One Expert Says Seniors Would Lose with Ryan’s Medicare Plan

The Republicans’ pledge to dismantle and eventually replace the Affordable Care Act has been getting considerable attention in the wake of President-elect Donald Trump’s victory over Hillary Clinton. But once the new GOP-controlled Congress takes action in January, there could be plenty more fireworks when Republican leaders turn their attention to Medicare, the popular but […]

The Final Rule

When I read the original MACRA rule that CMS published last April, I was appalled at its complexity, at CMS’s total disinterest in measuring “performance” accurately, and CMS’s willingness to hype the performance of ACOs and “medical homes” (the main prototypes for the “alternative payment models” [APMs] authorized by MACRA). I entertained the faint hope […]

Medicare and the Future of Retirement Security

President Bush’s failed effort to privatize part of the Social Security program received a lot of attention from the media during the first half of 2005. Congressional efforts to begin privatizing the Medicare program over the last ten years have received far less attention. This absence of media attention may be one of the reasons […]