Full link to piece jamanetwork.com/journals/jama/…

Hayden Rooke-Ley Exactly! Effective policy will be to end programs that decimate independent practice, such as MACRA, which was a bipartisan law, ASAP. Second, to make Medicare payments site neutral. Third, to audit nonprofit health systems is they deserve that status.

The rise of private equity (PE) consolidation in physician practices raises concerns about prioritizing short-term profits, potentially increasing physician turnover and disrupting care continuity. Yashaswini Singh of Brown University and coauthors analyze the impact of PE’s

Lots of people argue that bonus payments to ACOs in the Medicare Shard Savings Program is evidence that the program is working. We disagree. Recommended musical accompaniment: youtube.com/watch?v=QtPluX…

In Health Affairs, we counter the govt’s claim that its flagship value-based payment model, the ACO program, is reducing costs. Rather, purported savings reflect benchmarking flaws & industry gaming—the same factors inflating costs in ACO sister model, Medicare Advantage. 1/x

A new NEJM article advances the “zeitgeist theory” of value-based payment. Even as evaluations of VBP models fail to show savings, authors posit that the vibes of VBP have permeated the system and bent the cost curve. Respectfully, I think this really misses the mark. 1/x

Fr. Joseph Krupp Fr Joe: I do research with friends at Harvard, Cornell, etc. We spend our lives trying make healthcare safer, more effective, and less costly. We submit and (sometimes) receive federal $ to achieve this aim. I (and I'm sure my friends) never feel like we have a right to public $.

Medicare spends over $1T per year, so even small cuts to wasteful spending represent huge savings. Maggie Shi and I have a new NBER on a policy targeting *just medically unnecessary physical therapy* and it would have easily have made the Department of Government Efficiency leaderboard. Quick🧵

Join us in DC next week!

In their new Forefront article, Nathan, neil mehta, Hayden Rooke-Ley, Yashaswini Singh, PhD, and Erin Fuse Brown from Brown University School of Public Health discuss how Massachusetts’ new health care reform expands the authority of the state to intervene prior to significant changes to the health care system and

The latest on health insurance delays and denials—announced recently by Trump officials—is a pledge from industry rein in abuses. In JAMA we propose a very different approach: take insurers out of the business of prior authorizations & claim adjudication altogether. 1/x

🎧 NEW EPISODE: Hayden Rooke-Ley and colleagues in the Center for Advancing Health Policy through Research have a very new, old-fashioned idea for controlling US health care costs. Hayden Rooke-Ley Andrew Ryan CAHPR @ Brown University School of Public Health Listen now! lnkd.in/etSgAA9h

Good to talk health care financing and how prevailing approaches privatize public functions and fuel corporate medicine. Sound price administration—and the public capacity to do it—is key to an alternative framework here.

I’m up in STAT with a proposal for states to scuttle Republican efforts to drastically cut Medicaid. Tldr is “price parity”: cap runaway private insurance prices and channel the savings into Medicaid, drawing down the federal funds that the Trump admin is targeting.