The repeal process is underway – the Republican-controlled Congress got to work even before President-elect Donald Trump took office. Continue reading
The fourth open enrollment season of the Affordable Care Act – for coverage in 2017 – begins on Nov. 1.
Here are four key dates to remember: Continue reading
Hillary Clinton this week unveiled a comprehensive plan to reform how mental health care is delivered in this country. While it calls for addressing many of the most serious problems in the behavioral health care system, it could be hampered – at least initially – by a severe shortage of mental health professionals at all levels (map as of 2014).
To address that problem, the plan calls for increasing reimbursement for collaborative care (where mental health professionals work with medical providers) in Medicare and Medicaid Continue reading
The Urban Institute and the Catalyst for Payment Reform have collaborated on a series of briefs about various forms of health payment reform. Over the summer we’ll look at some that are receiving a lot of attention from policymakers and payers.
Let’s start with capitation. The recent Centers for Medicare & Medicaid Services (CMS) announcement about Comprehensive Primary Care Plus (CPC+) isn’t a switch to a fully capitated system. But this five-year model, scheduled to launch in January, does offer a degree of capitation, and moves further toward shifting more payments to a per-patient fee. Let’s look at what Urban/Catalyst says about the benefits and drawbacks of a capitated primary care payment system. Continue reading