait on the long-term debt problem should have quickly been erased after CBO Director Doug Elmendorf's testimony to the conference committee. While the budget outlook has improved somewhat in the short term, little progress has been made on the long-term problem. And fixing the long term will likely require greater reforms to entitlement programs and the tax code.

An Insurance Conglomerate with a Shrinking Government on the Side, in Three Graphs

It's no secret that a significant portion of the federal budget is devoted to our national defense and insurance programs like Social Security, Medicare, and Medicaid. As Ezra Klein wrote almost three years ago, the federal government can be thought of as essentially "an insurance conglomerate protected by a large, standing army." But the army's getting smaller too.

SGR Discussion Draft Coming Together

The Senate Finance and House Ways & Means Committees, last week, released a bipartisan, bicameral discussion draft of a proposal to permanently replace Medicare’s sustainable growth rate (SGR) formula, which is set to cut physician payments by nearly 25 percent next year.

SSA Announces New COLA

Yesterday, the Social Security Administration announced that beneficiaries will be receiving a 1.5 percent Cost-of-Living Adjustment (COLA) this year. Although this update is below the 1.7 percent increase provided this year and the 3.6 percent increase provided for 2012, it is reflective of the relatively low inflation experienced over the past year.

Daschle: Now's the Time for Entitlement Reform

In an op-ed in POLITICO yesterday, former Senate Majority Leader Tom Daschle argued that the upcoming conference committee was the perfect time to enact entitlement reforms. While conventional wisdom has suggested that a bigger deal involving reforms may seem to be elusive, Daschle suggested that there is more agreement between the two parties than meets the eye.

There are two major reasons why this decision makes sense now.

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