Entries by David Anderson

Notice and prepping for 2020 open enrollment

The Notice for Benefit and Payment Parameters (NBPP) is an annual rule that the Center for Medicare and Medicaid Services (CMS) puts out. NBPP is the operational rule book for the Affordable Care Act. It determines what types of plans can be offered, how pricing is determined, when do things need to be approved, and […]

Saying No saves money

Walid Gellad and others have a short research letter in JAMA Internal Medicine this week on the cost of prescription drugs under various payments schemes.  This team simulated the differential spending between what Medicare Part D paid for the top-50 drugs and what the Veterans Administration paid for those drugs.  The prices paid are significantly […]

What is CMS

P.A. asked a good question in comments yesterday:   Who is CMS? How are they appointed? Can CMS be ‘Federalist-Society-ized’ by Congress or executive? Paul Krugman has a pithy, fast look at the functionality of the US government that is very relevant to the Center for Medicare and Medicaid Services (CMS): A general reminder whenever […]

The floor time constraint of any 2021 agenda

Prioritization will be a key differntiatior of Democratic Presidential and Senate primary candidates. I believe that most Democrats will share significant elements of what is on their top-10 list of areas that need federal government attention in a government that could theoretically have a narrow Democratic trifecta. But the key will be prioritization. In 2009-2010, […]

Block grants and shock events

Politico reported late last week that the Center for Medicare and Medicaid Services (CMS) wants to block grant Medicaid through the 1115 waiver process. SEEMA VERMA wants Medicaid block grants to be official policy of the Trump administration. Out from behind the paywall by @rachanadixit + me. https://t.co/qPYvjhnhTr — Dan Diamond (@ddiamond) January 11, 2019 […]