Ezekiel J. Emanuel

You are viewing 44 posts with the tag Medicare

Apr 11

Bernie Sanders Thinks He Can Vanquish Health Insurers. He’s Wrong.

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The Atlantic, March 2019

Categories: Opinions , Popular Writing

Apr 5

National Representativeness of Hospitals and Markets in Medicare's Mandatory Bundled Payment Program

Liao JM, Emanuel EJ, Polsky DE, Huang Q, Shah Y, Zhu J, Lyon ZM, Dykstra SE, Dinh CT, Counsins DS, Navathe AS. 

Health Affairs, January 2019.

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Categories: Academic Writing

Apr 5

Pitfalls and Potential in Medicare's Move Toward Outpatient Care Episodes

Navathe AS, Emanuel EJ, Liao JM.

Annals of Internal Medicine, December 2018.

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Categories: Academic Writing

Apr 5

Association of Hospital Participation in a Medicare Bundled Payment Program with Volume and Case Mix of Lower Extremity Joint Replacement Episodes

Navathe AS, Liao JM, Dykstra SE, Wang E, Lyon ZM, Shah Y, Martinez J, Small DS, Werner RM, Dinh C, Ma X, Emanuel EJ. 

JAMA, September 2018.

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Categories: Academic Writing

Mar 27

Comparison of Hospitals Participating in Medicare's Voluntary and Mandatory Orthopedic Bundle Programs

Navathe AS, Liao JM, Polsky D, Shah Y, Huang Q, Zhu J, Lyon ZM, Wang R, Rolnick J, Martinez JR, Emanuel EJ. 

Health Affairs June 2018.

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ABSTRACT

We analyzed data from Medicare and the American Hospital Association Annual Survey to compare characteristics and baseline performance among hospitals in Medicare’s voluntary (Bundled Payments for Care Improvement initiative, or BPCI) and mandatory (Comprehensive Care for Joint Replacement Model, or CJR) joint replacement bundled payment programs. BPCI hospitals had higher mean patient volume and were larger and more teaching intensive than were CJR hospitals, but the two groups had similar risk exposure and baseline episode quality and cost. BPCI hospitals also had higher cost attributable to institutional postacute care, largely driven by inpatient rehabilitation facility cost. These findings suggest that while both voluntary and mandatory approaches can play a role in engaging hospitals in bundled payment, mandatory programs can produce more robust, generalizable evidence. Either mandatory or additional targeted voluntary programs may be required to engage more hospitals in bundled payment programs.

Categories: Academic Writing

Mar 12

The Real Cost of the US Health Care System


Mar 11

The Next Generation of Episode-Based Payments

Navathe AS, Song Z, Emanuel EJ. 

JAMA, June 2017.

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This Viewpoint discusses bundled payment models and suggests ways in which the next generation of episode-based payments can better align with population health.

Categories: Academic Writing

Mar 11

Euthanasia and Physician-assisted Suicide: Focus on the Data

Emanuel E. 

Medical Journal of Australia, May 2017

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Abstract: 

We should aim at improving the care of dying patients

Modern debates about legalising euthanasia and physician-assisted suicide (PAS) in Great Britain and the United States began in the late 19th century.1Legislation was periodically proposed only to be defeated until, in 1942, Switzerland decriminalised assistance in suicide for cases when there were no “selfish motives”.2 In 2002, euthanasia was legalised in the Netherlands and Belgium, then in Luxembourg in 2009, and most recently, in 2015 in Colombia and in 2016 in Canada.3 PAS, but not euthanasia, has been legalised in five US states. In Oregon, PAS was legalised by popular referendum in 1997. In addition, in 2009, Washington State legalised PAS by referendum and Montana by court ruling; Vermont in 2013 and California in 2015 also legalised PAS by legislation.4

Categories: Academic Writing

Dec 4 '17

"Obamacare Architect: How Is Trump Paying for Wealthy Tax Cuts? By Kicking People Off Their Insurance (Fortune)

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Posted December 4, 2017 on Fortune.com


Jun 5 '17

Obamacare adviser on improving health care in America (CBS This Morning)


May 1 '17

AHCA vs. ACA: A Penn Panel Parses the Differences


Apr 4 '17

Q&A: The ObamaCare 'architect' who has Trump's ear (The Hill Extra)


Mar 28 '17

One Simple Solution to Skyrocketing Medical Costs (CBS News)


Mar 20 '17

An architect of the ACA is now advising Trump as GOP works to level the law. (Washington Post)


Mar 20 '17

Reassessing the Data on Whether a Physician Shortage Exists (JAMA Viewpoint)

JAMA, May 2017

This Viewpoint argues that there are sufficient numbers of primary care physicians in the United States and that any appearance of a shortage is attributable to factors such as unequal geographic distribution and management inefficiencies.

Categories: Academic Writing

Mar 9 '17

The Possibilities For Compromise On The Republican Health Care Plan (NPR Morning Edition)


Mar 8 '17

Drs. Siegel, Emanuel debate the new ObamaCare legislation (Fox News Fox & Friends)


Mar 8 '17

How Republicans Plan to Ration Health Care (The New York Times)

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Published on March 7, 2017 in the New York Times Opinions section.

Categories: Opinions , Feature Writing

Mar 2 '17

Dr. Siegel debates Dr. Emanuel on ObamaCare (Fox & Friends)


Feb 22 '17

Insurance companies prepare for a major healthcare upheaval (Fox News Special Report)