To The Congressional Budget Office: Delight Proceed Playing It Straight!
Wednesday, August 14, 2019
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Title : To The Congressional Budget Office: Delight Proceed Playing It Straight!
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I cause got peachy observe for the CBO in addition to that has been the illustration nether dissimilar majorities--Democratic in addition to Republican. Never to a greater extent than than now.
The CBO is intended to last non-partisan in addition to objective. They supply the data in addition to estimates the Congress needs to consummate the budget process.
When it comes to health reform legislation their project is to "score" the proposals. That way on proposed legislation--big in addition to small--they are the official guess on what it would terms or what its provisions are estimated to save.
How much volition Barack Obama's wellness invention cost? Will it truly salve $2,500 per person?
The CBO calls it in addition to their guess is the official 1 the Congress would cause got to use. That is especially of import if the Democrats proceed their discussion in addition to follow PayGo rules that require either spending or revenue enhancement offsets for whatsoever novel programs.
If the Congress decides to "equalize" individual Medicare payments amongst the traditional Medicare plan's costs, volition the class taken inward fact number inward equalization?
Will whatsoever changes to the Medicare physician payment schedule inward fact salve the coin its proponents claim? Will whatsoever novel "pay-for-performance" initiatives truly salve physician Medicare money?
Will whatsoever assumptions regarding savings from "waste, fraud, in addition to abuse," similar those made inward the recent Baucus Health Plan, truly materialize?
Will novel information technology, wellness, disease management, in addition to the similar cost containment, initiatives truly accomplish the savings claimed?
My feel is that most of these wellness reform savings claims, similar President-Elect Obama's claim he tin save $2,500 a person amongst his wellness reform plan, are way besides optimistic.
MedPAC has already said that eliminating by in addition to futurity Sustainable Growth Rate Formula cuts to the Medicare physician payments would terms $200 billion over 10 years.
It looks to me similar the nebulous "pay-for-performance" initiatives oftentimes proposed equally business office of Medicare physician payment reform are besides oftentimes ways of avoiding the truly heavy lifting that has to last done to create that doc payment system. Since no 1 seems to concur on what character is in addition to a way to stair out it I don't cause got a lot of organized faith at that topographic point are large fixes here. If all of the docs are enthusiastic almost pay-for-performance proposals inward telephone substitution for avoiding fee cuts y'all know it isn't accomplishing a lot!
Wellness programs rattling similar to the ones nosotros run across today were approximately inward the piece of cake 1980s in addition to never accomplished a lot.
Health data applied scientific discipline progress in addition to patient medical records are rattling important--particularly for improving quality--but cause got a lot of upfront costs in addition to accept years to payoff. Ask whatsoever physician at 1 time struggling amongst them.
The disease management in addition to coordinated aid programs at 1 time beingness proposed are, similar most cost containment "lite" proposals nosotros are seeing today, helpful simply solely incremental extensions for what is going on inward the marketplace anyway. No silverish bullets.
I promise the CBO doesn't cave to political pressure level in addition to keeps doing its non-partisan down-the-middle job.
If I listen the politicians whining in addition to the special interests squealing almost CBO's conclusions almost how these cost containment "lite" proposals in addition to policy rationalizations, similar nebulous "pay-for-performance" that hand policymakers a gratis transcend on the tough decsions, don't salve much coin I know the CBO pros are doing their job.
You are now reading the article To The Congressional Budget Office: Delight Proceed Playing It Straight! with the link address https://new-insurancequotes.blogspot.com/2019/08/to-congressional-budget-office-delight.html
Title : To The Congressional Budget Office: Delight Proceed Playing It Straight!
To The Congressional Budget Office: Delight Proceed Playing It Straight!
I guess this is an opened upward missive of the alphabet to CBO Director Peter Orszag in addition to his colleagues at the Congressional Budget Office (CBO).I cause got peachy observe for the CBO in addition to that has been the illustration nether dissimilar majorities--Democratic in addition to Republican. Never to a greater extent than than now.
The CBO is intended to last non-partisan in addition to objective. They supply the data in addition to estimates the Congress needs to consummate the budget process.
How much volition Barack Obama's wellness invention cost? Will it truly salve $2,500 per person?
The CBO calls it in addition to their guess is the official 1 the Congress would cause got to use. That is especially of import if the Democrats proceed their discussion in addition to follow PayGo rules that require either spending or revenue enhancement offsets for whatsoever novel programs.
If the Congress decides to "equalize" individual Medicare payments amongst the traditional Medicare plan's costs, volition the class taken inward fact number inward equalization?
Will whatsoever changes to the Medicare physician payment schedule inward fact salve the coin its proponents claim? Will whatsoever novel "pay-for-performance" initiatives truly salve physician Medicare money?
Will whatsoever assumptions regarding savings from "waste, fraud, in addition to abuse," similar those made inward the recent Baucus Health Plan, truly materialize?
Will novel information technology, wellness, disease management, in addition to the similar cost containment, initiatives truly accomplish the savings claimed?
My feel is that most of these wellness reform savings claims, similar President-Elect Obama's claim he tin save $2,500 a person amongst his wellness reform plan, are way besides optimistic.
MedPAC has already said that eliminating by in addition to futurity Sustainable Growth Rate Formula cuts to the Medicare physician payments would terms $200 billion over 10 years.
It looks to me similar the nebulous "pay-for-performance" initiatives oftentimes proposed equally business office of Medicare physician payment reform are besides oftentimes ways of avoiding the truly heavy lifting that has to last done to create that doc payment system. Since no 1 seems to concur on what character is in addition to a way to stair out it I don't cause got a lot of organized faith at that topographic point are large fixes here. If all of the docs are enthusiastic almost pay-for-performance proposals inward telephone substitution for avoiding fee cuts y'all know it isn't accomplishing a lot!
Wellness programs rattling similar to the ones nosotros run across today were approximately inward the piece of cake 1980s in addition to never accomplished a lot.
Health data applied scientific discipline progress in addition to patient medical records are rattling important--particularly for improving quality--but cause got a lot of upfront costs in addition to accept years to payoff. Ask whatsoever physician at 1 time struggling amongst them.
The disease management in addition to coordinated aid programs at 1 time beingness proposed are, similar most cost containment "lite" proposals nosotros are seeing today, helpful simply solely incremental extensions for what is going on inward the marketplace anyway. No silverish bullets.
I promise the CBO doesn't cave to political pressure level in addition to keeps doing its non-partisan down-the-middle job.
If I listen the politicians whining in addition to the special interests squealing almost CBO's conclusions almost how these cost containment "lite" proposals in addition to policy rationalizations, similar nebulous "pay-for-performance" that hand policymakers a gratis transcend on the tough decsions, don't salve much coin I know the CBO pros are doing their job.
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You are now reading the article To The Congressional Budget Office: Delight Proceed Playing It Straight! with the link address https://new-insurancequotes.blogspot.com/2019/08/to-congressional-budget-office-delight.html
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