Michael Chernew
@Michael_Chernew
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Health Economist. Professor, Harvard Medical School. Tweets reflect my views alone and not those of any organization I am affiliated with, including MedPAC
Boston, MA
Joined April 2014
RT @medicarepayment: Looking for some more summer reading? Today, MedPAC released its July 2025 data book on Health Care Spending and the M….
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RT @medicarepayment: It's commissioner announcement day! Congratulations to our newly appointed Vice Chair, newly appointed commissioners,….
gao.gov
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Great to see this out. Core points: (1) admin costs are big deal (2) often reflect activities that add value in our system (3) addressing inherent health care problems with less admin cost while preserving values is important but views on the role of gov vs tech will vary.
In their new Forefront article, @Michael_Chernew and Karisa Lasoff from @harvardmed describe the challenges inherent in health care markets, how our approach to addressing those challenges contributes to high administrative costs, and how modest policy-based guardrails can help.
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RT @medicarepayment: Last public meeting of the cycle! MedPAC's April public meeting will be April 10-11th. Topics include: PFS, PDPs/MA-PD….
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There is a lot of interest in how to support health care in rural areas. My take w/ @c_e_carroll and @toriberquist. Key points: 1. support for providers should be well targeted & 2. when competition not likely, a well-designed regulatory scheme is needed.
healthaffairs.org
Financial distress among rural hospitals is a significant concern for policy makers. Poor financial performance increases the likelihood of hospital closure and merger, and it can limit hospitals’...
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I am pretty familiar with what’s in the @medicarepayment report. I still learn a lot from this thread. I hope more people than @Farzad_MD’s mom read it. (If you do make it through that will.Make sense).
1/ I love reading the annual March MedPAC report to Congress on Medicare Payment Policy. such good, clear data and policy thinking. kudos to @medicarepayment staff and chair @Michael_Chernew. I'll post some thoughts/highlights as I read through this morning.
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RT @medicarepayment: It's finally here! Today, MedPAC published its March 2025 Report to the Congress. Find the full report on our website….
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RT @MedicareSentry: Today, the @USGAO Comptroller General testified before the House Committee on Oversight and Government Reform about the….
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RT @heidilwilliams_: Recently, CBO, CRS, and MedPAC have identified opportunities for PhD students to collaborate on non-partisan economic….
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RT @medicarepayment: MedPAC will host its first public meeting of 2025 on January 16-17. Commissioners will vote on payment adequacy recomm….
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2/2 Three main thoughts 1. Overall inflation adjusted prices for care in US likely have been falling. 2. Not enough attention to the value of care. 3. The NHE (gold standard of health care spending), misses a lot of important costs and may UNDERESTIMATE the burden of the system.
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1/2 @Health_Affairs just published the CMS NHE article: National Health Expenditures In 2023: Faster Growth As Insurance Coverage And Utilization Increased | Health Affairs. My reaction:
healthaffairs.org
The stable share of GDP devoted to health care reported in 2023 NHE data masks important underlying trends: Commercial prices, driven by consolidation, are likely rising while public prices, driven...
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RT @Arnold_Ventures: A new in-depth analysis from @KFF looks at 2025 #MedicareAdvantage offerings and trends over time. Learn more: .http….
kff.org
This brief provides an overview of the Medicare Advantage plans that are available for 2025 and key trends over time. The average Medicare beneficiary will have the option of 34 Medicare Advantage...
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I am very interested in how these models interact with other vbp models. The way budgets are set and how they grow must be key. In any case evaluations will be interesting.
healthaffairs.org
The momentum around global budget models, as seen in the AHEAD program and New York State’s 1115 waiver, represents a paradigm shift in how health care is financed and delivered. The opportunities...
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Always a fan of @tradeoffspod but this is a particularly interesting (and timely) episode. I think about this issue a lot. Thanks to all involved @tricia_neuman @amal_trivedi
podcasts.apple.com
Podcast Episode · Tradeoffs · 11/07/2024 · 25m
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RT @medicarepayment: We're back! MedPAC's 2024-2025 meeting cycle begins Sept. 5th. Topics include context for Medicare payment policy, cos….
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Right back at you. HCP and health policy at Harvard benefited immensely from your insights and scholarship. We are all better because you were here. We will miss your many contributions and just having your around but luckily it’s a small world.
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That’s correct: And much more on the topic in subsequent reports.
Based on memory - MedPAC recognized and recommended against use of these home visit codes for risk scores as far back as 2016.
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RT @medicarepayment: It's the perfect summer treat! Today, MedPAC released its July 2024 data book on health care spending and the Medicare….
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Gail’s leadership built MedPAC into the organization it is today. I last met w/ her in April (re MA and, more broadly, how to make health care markets function better). She was as engaging and insightful as ever. See:
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