Category Archives: Health

Canary in a Coal Mine? SAMHSA’s Clearinghouse Signals Larger Threat to Evidence-based Policy

It started as a simple story. Once again the Trump administration had demonstrated its reputed disdain for facts and evidence. This time it had revoked the contract of one of the federal government’s top evidence clearinghouses — one that reviewed … Continue reading

Posted in Evidence, Health

SAMHSA Issues Statement on Evidence, But Still No Word on Its Clearinghouse

Perhaps to mollify critics of its decision to stop work on its evidence clearinghouse, the Substance Abuse and Mental Health Services Administration (SAMHSA) today announced two new sources of technical assistance to help communities that are grappling with opioids and … Continue reading

Posted in Health

Trump Administration’s First Work-based Medicaid Waiver May Produce Little New Evidence

A new waiver policy intended to promote work by Medicaid recipients drew substantial criticism when it was announced by the Trump administration earlier this week. But will it generate any valuable new evidence of what works? It is too early to … Continue reading

Posted in Children and Families, Health

Trump Administration Terminates SAMHSA Evidence Clearinghouse Amid Questions About Its Objectivity

A Trump administration decision to terminate the contract of one of the federal government’s top evidence clearinghouses, the National Registry of Evidence-based Programs and Practices (NREPP), has raised questions about its ongoing commitment to evidence.  But the decision may have actually … Continue reading

Posted in Health

Trump Administration’s Plan B for Evidence-based Welfare Reform? Medicaid Waivers

Just days after a weekend retreat at Camp David, where President Trump and the Republican congressional leadership agreed to set aside House Speaker Paul Ryan’s ideas for welfare reform, a Plan B appears to be emerging. The goal?  Encourage more … Continue reading

Posted in Children and Families, Health

Medicare Value-based Care Program Penalizes Physicians Serving High-risk Patients

A new paper in the Journal of the American Medical Association (JAMA) has indicated that value-based payments to physicians in the Medicare program penalize those who serve socially or medically high-risk patients. The study investigated first year results for the … Continue reading

Posted in Health

Will Republicans Keep CMMI After All?

With President-elect Trump and Republicans in Congress both elected on a platform of repealing Obamacare, the Center for Medicare and Medicaid Innovation (CMMI), which was created by the law, would seem to be a likely target for elimination. Perhaps not. … Continue reading

Posted in Health

CBO Says CMMI Will Save $34 Billion Over 10 Years

In testimony before the House Budget Committee, the Congressional Budget Office (CBO) estimated that the Center for Medicare and Medicaid Innovation (CMMI) will save the federal government $34 billion over the next ten years (2017-2026). CMMI was established by the … Continue reading

Posted in Health

Medicare and Medicaid Continue Transition to Value-based Payments

Earlier this month, the Department of Health and Human Services (HHS) announced that 30 percent of Medicare payments are now tied to quality or value, nearly a year ahead of goals that it set for itself in early 2015. According … Continue reading

Posted in Health, Social Impact Bonds / Pay for Success