Health Care Reform 2009

From the Publishers of the New England Journal of Medicine

Medicare and Medicaid rss

Medicaid and National Health Care Reform(0)

October 14, 2009

Sara Rosenbaum, J.D.
Defined by a history of both achievement and controversy, Medicaid has once again become central to the U.S. health policy debate, this time figuring as a key to national health care reform. Since its creation, Medicaid has repeatedly been called on to compensate for the shortcomings of a market-based health insurance system that [...]

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The End of Fee-for-Service Medicine? Proposals for Payment Reform in Massachusetts

Robert Steinbrook, M.D.
Health care reform has multiple goals, including expanding insurance coverage, improving quality and access to care, and controlling costs. Since Massachusetts enacted reforms in 2006, the proportion of residents lacking health insurance has decreased to an estimated 2.6%

Medicare Part D Update — Lessons Learned and Unfinished Business

Patricia Neuman, Sc.D., and Juliette Cubanski, Ph.D.
In this report, the authors review the experience to date with the Medicare Part D prescription-drug plan and discuss the challenges facing policymakers.
See free full text at NEJM.org.

The Effect of Medicare Part D on Drug and Medical Spending

Yuting Zhang, Ph.D., Julie M. Donohue, Ph.D., Judith R. Lave, Ph.D., Gerald O’Donnell, M.S., and Joseph P. Newhouse, Ph.D.
This study examined expenditures on drugs and other medical services before and after the implementation of Medicare Part D. For patients who had no drug coverage before Part D, the increase in drug spending after the implementation [...]


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