Policy analysis by Kip Sullivan

Kip Sullivan is one of HCA-MN’s policy advisors and has written the following papers for us.

  1. Part 1 Understanding the debate about reducing health care costs: Part I (9/3/2018)-
  2. part 2 Understanding the debate about reducing health care costs: Part 2 (9/2/2018)- Kip Sullivan continues his thoughts on reducing health care costs.
  3. part 3 Understanding the debate about reducing health care costs: Part 3 (9/1/2018)- In Part 3, Sullivan takes a look at solutions to reducing health care costs.
  4. Bernie Sanders A Critique of Section 611(b) in Bernie Sanders’ “single payer” bill (6/30/2018)- Download a PDF of this report. Overview The most important defects in Bernie Sanders’ “single payer” bill, S 1804, are: The absence of budgets for institutional providers (hospitals and nursing ...

Kip Sullivan at The Health Care Blog

Sullivan is also a contributor at the prestigious Health Care Blog.. Here are select columns of his on health reform.

  1. Kip Sullivan New Study: Medicare’s Readmission Penalties May Be Killing Patients (1/8/2019)- On the morning of December 21, I opened my copy of the New York Times to find an op-ed that said almost exactly what I had said in a two-part article ...
  2. Kip Sullivan Part II | MedPAC’s Proposed “Reforms” Should Be Tested Before They’re Implemented: CMS’s Hospital Readmissions Reduction Program Is Exhibit A (12/7/2018)- The Hospital Readmissions Reduction Program (HRRP), one of numerous pay-for-performance (P4P) schemes authorized by the Affordable Care Act, was sprung on the Medicare fee-for-service population on October 1, 2012 without ...
  3. Kip Sullivan MedPAC’s Proposed “Reforms” Should Be Tested Before They’re Implemented: CMS’s Hospital Readmissions Reduction Program Is Exhibit A (12/6/2018)- Egged on by the Medicare Payment Advisory Commission (MedPAC), Congress has imposed multiple pay-for-performance (P4P) schemes on the fee-for-service Medicare program. MedPAC recommended most of these schemes between 2003 and ...
  4. Seema Verma Hyperventilates About Tiny Differences Between ACOs Exposed to One-and Two-Sided Risk (8/21/2018)- There is no meaningful difference between the performance of Medicare ACOs that accept only upside risk (the chance to make money) and ACOs that accept both up- and downside risk ...
  5. Would ACOs Work if They Were Turned into HMOs? (6/8/2017)- CMS has now conducted three demonstrations of the “accountable care organization,” and all of them have failed. The Physician Group Practice (PGP) Demonstration, which ran from 2005 to 2010, raised ...
  6. How CMS Undermines ACOs and What to do About It (5/26/2017)- In my first post  in this three-part series, I documented three problems with Pioneer ACOs: High churn rates among patients and doctors; assignment to ACOs of healthy patients; and assignment ...
  7. ACO Turnover is High. Doctors Have Few Patients, and Those Patients are Unusually Healthy (5/22/2017)- ACOs suffer astonishingly high turnover rates among their doctors and patients; their patients are unusually healthy; and those unusually healthy ACO patients constitute about 5 percent of each ACO doctor’s ...
  8. Why We Have so Little Useful Research on ACOs (2/16/2016)- Our country urgently needs research on the impact of “accountable care organizations” on cost and quality. The ACO has been the establishment’s great hope for health care reform since the ...

THIS PAGE UNDER CONSTRUCTION