The Boomers Are to Blame for Aging America – The Atlantic

June 24, 2019

Below, I show a reasonable projection of the share of national income that will have to be spent paying for these obligations in the future if there is no substantial restructuring of liabilities. It’s based on consensus forecasts from groups such as the Congressional Budget Office and the Office of Management and Budget for economic growth and for programs such as Social Security and Medicare where such forecasts are available—but in some cases, such as state debts and pensions, no such forecast was available, and so I developed a simple one.

Editor’s note: the graph rises from roughly 3% of GDP in 1950 to nearly 20% of GDP by 2040.

Source: The Boomers Are to Blame for Aging America – The Atlantic


For want of a form, a baby’s life could be lost – STAT

June 24, 2019

When a provider doesn’t submit an MPRA for a Medicaid-covered pregnant patient in Baltimore, her child is five times more likely to die before birth or in the first year of life than babies whose providers submit the form, according to an analysis by the Baltimore City Health Department.

Source: For want of a form, a baby’s life could be lost – STAT


MRI costs: why this surgeon is challenging NC’s certificate of need law – Vox

June 24, 2019

The legal argument against certificate of need is quite simple: The North Carolina Constitution bans monopolies, and the CON law effectively creates and preserves a monopoly by making it difficult or outright impossible for competitors to open a business.“

The effect of the MRI-CON requirement is to prevent [Singh] from acquiring a fixed MRI scanner to provide safe, quality, affordable MRI scans to patients who need them, solely because incumbent providers got there first,” the lawsuit on Singh’s behalf alleges. “Therefore, the MRI-CON requirement, both on its face and as applied, grants certain health care providers a monopoly in violation… of the North Carolina Constitution.”

Singh’s lawyers also argue the law violates their client’s equal protection rights and his right to earn a living as guaranteed by the state Constitution.

Source: MRI costs: why this surgeon is challenging NC’s certificate of need law – Vox


Tool Informs Medicaid’s Business Case for Investing in Prevention – RWJF

June 24, 2019

This is why Nemours Children’s Health System developed the Prevention Business Case Financial Simulation Tool and accompanying user guide. While exploring strategies for Medicaid investment in preventative health services, Nemours discovered that there was a lack of tools and resources available to state Medicaid agencies and MCOs to make a business case for investing in prevention. To help these organizations fill this need, Nemours developed the Financial Simulation tool using existing research literature and partnering with the Maryland Department of Health to test and validate the tool with Maryland Medicaid data. The Financial Simulation tool provides key “return on investment” (ROI) information to any state interested in exploring and implementing childhood obesity prevention interventions.The tool allows states’ Medicaid agencies and MCOs to estimate the cost of investing in various childhood obesity treatment and prevention services; health care cost savings resulting from intervention; expected short and medium-term health benefits; and a timeline of savings in order to provide evidence of the business case for Medicaid obesity prevention interventions.

Source: Tool Informs Medicaid’s Business Case for Investing in Prevention – RWJF