
Blog
The current state of pharmaceutical tariffs
Background Amid the Trump trade upheaval, pharmaceutical products receive different treatment than many other US imports. Pharmaceuticals are treated differently for reasons such as their…

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Trump’s economy off to a slow start
Last week, the Bureau of Economic Analysis released its estimates of the performance of the US economy in the second quarter. The headline result…

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Congress considers micromanaging PBM finances
With the first reconciliation bill behind it, Congress is now looking to reform other aspects of the health care system. Pharmacy Benefit Manager (PBM)…

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Favorable selection in Medicare Advantage can’t be managed from the top
A previous post covered how the Centers for Medicare & Medicaid Services’ (CMS) attempts to mitigate upcoding have been unsuccessful. Another often-decried activity…

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Top-down management can’t fix upcoding in Medicare Advantage
Among the most consistent criticisms of the Medicare Advantage program is that private plans game the system. Over the years, policymakers have devised…

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FDA can’t stomach fluoride and doesn’t want you to, either
On May 13, the Food and Drug Administration (FDA) announced that it would begin a process intended to exclude ingestible prescription fluoride products for…

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The MAHA Report is a missed opportunity
Less than six months into the new administration, the Department of Health and Human Services (HHS) has produced its Make Our Children Healthy Again…

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CBO likely overestimates effects of Medicaid reforms
Yesterday, the Congressional Budget Office (CBO) released its estimates of the costs, both financial and in coverage, of the One Big Beautiful Bill Act…

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Don’t socialize health care through private insurance
Four senators have introduced the “Supporting Healthy Moms and Babies Act,” which would mandate full coverage, no copays, no out-of-pocket costs for beneficiaries…

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Medicaid cost explosion
Over the past five years, Medicaid has defied all expectations and projections. It is the third largest program that the government administers, and it has…

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Big Beautiful Bill threatens the Costco of health care
You’ve probably never wondered why you buy peanut butter from the grocery store instead of directly from the J.M. Smucker Company or your TV from…

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States can keep Medicaid whole if they want
Congress is considering slowing Medicaid growth over the next 10 years enough to reduce federal spending by $625 billion. Many Republicans argue that the…

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GOP proposal includes reductions in health care expenditures
Over the weekend the House Committee on Energy and Commerce released a proposal describing how it would achieve the expenditure goals for the Reconciliation…

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The numbers don’t add up in new Medicaid paper
In a recently released working paper, authors Angela Wyse and Bruce D. Meyer purport to show that the ACA Medicaid expansion saved 27,400 lives…