Healthcare Policy

Marc Goldwein (2024)

@MarcGoldwein
Here’s about $2 trillion, if you did the most aggressive version of each policy:
1) prevent Medicare Advantage ‘upcoding’
2) pay hospitals the same as doctors offices
3) prevent states and hospitals from colluding to inflate their federal Medicaid match
4) end Medicare Advantage quality bonuses that go to all plans, pretty much regardless of quality
5) reduce excess post-acute care reimbursements in Medicare
6) restrict Medigap wrap-around plans that charge seniors big premiums and encourage unnecessary care
7) End reimbursents for bad debts
8) build on recent drug pricing reforms 
9) reduce LIS copays for generic drugs and increase for name brand
10) fund cost sharing reductions directly instead of through crazy-quilt “silver loading”