This morning's Globe quotes Donald Berwick, MD, on the potential impact of last week's court ruling declaring the ACA unconstitutional in Massachusetts. Readers not yet eligible for Medicare take note. ...Massachusetts relies on billions of dollars in federal funding every year to provide coverage to lower-income residents, and the state’s health care system is deeply … Continue reading Globe: Will court ruling on the #AffordableCareAct impact #Massachusetts?
From The Globe and Mail: Canadian governments should not pay for a $250,000-a-year cystic fibrosis medication because it is not clear the drug actually improves patients’ health, according to a fresh review that has devastated some with the potentially fatal lung disease.... In a report released on Thursday, the CADTH’s expert panel said its review … Continue reading Is the US setting the bar too low for new CF drug? Canada says it’s not worth it
The state has set benchmarks for health care costs -- with a watchdog in the form of the state Health Policy Commission. Here's yesterday's news. The state attorney general’s office and the Department of Public Health on Thursday signaled that they are drafting conditions for the biggest health care merger proposed in Massachusetts in decades, … Continue reading Interested in efforts to control health costs? Pay attention to Massachusetts
From the Massachusetts Center for Health Information and Analysis: Enrollment Trends monitors health insurance coverage in the Commonwealth of Massachusetts, where coverage is defined by unique Massachusetts residents with primary medical membership in the 13 largest commercial payers, MassHealth (Medicaid), or Medicare. The August 2018 edition of Enrollment Trends offers insights into changes in health … Continue reading In 2017, 96.3 percent of #Massachusetts residents had #healthinsurance. Here’s how they got it.
This story notes that CMS approved a Medicaid waiver from Oklahoma in June, but denied a Massachusetts request for a similar exception to existing rules. Oklahoma’s plan would expand that to negotiate additional prescription price reductions based on value-based purchasing agreements. Still, CMS’ recent rejection of a related Massachusetts proposal makes it difficult to believe … Continue reading KHN: Trump Administration Sinks Teeth Into Paring Down #Drug #Prices
NEJM's Catalyst has posted video and text from an roundtable on navigating health care policy, this part about about SOD - social determinants of health. Don Berwick of the Institute for Healthcare Improvement says the Kaiser Permanente approach is "thrilling...the models are surfacing." Panel discussion with @donberwick @MelindaBBuntin Patrick Conway, Raymond Vara & @edprewitt touches … Continue reading Having a hard time navigating health care policy changes? Panelists at @nejmcatalyst roundtable offer some help
Lead author Adam Gaffney is a pulmonologist and critical care physician at the Cambridge Health Alliance. Here's the summary, from the BMJ: Key messages The US and Canadian pharmaceutical systems are dysfunctional Costs are exorbitant, commercial goals distort drug development, misleading promotion fosters misuse, and medications are too often unaffordable for patients We propose reforms that … Continue reading Cambridge Mass. doc leads call for reform of “dysfunctional” pharmaceutical system.