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Editorial: Think big on healthcare finance reform

Editorial: Think big on healthcare finance reform

By Merrill Goozner  |  July 25, 2015

The United States finances healthcare through a confusing hodgepodge of payment programs that send distorted signals to employers, insurers, providers and the general public.

Editorial: When it comes to care, there's no place like home

Editorial: When it comes to care, there's no place like home

By Merrill Goozner  |  July 18, 2015

Most senior citizens will fight fiercely to remain in their own homes, often well beyond their physical or even mental capacity to take care of themselves. A recent ACA-initiated demonstration program suggests there may be savings for Medicare if that's where seniors receive care.

Editorial: Save AHRQ; spend more on delivery system R&D

Editorial: Save AHRQ; spend more on delivery system R&D

By Merrill Goozner  |  July 04, 2015

For decades, the nation has poured hundreds of billions of dollars into basic and applied science to devise cures for diseases. But investing in research and development for new and better ways of delivering care in hospitals and physician offices remains a stepchild in Washington.

Editorial: The ACA's new political landscape

Editorial: The ACA's new political landscape

By Merrill Goozner  |  June 27, 2015

The healthcare industry heaved a collective sigh of relief last week after the U.S. Supreme Court upheld insurance subsidies in states using federally run exchanges. The 6-3 decision effectively puts an end to legal challenges to the Affordable Care Act.

Editorial: New approaches to community benefit needed

Editorial: New approaches to community benefit needed

By Merrill Goozner  |  June 20, 2015

Every once in a while, a study comes along that reminds us that a majority of the institutions we cover at Modern Healthcare are not-for-profits operating under government charters that absolve them from paying federal, state and local taxes.

Pharma's spring offensive

Pharma's spring offensive

By Merrill Goozner  |  June 13, 2015

During an off-year legislative season when most of the public's attention is already focused on who will succeed Obama in the White House, the pharmaceutical industry is closing in on a set of legislative triumphs that threaten to undermine healthcare affordability for years to come.

No calm before the storm

No calm before the storm

By Merrill Goozner  |  June 13, 2015

The skirmishing ahead of the U.S. Supreme Court's King v. Burwell decision suggests we are in for a period of prolonged political turbulence should the high court strike down premium subsidies in the 34 states using the federally run exchanges.

Competition's self-destructive side

Competition's self-destructive side

By Harris Meyer  |  June 06, 2015

Gotcha. That seems to be the game healthcare providers and insurers are playing with consumers when it comes to surprise out-of-network bills. But it's not a promising business strategy. And it threatens to undermine support for the healthcare system's emerging consumer-choice/narrow-network model.

Medicaid's enduring pay problem

Medicaid's enduring pay problem

By Merrill Goozner  |  May 30, 2015

The federal government's proposed new regulations for Medicaid managed-care plans include the pledge that the program's beneficiaries will have adequate access to a doctor when they need one. When have Medicaid beneficiaries ever had adequate access to doctors, especially specialists or dentists?

The 21st Century Cures Act ignores value

The 21st Century Cures Act ignores value

By Merrill Goozner  |  May 23, 2015

As Congress barrels toward passage of the 21st Century Cures Act, it has failed to ask a crucial question: Will it help or harm the nation's drive to derive greater value from its healthcare dollars?

Accountable care's rocky road

Accountable care's rocky road

By Merrill Goozner  |  May 09, 2015

Medicare's 32 Pioneer accountable care organizations posted mixed results after two years, revealing once again that making money from care coordination is proving a heavy lift for most provider organizations.

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