Pulling it Together: A Holiday Reminder on the Economy and Health Care December 2, 2009 Perspective With so much of the focus on the political dynamics of the health reform debate and a few hot button issues, I wonder if we have lost track of what propelled health care to the top domestic issue in the first place—people’s concerns about paying for health care in the…
Pulling it Together: A Note on Presidential Leadership Strategy November 20, 2009 Perspective In inside circles of the health reform debate there has been criticism of the President for not weighing in earlier and publicly on the details of health reform legislation. Does he want the Senate’s approach to employer obligations, or the approach taken in the House? What form of public option…
Pulling it Together: Teaching An Old Dog New Tricks July 7, 2009 Perspective Way back in the eighties when I was Human Services Commissioner in New Jersey, I established something called the Garden State Health Plan (GSHP). It was the first — and I think the only — federally qualified state-run HMO for Medicaid beneficiaries. One goal of the GSHP was to reallocate…
Pulling It Together: Writing Regulations July 18, 2011 Perspective Not since Geraldo Rivera revealed the secret contents of Al Capone’s vault on national TV in the mid-80s, or more recently, sports fans awaited the LeBron James “decision” about where he would play next, have we so anxiously awaited anything as much as the draft health exchange regulations just published…
Pulling It Together: Changing the HIV Testing Message June 27, 2011 Perspective In 2006 the CDC began recommending routine HIV testing in health care settings for everyone between the ages of 13 and 64. Annual testing is recommended for people at highest risk. Our 2011 survey of Americans and HIV released last week — our eighth comprehensive survey of its kind — …
Pulling It Together: Predictions May 20, 2011 Perspective I usually don’t make predictions, unless they are backed up by the kind of statistical modeling we often produce. But here are three predictions I am confident about that form the basis of this latest column. GROUP HEALTH INSURANCE PREMIUMS WILL CONTINUE TO RISE AT HISTORICALLY MODERATE LEVELS, AT LEAST…
Pulling It Together: What Conservatives Won In Health Reform (And Don’t Seem to Know It) April 13, 2011 Perspective Conservatives obviously don’t like what they call “Obamacare” because they think it expands the role of government too much and spends too much money. But ironically, the Affordable Care Act (ACA) actually promotes — though not explicitly — something that has been a fundamental objective of conservatives in health care…
Pulling it Together: The People Behind The Entitlement Debate November 9, 2010 Perspective Well before we have any clarity on the impact of the election on health reform, the pundits are handicapping the prospects of efforts to make a serious dent in the national debt and deficit. Three national commissions are hammering out recommendations for reducing the debt and reining in entitlement spending,…
Pulling it Together: When Premiums Go Up 39% March 8, 2010 Perspective Our group that works on health care cost issues just updated an analysis that sheds light on what’s really happening to people in the individual health insurance market, the issue Secretary Sebelius, a former Kansas insurance commissioner, and others have put in the spotlight by calling on Anthem and other…
Pulling it Together: This Could Be the Next Big Issue in Health Reform August 20, 2009 Perspective No, this is not about “death panels.” The town hall meetings. The media coverage of the town hall meetings. Media polls about how the American people feel about the town hall meetings. And even the media myth busting and fact checking about the most extreme claims made at the town…