Commentary

Opinion: Implementing State Insurance Exchange Requires Moving Quickly, Creatively

Friday, May 24th, 2013 By Governor C.L. Otter and Idaho Exchange Board Chairman Stephen Weeg
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The earnest debate that characterized the Idaho Legislature’s March approval of legislation creating the Idaho Health Insurance Exchange has shifted to intense preparation for meeting a critical deadline in early October.

Since being appointed April 10 to shepherd the process according to the new state law, the Exchange Board’s fast-track mission has been to create an online health insurance marketplace designed, driven and controlled by Idahoans to help our fellow citizens research and obtain affordable coverage that’s right for them.  The ambitious goal is to have the Internet marketplace ready by October for Idaho residents to begin enrolling to determine their eligibility for Medicaid or subsidies on insurance policies they can begin purchasing through the Exchange in January 2014. (more…)

Topher Spiro: Beware of Hysteria Over New Health-Insurance Rates

Tuesday, May 7th, 2013 by Erin Thurston
Center for American Progress

Bloomberg published the following op-ed from Topher Spiro, vice president for health policy at the Center for American Progress:

Last month, Maryland made public the premiums that health insurers want to charge next year under the Affordable Care Act, one of the first states to do so. Premiums for non-employer health-insurance coverage were eye-popping, with a proposed average increase of 25 percent. (more…)

The Challenge of Paying Hospitals Based on "Performance"

Monday, October 15th, 2012
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The Wall Street Journal has recently been making a considerable effort to shine a light on the challenges facing hospitals these days.  This story from a few weeks back caused a considerable amount of shock.  (more…)

WSJ: How to Stop Hospitals from Killing Us

Monday, September 24th, 2012
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This weekend’s Wall Street Journal had a powerful article written from a physician’s view on the problems with hospital care in today’s America. (more…)

The Challenge of Dealing with Medical Mistakes

Wednesday, September 5th, 2012
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The fact that my kiddos are starting school this week and my emotional response to that probably has a bit to do with my reaction to this.  That said, this short movie (15 minutes) is a powerful story of a family with two children with special needs, one of which is as a result of medical errors. (more…)

The Great Oversight of Risk Based Payments: Carrots and Sticks

Tuesday, August 28th, 2012
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“Aligning incentives with outcomes” is all the rage these days.  However, while the general concept has been around some time – years, actually, going back to previous efforts at reform – today’s policy discussion continues to miss some very important lessons from the past that undermine the success of future risk-based payments. (more…)

McKenna Needs to Engage In the Debate on Medicaid Expansion

Tuesday, July 31st, 2012
McKenna State of the State response

The Seattle Times conducted live chat sessions with both Rob McKenna and Jay Inslee last week.  Health care continued to be one of the headline issues discussed during both sessions.

McKenna addressed the central question of whether he would, as governor, promote the expansion of Medicaid in Washington State. (more…)

Canadian Healthcare: The Good and the Bad

Friday, July 27th, 2012
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Looking at various systems of care to learn how different systems do things is a high value exercise.  However, I’m reminded in reading this blog post this morning that it’s high value for two reasons: because you can learn how to do things better, and because you can see where you get high marks here at home. (more…)

Odds On The Supreme Court Decision

Wednesday, June 27th, 2012
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The crowd-sourced odds market at Intrade puts the likelihood of the Supreme Court overturning the individual mandate – either in whole or in part – at 76.5%, up .5% since the Court announced on Monday that it would convene once more on Thursday to deliver opinions.

Which got me to thinking about what odds I would give the Court’s decision this week.  And, with the knowledge that one should never listen to someone who predicts, I recall that it hasn’t stopped me before. (more…)

Why The Court Will Strike Down The Entire Affordable Care Act

Monday, June 25th, 2012
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Mainstream thinking on the Supreme Court has claimed that the Supreme Court will likely strike down part of the Affordable Care Act, but hold many parts of the law intact.  Few continue to publicly say that it is likely that the entire Act will remain in place.  Even fewer suggest that the Court will throw it all out. (more…)