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Medicare

The policy landscape is changing, so understanding Medicare reform is essential for Medicare providers. New initiatives such as the Medicare shared savings program promise gains for patients and organizations. How can we make it all work?

NEJM Catalyst single-payer survey results

New Marketplace

Why Clinicians Support Single-Payer — and Who Will Win and Lose

Single-payer health care is gaining adherents among physicians and other providers. But as-yet-undetermined details will matter greatly.

Illustrative Examples of Health Policies, Possible Goals, and Relevant Evidence Base

New Marketplace

Evidence-Based Health Policy

Having a clear framework for characterizing what is, and isn’t, evidence-based health policy is a prerequisite for a rational approach to making policy choices.

Leadership

Small Change, Big Consequences — Partial Medicaid Expansions under the ACA

The stakes are high in the debate over partial Medicaid expansions, with far-reaching consequences for patients, state governments, and the federal budget.

Single-Payer Health Care Is the Favored Outcome of Future Payment Reform

New Marketplace

Survey Snapshot: Deep Frustration with the Current Payment System

Many NEJM Catalyst Insights Council members are frustrated with the pace of value-based payments and expect single-payer health care to gain traction — though maybe not soon enough.

Payment Reform Is a Play We Are All Watching: Leemore Dafny Talk Still

New Marketplace

Payment Reform Is a Play We’re All Watching

We can’t get what we want in payment reform if we’re not clear about what that is.

Patrick Conway and David Cutler head shots

New Marketplace

The Highest Quality at a Lower Cost? We Don’t Have That Yet

David Cutler asks Patrick Conway what worked and what didn’t at CMS, advice he’d give to the Trump administration, and his predictions on Medicare and Medicaid.

Arkansas Blue Cross and Blue Shield Value-Based Compensation Model

New Marketplace

Changing Health Care Compensation by Rewarding Value-Based Outcomes

Fee-for-service compensation is unsustainable, but what is the solution? Arkansas Blue Cross and Blue Shield’s proactive new payment model reduces payment for low-value care and uses the savings to reward high-value care.

New Marketplace

Reframing the Conversation on Drug Pricing

We can’t afford for current trends to continue. There is only one solution.

New Marketplace

Paths to Value: The Act of Improvement versus the Habit of Excellence

Federal pay-for-performance models offer two paths to achieving value. The ultimate goal: rewarding the habit of performance excellence rather than one-time or random acts of performance improvement.

New Marketplace

The MACRA Final Rule: Five Crucial Questions Asked and Answered

MACRA could be bigger than Obamacare for physicians, yet many “barely know anything about it.”

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