Progress:

cms.gov/newsroom/press…

cms.gov/priorities/inn…

Looking for a pre-doc RA position?

Come work w/ a super fun team of economists, docs, and statisticians HMS HCP on a range of questions related to payment system design, care delivery, & Medicare policy

Beyond the science and opportunities to learn, we're committed to advancing

Love this - I have never understood grant reviewer demands for hypotheses to be added to clearly stated research questions (or the condescension with which such demands are often made)

If a ? is an open empirical one that could go either way, why would you have a hypothesis?

Looking for a pre-doc RA position?

Come work w/ a super fun team of economists, docs, and statisticians HMS HCP on a range of questions related to payment system design, care delivery, & Medicare policy

Beyond the science and opportunities to learn, we're committed to advancing

Inova Baligh Yehia, MD, MPP, MSc Jefferson Health Parkland Health SUNY Downstate Radboudumc Civica Rx SSM Health Cambridge Judge Skyler Lentz UVM Larner Med UVM Health Network Amitabh Chandra HBS Health Care Harvard Business School Harvard Kennedy School Ben Ippolito American Enterprise Institute 'The Case for Administrative Benchmarks (and Some Challenges)' article nej.md/44Wxiof with Michael Chernew Harvard Medical School, Michael McWilliams Brigham and Women's Hospital CMS Innovation Ctr, Shivani Shah, MD, MBA Northwestern Surgery

Please publish this in a medical journal

This is consistent with my prior...
When Traditional Medicare (TM) is put at such a competitive disadvantage by large subsidies to MA (& medical underwriting in Medigap), payment cuts that are modest relative to the subsidy should not slow MA growth appreciably, even if some

This study by Brad Wright et al is consistent with the readmission ↓ after the start of HRRP being caused by factors driving falling admission rates (including shifts to obs stays), esp the Recovery Audit Contractor (RAC) program

That was our main insight in this

Missed yesterday's hearing on MACRA? Don't worry -- we watched it for you! MedPage Today Aisha T. Pittman Paragon Health Institute The National Association of ACOS Michael McWilliams medpagetoday.com/practicemanage…

Thanks to Energy and Commerce Committee for inviting me to testify today on MACRA

My testimony can be found here: d1dth6e84htgma.cloudfront.net/Mc_Williams_Te…

.Energy and Commerce Committee: Thank you for the checkup to MACRA — the 2015 law that reformed the physician payment system.

Thank you AV grantee Michael McWilliams for testifying!

What’s MACRA and why are reforms needed? Get the details here:
arnoldventures.org/stories/congre…

Experts like Michael McWilliams worry that policymakers aren’t reckoning with a future where private insurers dominate the Medicare program.

With private insurers on track to manage 2/3 of Medicare lives by 2030, that future could be around the corner.

tradeoffs.org/2023/06/15/med…

In March MedPAC estimated the government overpays Medicare Advantage insurers by 6%. Their new report out this afternoon suggests that may be closer to 17%!

All the more reason to listen to our new Tradeoffs episode on the rise of Medicare Advantage: tradeoffs.org/2023/06/15/med…

Important indeed. Grateful for Kirsten Bibbins-Domingo ‘s leadership on this

Grateful to Tradeoffs for digging into this - terrific coverage of a complicated topic

There’s been a lot of focus on MA’s added value and the fiscal threat it poses, but relatively less on the structural implications of its growth for the future of Medicare

We’ve been

Join me tomorrow!

The centerpiece of this month's Journal Club mtg is, “Benchmarking Changes And Selective Participation In The Medicare Shared Savings Program.” On 5/10, join Peter Lyu of RTI International for a detailed discussion of the paper’s data, methods & policy conclusions. bit.ly/3p8vNUy

This Health Affairs piece provides a nice summary of the evidence on APMs and consolidation

Likely that payment reform has been used as justification for M&A but unlikely it has caused consolidation beyond modest scale

The urge to merge largely driven by other objectives

And

Penn scores

Thoughtful as always