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Full-Text Articles in Law
The Battle For Medicare, Isaac D. Buck
The Battle For Medicare, Isaac D. Buck
Saint Louis University Journal of Health Law & Policy
America is aging. From 2019 to 2060, the total population of Americans over sixty-five will grow from fifty-four million to ninety-five million. Of all Americans, sixteen percent were aged sixty-five and older in 2019; nearly twenty-two percent are projected to be in this age group by 2040. This shift will put unprecedented pressure on the Medicare program. Its enrollment is already in the midst of an unparalleled boom, growing from forty-eight million in 2010 to eighty-six million by just 2035. As it grows in importance and size, the future of Medicare will be dominated by two competing pressures.
First, Medicare …
Macra And Medicare’S Elusive Quest For Fairness And Value With Physician Payment Policy: Speeding Up The Transition To “Big Med”, Rick Mayes, Soleil Shah
Macra And Medicare’S Elusive Quest For Fairness And Value With Physician Payment Policy: Speeding Up The Transition To “Big Med”, Rick Mayes, Soleil Shah
Saint Louis University Journal of Health Law & Policy
This article traces the evolution of Medicare physician payment policy from the program’s beginning to the passage of the 2015 Medicare Access and CHIP Reauthorization Act (MACRA). Based on interviews, primary data sources, and an extensive review of the secondary literature, the authors provide an analysis of: (1) some of the most significant events, trends and factors that led to the Act’s passage, (2) MACRA’s basic design and the primary options it gives to physicians, and (3) the major concerns many physician representatives and health policy experts have about MACRA. As the majority of physicians will likely feel the need …
When Is Competition Not Competition: The Curious Case Of Medicare Advantage, Robert A. Berenson
When Is Competition Not Competition: The Curious Case Of Medicare Advantage, Robert A. Berenson
Saint Louis University Journal of Health Law & Policy
Policymakers routinely assume that Medicare Advantage plans and the traditional Medicare program compete for beneficiaries. Yet the District of Columbia federal district court blocked the proposed Aetna and Humana merger, finding that for purposes of antitrust analysis Medicare Advantage plans and traditional Medicare are effectively in different product markets. That is, they do not compete. This article reviews the basis for the court decision, which relied to a large extent on information that Medicare beneficiaries select their insurance coverage based on durable preferences either for the Medicare Advantage or the traditional Medicare option.
The article explores whether the apparently durable …
Controlling Medicare Costs: Moving Beyond Inept Administered Pricing And Ersatz Competition, Thomas L. Greaney
Controlling Medicare Costs: Moving Beyond Inept Administered Pricing And Ersatz Competition, Thomas L. Greaney
Saint Louis University Journal of Health Law & Policy
No abstract provided.
Medicare Price Problems And The Ruc: Wagging The Dog, David W. Fuchs
Medicare Price Problems And The Ruc: Wagging The Dog, David W. Fuchs
Saint Louis University Journal of Health Law & Policy
No abstract provided.
Medicare Advantage: What Are We Trying To Achieve Anyway?, Timothy D. Mcbride
Medicare Advantage: What Are We Trying To Achieve Anyway?, Timothy D. Mcbride
Saint Louis University Journal of Health Law & Policy
No abstract provided.
The New Infrastructure Of Medicare, Thomas L. Greaney
The New Infrastructure Of Medicare, Thomas L. Greaney
Saint Louis University Journal of Health Law & Policy
No abstract provided.
Will Medicare Wither On The Vine? How Congress Has Advantaged Medicare Advantage—And What’S A Level Playing Field Anyway?, Robert A. Berenson, Melissa A. Goldstein
Will Medicare Wither On The Vine? How Congress Has Advantaged Medicare Advantage—And What’S A Level Playing Field Anyway?, Robert A. Berenson, Melissa A. Goldstein
Saint Louis University Journal of Health Law & Policy
No abstract provided.
Medicare: What Are The Real Problems? What Contribution Can Law Make To Real Solutions?, Timothy Stoltzfus Jost
Medicare: What Are The Real Problems? What Contribution Can Law Make To Real Solutions?, Timothy Stoltzfus Jost
Saint Louis University Journal of Health Law & Policy
No abstract provided.
Medicare Advantage Special Needs Plans For “Institutionalized Individuals”: What Advantage To Enrollment?, Alissa Eden Halperin, Patricia Nemore, Vicki Gottlich, Toby Edelman
Medicare Advantage Special Needs Plans For “Institutionalized Individuals”: What Advantage To Enrollment?, Alissa Eden Halperin, Patricia Nemore, Vicki Gottlich, Toby Edelman
Saint Louis University Journal of Health Law & Policy
No abstract provided.
Beyond Drug Coverage: The Cumulative Effect Of Privatization Reforms In The Medicare Modernization Act, Robert I. Field, Richard G. Stefanacci
Beyond Drug Coverage: The Cumulative Effect Of Privatization Reforms In The Medicare Modernization Act, Robert I. Field, Richard G. Stefanacci
Saint Louis University Journal of Health Law & Policy
No abstract provided.
Medicare After The Medicare Modernization Act, Senator David Durenberger
Medicare After The Medicare Modernization Act, Senator David Durenberger
Saint Louis University Journal of Health Law & Policy
No abstract provided.
The Impact Of The Medicare Modernization Act’S Contractor Reform On Fee-For-Service Medicare, Susan Bartlett Foote
The Impact Of The Medicare Modernization Act’S Contractor Reform On Fee-For-Service Medicare, Susan Bartlett Foote
Saint Louis University Journal of Health Law & Policy
No abstract provided.