New Evidence Health Spending Is Growing Faster Again

Like Californians waiting for the record drought to lift, health-cost watchers like me have been waiting for health spending to begin to grow more rapidly again as the economy strengthens. It looks like that may now be beginning to occur. The U.S. Census Bureau has published new estimates of health spending based on their somewhat obscure but important Quarterly Services Survey. Analysis of the […]

Rebalancing Medicaid Long-Term Services And Supports

A new policy brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) examines the changed landscape of Medicaid long-term services and support (LTSS) spending 25 years after the passage of the Americans with Disabilities Act (ADA). In the past, most of that funding was earmarked for institutional care. That has now shifted to home […]

MACRA: New Opportunities For Medicare Providers Through Innovative Payment Systems

Today, almost 60 million Americans are covered by Medicare — and 10,000 become eligible for Medicare every day. For many years, Medicare was primarily a pure fee-for-service (FFS) payment system that paid health care providers based on the volume of services they delivered, not the value of those services. Over time, this contributed to increased […]

Rebalancing Medicaid Long-Term Services And Supports

Twenty-five years after the passage of the Americans with Disabilities Act(ADA), the Medicaid program is also marking an important milestone in system transformation in 2015. The national profile of Medicaid long-term services and supports (LTSS) expenditures has shifted away from primary dependence on institutional care. In 2013 the majority of Medicaid LTSS spending was for […]