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Medicare Competitive Pricing: Lessons Being Learned In Phoenix And Kansas City, Nora Super
Medicare Competitive Pricing: Lessons Being Learned In Phoenix And Kansas City, Nora Super
National Health Policy Forum
Written as policymakers scrutinized two Medicare competitive bidding demonstration projects set to take place in Phoenix and Kansas City, this issue brief analyzes two demonstration projects designed to test whether Medicare could pay health plans in a competitive manner. The brief reviews decisions made by the Competitive Pricing Advisory Commission (CPAC), including design considerations such as plan eligibility and participation, the standard benefit package, the bidding process, and the government contribution to premiums. It also looks at the reasons for opposition to the project and the relationship of this demonstration to broader efforts to reform the Medicare program.
The Public Stake In Biomedical Research: A Policy Perspective, Karen Matherlee
The Public Stake In Biomedical Research: A Policy Perspective, Karen Matherlee
National Health Policy Forum
An introduction to a Forum series on biomedical research policy issues, this paper provides background on the organization and structure of both public and private research entities. It outlines the federal components, from the National Institutes of Health (NIH) to the Department of Veterans Affairs. It also looks at the rapid growth in pharmaceutical, biotechnology, and medical device research and development and the varying responses from managed care plans, practice-based research networks, and contract research organizations. After laying out various tensions in the field, such as competition among disease-oriented advocates, alignment of different priorities, allocation of dollars between basic and …