There is a certain drumbeat to CMS Innovation Ctr evaluation reports.

Hospital-centric ACO? No/minimal savings.
No or minimal risk? No/minimal savings.

At this point, we should have a strong prior against anything upside-only, and any model geared toward large health systems, no?

Prof. Cooper is right.

It makes no more sense to rely on insurer - air ambulance price haggling than it would to rely on private fire depts negotiating prices & network status w/ your homeowner's insurance.

This is a ridiculous policy failure with a straightforward solution.

Thread with some of my favorite charts from the 2024 Economic Report of the President

Huge props to Jared Bernstein, Heather Boushey, C. Kirabo Jackson, and the tireless Council of Economic Advisers staff for deepening our economic understanding

And for the beautiful charts 😍📊

$83 billion is real money.

As a rough approximation, it’s probably a bit less than twice the spending on primary care for all enrollees in traditional Medicare and Medicare Advantage *combined.*

Or enough to buy a half dozen Ford class aircraft carriers, if that’s your thing.

Great ideas here, but if CMS Innovation Ctr continues to only offer VBC programs with very high beneficiary headcount requirements, it starts to look like they are building models for conveners, not independent practices and PCPs themselves.

Come for the wonderfully clear explanation of how Medicare Advantage plans are paid…

…stay for the FAQs about estimated overpayments to MA plans, relative to what it would cost taxpayers if the same person stayed in traditional Medicare. healthaffairs.org/content/forefr…

Match Day is always a nice reminder about the vital role immigrants play in America. The country is blessed to have so many outstanding doctors who want to train here. We should make it easier for them to stay and practice after training.

Three charts from today's MedPAC report with some very useful context on physician/professional payment rates, service volume and overall spending per beneficiary (aka the revenue pool per patient).

This is the way.