Politics and policy

Insight into federal and state health care legislation & CMS regulation

Vox populi
Polls and surveys this year (most significantly a Kaiser Family Foundation (KFF) poll in January) have found that Americans like the idea of Medicare for all. But tell them that it would mean giving up on employer-sponsored health insurance—as some Medicare-for-all plans propose doing—and those…
Deborah D. Gordon
For Medicare for all to truly work for all Americans it must do more than provide uniform, basic insurance. In health care, as in fashion, consumers need different options. To truly reform health care, solutions must allow customization and consumer choice.
Legislation & Regulation
Richard Mark Kirkner
It is supposed to keep physicians from unduly profiting from referrals. But CMS Administrator Seema Verma and others see the Stark Law as an obstacle to ACOs and value-based care.
Richard Mark Kirkner
Groups fighting the disease are counting on people in health care’s ‘deep state’ to deliver on the commitment to end the occurrence of new cases of HIV/AIDS by 2030.
Legislation & Regulation
Richard Mark Kirkner
But critics of the Center for Medicare and Medicaid Innovation see too much power and money accruing to the ACA-created skunkworks.
News & Commentary
Even as the health insurance industry comes under increasing political fire (Medicare for All, anyone?), it continues to lure beneficiaries into Medicare Advantage, with 2019 looking to be the best year ever for the program. Of course, as has been noted, MA plans may have an unfair advantage over traditional…
Jan Greene
In another international comparison, the health status of American women lags behind that of women in other developed countries.
Cover Story
Timothy Kelley
Is MA a ripoff of taxpayers, a godsend for integrated, cost-effective care, or somehow both? You can’t take a stand on this question from 30,000 feet. So let us guide you through the valley of details.