Category: The Commonwealth Fund

A Vote Expanded Medicaid in Maine. The Governor Is Ignoring It.

Ignoring the binding vote, Gov. Paul LePage has refused to expand the program, blasting it as a needless, budget-busting form of welfare. He vetoed five expansion bills before the issue made the ballot, plus a spending bill this month that provided abo…

Déjà Voodoo: Pharma’s Promises to Curb Drug Prices Have Been Heard Before

Prescription drug prices were soaring. Angry policymakers swore they’d take action. Pharma giant Merck responded by promising to address the problem voluntarily, vowing to keep price increases under the overall rate of inflation. “We believe these mode…

Health Care Industry Branches into Fresh Meals, Rides to Gym

Health care is shifting in a fundamental way for millions of Americans. Some insurers are paying for rides to fitness centers and checking in with customers to help ward off loneliness. Hospital networks are hiring more workers to visit people at home …

Trump Administration, in Reversal, Will Resume Risk Payments to Health Insurers

The Trump administration, in an abrupt reversal, said Tuesday that it would restart a program that pays billions of dollars to insurers to stabilize health insurance markets under the Affordable Care Act (ACA). The administration suspended the program …

Meet the Rebate, the New Villain of High Drug Prices

An increasingly popular culprit in the debate over high drug prices is the pharmaceutical rebate, the after-the-fact discounts that form the heart of the nation’s arcane — many would say broken — market for prescription drugs. Now, a growing chorus wan…

Market Concentration Variation of Health Care Providers and Health Insurers in the United States

Over the past several decades in the United States, more and more health care providers and health insurers have consolidated, increasing their market power. Highly concentrated markets have contributed to the growth in U.S. health care spending becaus…

Testing Medicare’s Bundled Payments for Chronic Medical Conditions

Medicare is testing new ways to encourage providers to keep down costs, improve quality of care, and increase accountability. One program, the Bundled Payments for Care Improvement (BPCI) initiative, pays participating hospitals not for each service th…

Proposed CREATES Amendment Could Impede Availability of Affordable Generic Drugs

Last month, legislation intended to help remove barriers preventing generic drugmakers from bringing affordable medicines to market cleared an important hurdle when the Senate Judiciary Committee passed the CREATES (Creating and Restoring Equal Access …

State Actions to Safeguard Consumers in the Individual Health Insurance Market

Recent developments in Congress and actions by the Trump administration are likely to make it harder for individuals — particularly those who aren’t in perfect health — to afford adequate health coverage. But as Justin Giovannelli, Kevin Lucia, and Sab…

Examining Supreme Court Nominee Kavanaugh’s Health Care Opinions

Brett Kavanaugh, President Trump’s Supreme Court nominee, has served on the Court of Appeals for the District of Columbia Circuit for over a decade. Writing on To the Point, Timothy S. Jost of the Washington and Lee University School of Law analyzes Ju…