The Office of Management & Budget (OMB) recently approved a long standing proposal from the Centers for Medicare & Medicaid Services (CMS) to change their method of network adequacy review. The proposal…
Are We Fixing or Destroying Health Care in America?
The short answer…..”who knows yet”? I don’t. Having led provider groups, health plans, and hospitals over nearly 30 years in healthcare management, I would have hoped that I could have answered that…
Cuts Would Only Shift Healthcare Costs
I was quoted in Tom Burton’s nice piece in today’s Wall Street Journal along with friends of the firm Gail Wilensky, Bob Laszewski, and Sara Rosenbaum. The story focuses on how Medicare…
The Debt Ceiling Impasse Explained in One Chart
Negotiations on the Debt Ceiling ground to a halt after weekend negotiations. President Obama laid out a $4 trillion package his own party is getting upset about, especially his latest proposal to…
Obama Hits the Roof
A fair number of friends and colleagues have been asking what I think will happen in the debt ceiling negotiations. Let me start by saying that the people whom I know –…
CMS Oversight Goes into Hyperdrive
In recent weeks, CMS has sent word to plans of two extraordinary changes in their audit practices. The first is a notice to certain low-rated (plans with contracts < 3 stars)…
High-Wire Act on Entitlements as Debt Negotiations Stretch into the Weekend
President Obama and Congressional Democratic leaders are walking a high-wire going into weekend negotiations on the debt ceiling with their Republican counterparts. Discussions center around Medicare, Medicaid and Social Security, and the…
