All Articles In 'Competition'
Direct-to-Consumer Advertising of Prescription Drugs: Legal, Policy, Market, and Public Health Issues for Potential Bans on DTC Advertising of New Brand Drugs
Direct-to-Consumer (DTC) advertising of prescription drugs, especially new brand-named drugs, remains controversial. Some in Congress remain eager to prohibit advertising of brand-name prescription drugs to consumers in the first two years following a drug’s approval by [...]
State Health Exchanges and Qualified Health Plans: Briefing for Health Plans
As part of health reform implementation, states will create a large and complex new marketplace for the buying and selling of health insurance coverage. Through State Exchanges, individuals and small businesses may buy federally defined benefit [...]
Health Insurance Exchanges: How Two Proposals Differ, an Unexpected Complication, and What it All Means for Health Care Communications
Health Insurance Exchanges – either state-based exchanges favored by moderate Democrats and Republicans (reflected in Senate bill) or a national, federally-run exchange favored by liberal Democrats (version in the House bill) – are an essential component [...]
National Health Reform: Federal Budget Options for 115 Health Reforms Proposals
To aid the incoming 111th Congress and Obama Administration, the Congressional Budget Office (CBO) released a 235-page report outlining 115 budget options for health care reform. The report catalogs most of the hottest legislative ideas on [...]
Results-Driven Health Care: The Five Steps to Higher Quality, Lower Costs
Serious and costly performance problems riddle U.S. health care. Because of overuse, under use, and misuse of health care, researchers at the Juran Institute and elsewhere estimate that about 30 percent of health care costs are [...]
Impact of Deficit Reduction Act on Pharma: Changes to Average Manufacturer Price and Best Price
In the Deficit Reduction Act (DRA), Congress made a series of significant changes to pharmaceutical pricing, Medicaid best price rebates, and Medicaid payments to pharmacies for prescription drugs. The new policies, which are expected to save [...]
Should Federal Government Negotiate Prescription Drug Prices in Medicare: Emotions vs. Economics, Politics vs. Facts
There’s a lot of truth in the old joke about the problem with Republicans and Democrats: Republicans need a heart and Democrats need a brain. As Democrats prepare to take control of Congress, they appear eager [...]
Medicare Advantage Special Needs Plans: Growth of MA-SNPs and New Guidance on Integrating Medicare and Medicaid Services
Medicare Advantage Special Needs Plans (MA-SNPs) are a fast growing innovation in the marketplace. A new Medicare managed care option created under the Medicare Modernization Act (MMA), MA-SNPs are able to tailor plan designs and delivery [...]
Redefining Health Care: Using Competition to Improve Quality and Efficiency
The world’s leading guru of competitive strategy, Michael Porter, Ph.D., has turned his sights on explaining the fundamental cause of high costs, poor quality, consumer dissatisfaction, uneven access, and skyrocketing premiums in American health care. In [...]
Massachusetts Health Care Reform Initiative: Briefing from Lead Advisors to Massachusetts
To learn about the Massachusetts health care reform initiative, here are two podcasts on this groundbreaking new program to cover virtually all the uninsured in the Commonwealth. For Sellers, Feinberg and Associates, the lead consultants on [...]
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