Blog


Wait A Minute

The CBO says the latest Republican plan would leave an additional 22 million people without insurance, but an even cursory review suggests caution should be used in evaluating this forecast.

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Draining the Miscellaneous Bucket

A direct tax to pay for high-risk patients with multiple chronic diseases is preferable to burying the cost of these patients in a general tax or health insurance premiums for the broader market.

 

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Easy Weather Forecasting

The 25% of people with multiple chronic conditions account for 71% of total spending, so solving for this group will yield huge savings and major increases in their quality of life.

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The Empathetic CEO

People with pre-existing conditions represent a particular concern to be addressed in any reform plan, and personal experience with a state-based high risk plan suggests that should be part of the solution.

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If In Doubt…

Dual Eligibles serve as an example that the more complex the situation, the more the solution needs to be flexible enough to allow caregivers close the patient freedom to figure it out.

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It’s Hard to Be Poor

Medicaid, if it is to survive and our obligation to the poor means it must, has to be reset as the safety net program it was meant to be, not a backdoor vehicle for getting more and more people onto another entitlement.

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The New Colossus Crowd

Adjusting the Medicare age eligibility to reflect increased life expectancy and means testing that requires wealthy beneficiaries to pay some or all of their premium would have a major impact on Medicare sustainability.

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What Color Is Your Blue?

In order to provide the public support necessary to care for the truly disadvantaged, we must stop continuing to expand the pool of people who get put into this category or the entire thing will collapse.

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One Rule

Good, sustainable health policy must start with acknowledging two competing moral issues – the financial devastation of some now vs. the financial burden for many in the future.

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Ten Months of June

After many blog posts that assume the role of outside critic, your humble writer accepts a challenge to lay out what he would do to fix healthcare (as if anyone would ever ask).

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ALN

Tim Coan, ALN’s CEO, writes an insightful and witty blog three times a week about a variety of topics relevant to independent physician practices.

Yes, I'd like to get Tim's blog.