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Howard Gleckman wonders how society will provide care to the frail elderly people who rely on the program and account for one-third of its budget.
Supporters say the bonus system is improving care for millions of seniors, but critics say it can be a clumsy measure of value and rewards mediocrity.
As Massachusetts policy makers and stakeholders focus on efforts to control health care costs through payment reform, Health Care for All's Paul Williams outlines the considerations that are crucial to ensuring that patients experience a higher quality of care, and the most vulnerable are protected.
In a news conference Tuesday on Capitol Hill, Reps. Paul Ryan and Tom Price said that the proposed sweeping changes would protect the program for seniors and the disabled.
Kaiser Health News asked Mass. Gov. Deval Patrick, Massachusetts Hospital Association President Lynn Nichols, Health Care For All's Paul Williams and Massachusetts Medical Society's Lynda Young about how the state can reform the health care payment system to control costs.
Here are some of the highlights from the Supreme Court's Wednesday afternoon session during which they pondered questions about the health law's Medicaid expansion.
Whether such programs spur long-term change is unclear, and some fear discrimination against those with chronic conditions.
A little-noticed provision of the health law calls for increasing reimbursements to doctors who provide quality care at lower cost and reducing payments to physicians who run up costs without better results.
The expensive medications, designed for people with schizophrenia or bipolar disorders, are being prescribed regularly for common problems such as anxiety and attention-deficit disorder and are being used on children and the elderly.
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