In an article for The Wall Street Journal, senior lecturer Robert Pozen argues that a new Medicare for All proposal “differs from Medicare in fundamental ways—with much broader coverage, no cost sharing, and fewer choices of health-care plans.”
Forbes contributor Howard Gleckman highlights a study by Prof. Amy Finkelstein that shows only five percent of Medicare spending goes toward end-of-life costs. Gleckman writes that the study supports the argument that “using spending in the last year of life as a proxy for futile care is deeply flawed—because we are very bad at predicting who is going to die and who is not.”
A study co-authored by Prof. Amy Finkelstein finds that bundling Medicare payments for procedures such as hip and knee replacements reduces the use of post-acute care by about 3 percent, reports Austin Frakt for The New York Times. Finkelstein explains that she examined the use of post-acute care as “it is an area where there is concern about overuse.”
Prof. Jonathan Gruber writes for The Washington Post that the Senate’s health care bill could make the opioid epidemic worse by proposing a, “rollback of the Medicaid expansions that had finally slowed the rapid growth of this devastating problem.”
In an article for The New York Times, Prof. Jonathan Gruber writes that proposed cuts to Medicaid will impact a large number of Americans, as the program provides financial resources for elderly and disabled adults. “Nearly two-thirds of [Medicaid] spending is focused on older and disabled adults — primarily through spending on long-term care services such as nursing homes.”
Prof. Amy Finkelstein writes for the Health Affairs Blog about the need for relying on evidence to set health care policy, citing her own randomized, controlled study of Oregon’s health care system. “We need to rely on evidence from rigorous research—rather than compelling anecdotes—to get an accurate assessment of a policy’s effects,” Finkelstein explains.
Margot Sanger-Katz of The New York Times writes about Professor Amy Finkelstein’s survey of low-income Oregonians in which she determined that those given access to Medicaid spent more on healthcare than the uninsured. “There’s overwhelming evidence from our study and others that when you cover people with health insurance, they use more health care,” said Finkelstein.
In an article for The Wall Street Journal, Chris Jacobs writes about a study co-authored by Prof. Amy Finkelstein that examines the utility and efficiency of Medicaid coverage. The study “found that beneficiaries valued Medicaid at 20 cents to 40 cents on the dollar,” writes Jacobs.
Professor Andrea Louise Campbell writes for Time about how government healthcare policy has forced her brother and sister-in-law into poverty in order to qualify for long-term care. Campbell argues that the solution for her family and others in the same situation is “[a] universal social insurance program for long-term care.”