Health Care Cost Current Topics

Medicare Spending and Physician Reimbursement
With Congress again under pressure to pass a short-term “Doc Fix” to avert cuts to physician reimbursements in Medicare, there is renewed interest in broader reforms to overhaul the way Medicare pays providers and controls spending.

  • A RWJF/Health Affairs brief examines various proposals for revamping the Medicare payment system and their possible effects on federal spending and on health care providers.
  • An Urban Institute brief provides a status report on the Center for Medicare and Medicaid Innovation, established by the ACA primarily to test new payment and delivery models.
  • An RWJF/Health Affairs brief explores the Independent Payment Advisory Board (IPAB), a new executive-branch entity created by the ACA that will have significant authority to curb rising Medicare spending.
Controlling Health Care Costs
A variety of recent reports examine proposals to reduce health care costs -- from limiting Medigap policies to improving care for dual eligibles to promoting consumer action.
  • A Health Affairs/RWJF brief examines whether limits on Medigap policies would lower Medicare spending.
  • A September Urban Institute brief looks at how Medicare could improve quality and reduce costs for dual eligibles.
  • A Dartmouth Atlas report finds hospitals have wide room for improvement in readmissions. Avoidable readmissions cost an estimated $17 billion annually.
  • A new study shows that consumers drive cost reductions in consumer-directed health plans.

Medical errors in the United States cost about $17.1 billion in 2008.
Source:  Health Affairs

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