News & Events

  • The Government Accountability Office (GAO) just released an important review of the way the Relative Value Scale Update Committee (RUC) and CMS value physician services for Medicare. The report finds significant flaws in the data and processes used, echoing a recent Expert Voices essay by RUC researcher Miriam Laugesen.

  • NIHCM Foundation is now accepting letters of inquiry for the 2015-2016 funding cycle of our investigator-initiated research grant program. We are making a total of up to $250,000 available to be divided among four to five studies in the areas of health care financing, delivery, management and/or policy.

  • Upcoming Webinar on the Future of Telehealth in America

    Telemedicine is booming, fueled by promises of consumer convenience and better access for the underserved. Nearly half of employers will offer telehealth benefits this year. 

  • The federal government invests heavily in physician residency training—to the tune of $15 billion a year. But is this investment producing a physician workforce that meets our modern health care needs? 

  • With another presidential election on the horizon, the perennial debate over reforming federal entitlement programs has already begun to resurface. Policy prescriptions are bound to vary along the political spectrum, but failing to come to agreement and act will threaten our long-term fiscal health.

  • Hospital consolidation has dramatically increased in recent years, and studies have shown that hospital mergers and acquisitions result in rising prices, less competition and an increase in hospital negotiating power. Are health care “goliaths” increasingly dictating the prices and premiums we pay?

NIHCM

Expert Voices: Scoring Health Legislation

Paul N. Van de Water, PhD, Senior Fellow, Center on Budget and Policy Priorities
 

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April 2009

The fate of legislative proposals in the U.S. Congress often hinges on how much they are estimated to increase or decrease the federal budget deficit. Currently, the Congressional Budget Office is responsible for developing these estimates – or “scores” – for all pending legislation, following rules and procedures established by Congress and the Administration. Yet these rules and their impact on the resulting budget estimates are often poorly understood. In this essay, Dr. Van de Water describes the basic elements of budget scoring, provides some cautionary comments on how the estimates should be used, and looks at the scoring issues likely to arise as health reform legislation is advanced and debated.

Other recent Expert Voices essays include:

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