Author's posts
Mitigating the Risks of Medicaid Work Requirements
In January 2018, the Centers for Medicare and Medicaid Services (CMS) issued a letter to state Medicaid directors “to assist states in their efforts to improve Medicaid enrollee health and well-being through incentivizing work and community engagement….
A New Threat to Immigrants’ Health — The Public-Charge Rule
The United States is making major changes to its immigration policies that are spilling over into health policy. In one such change, the Trump administration is drafting a rule on “public charges” that could have important consequences for access to me…
Self-Insured Employers — The Payment-Reform Wild Card
Each year, U.S. health care becomes less affordable. Medicare and Medicaid account for an ever-increasing share of the federal budget, commercial premiums continue to rise, and consumers pay higher copayments and deductibles. We cannot solve this spend…
The Republican War on Obamacare — What Has It Achieved?
For nearly a decade, Republicans have opposed the Affordable Care Act (ACA). They have fought Obamacare in Congress, the courts, and the states and, since 2017, from the White House. Given the scope, intensity, and duration of this campaign, it is wort…
Protecting Mothers and Babies — A Delicate Balancing Act
More than 50 years ago, an epidemic of serious birth defects caused by prenatal exposure to thalidomide shattered the prevailing notion that the placenta served as a barrier against damaging influences and led to recognition that exposures during pregn…
The Inevitable Math behind Entitlement Reform
The projected growth in Medicare and Medicaid spending, which exceeds projected aggregate economic growth, is pushing policymakers to seriously consider further entitlement reform. At some point, Americans will probably be unwilling to pay higher taxes…
Evaluation of Medicare’s Bundled Payments Initiative for Medical Conditions
Episode-based payment holds promise for improving the quality and efficiency of care. The Center for Medicare and Medicaid Innovation (CMMI) launched the Bundled Payments for Care Improvement (BPCI) initiative in 2013. BPCI is a voluntary program, and …
A Remembrance of Life before Roe v. Wade
We chatted as the dialysis shift began. She was a young nursing student whose name and face I still remember five decades later, but I will just call her “Jane Roe.” She was from the Virgin Islands and had come to New York for nursing school. She was n…
Parenteral Opioid Shortage — Treating Pain during the Opioid-Overdose Epidemic
The opioid-overdose epidemic now causes more than 30,000 deaths per year in the United States. In response to the increasing death toll, many measures have recently been implemented, including reclassification of hydrocodone as a Schedule II opioid and…
Radical Changes for Reproductive Health Care — Proposed Regulations for Title X
On June 1, 2018, the Department of Health and Human Services (HHS) proposed new regulations for the Title X Family Planning Program. If enacted, these regulations will radically alter the mix of health care providers and the range, quality, and effecti…
