{"id":206,"date":"2012-08-14T22:09:00","date_gmt":"2012-08-15T02:09:00","guid":{"rendered":"http:\/\/blog.cmhughesmd.com\/?p=206"},"modified":"2012-08-14T22:09:00","modified_gmt":"2012-08-15T02:09:00","slug":"the-republican-tickets-big-medicare-myth","status":"publish","type":"post","link":"http:\/\/blog.cmhughesmd.com\/?p=206","title":{"rendered":"The Republican ticket\u2019s big Medicare myth"},"content":{"rendered":"<p><a href=\"http:\/\/www.washingtonpost.com\/blogs\/ezra-klein\/wp\/2012\/08\/13\/the-white-houses-medicare-plan-isnt-that-hard-to-find\/\">The Republican ticket\u2019s big Medicare myth<\/a><\/p>\n<blockquote><p>Obama\u2019s Medicare reform plan isn\u2019t that hard to find. It\u2019s largely in Title III of&nbsp;<a href=\"http:\/\/www.healthcare.gov\/law\/full\/\">The Patient Protection and Affordable Care Act<\/a>.  The basic strategy has three components: First, figure out what  \u201cquality\u201d in health care is. Second, figure out how to pay for quality  rather than paying for volume. Third, make it easier for Medicare to  quickly update itself to reflect both advances in knowledge about what  quality is and how to pay for it.<\/p><\/blockquote>\n<blockquote><p>And so, in Title III, you\u2019ll find dozens of different efforts to  achieve these goals. The most famous of them is Section 3403, which  establishes the&nbsp;<a href=\"http:\/\/voices.washingtonpost.com\/ezra-klein\/2010\/03\/can_we_control_costs_without_c.html\">Independent Payment Advisory Board<\/a>&nbsp;(IPAB).  But there\u2019s also Section 3021, which creates the&nbsp;Center for Medicare  and Medicaid Innovation, and Section 3025, which cuts hospital  reimbursements if too many of their patients are readmitted, and Section  3001, which establishes value-based purchasing for hospital services,  and Section 3015, which collects data on quality, and Section 3502,  which advances the medical home model.<\/p><\/blockquote>\n<blockquote><p>Some of the efforts are outside Title III. The&nbsp;<a href=\"http:\/\/www.washingtonpost.com\/blogs\/ezra-klein\/post\/pcori-funny-acronym-serious-work\/2012\/01\/18\/gIQAhSxk8P_blog.html\">Patient-Centered Outcomes Research Institute<\/a>&nbsp;is  actually in Title VI of the law. And then there are the subsequent  reforms the administration has proposed to save more money. Those can be  found on&nbsp;<a href=\"http:\/\/www.whitehouse.gov\/sites\/default\/files\/omb\/budget\/fy2013\/assets\/cutting.pdf\">pages 33-37<\/a>&nbsp;of  the president\u2019s 2013 budget proposal. They include expanding IPAB\u2019s  mandate such that it can change Medicare\u2019s benefit package and setting a  growth cap on Medicare of GDP+0.5 percentage points \u2014 which is, by the  way, the same growth cap that Rep. Paul Ryan imposes in the latest  iteration of his budget.<\/p><\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>The Republican ticket\u2019s big Medicare myth Obama\u2019s Medicare reform plan isn\u2019t that hard to find. It\u2019s largely in Title III of&nbsp;The Patient Protection and Affordable Care Act. The basic strategy &hellip; <a href=\"http:\/\/blog.cmhughesmd.com\/?p=206\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;The Republican ticket\u2019s big Medicare myth&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"sfsi_plus_gutenberg_text_before_share":"","sfsi_plus_gutenberg_show_text_before_share":"","sfsi_plus_gutenberg_icon_type":"","sfsi_plus_gutenberg_icon_alignemt":"","sfsi_plus_gutenburg_max_per_row":"","footnotes":""},"categories":[39,61,46,21],"tags":[],"class_list":["post-206","post","type-post","status-publish","format-standard","hentry","category-defending-ppaca","category-ipab","category-medicare","category-ppaca"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/206","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=206"}],"version-history":[{"count":0,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/206\/revisions"}],"wp:attachment":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=206"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=206"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}