...tos, travel souvenirs, and other objects bring us joy when we look at them. Too many of them, however, could interrupt your train of thought even more often than co-workers or your family members do. Try limiting personal decorations to just 3 items or less –and moving any others to outside your direct line of sight. Whatever you do, make sure everything you keep on your desk is either useful, necessary, or brings you joy–criteria for clearing out any ki...
Productivity and Ergonomics: The Best Way to Organize Your Desk
7 years
The first lesson is that any change is difficult, but it is especially difficult in the face of hyperpartisanship. Republicans reversed course and rejected their own ideas once they appeared in the text of a bill that I supported. For example, they supported a fully funded risk-corridor program and a public plan...
United States Health Care Reform: Progress to Date and Next Steps | JAMA | JAMA Network
8 years
... incentives for the least-efficient private-sector health plans to engage in delivery system reform efforts, with major benefits for the economy and the budget. It should be preserved.64 In addition, Congress should not advance legislation that undermines the Independent Payment Advisory Board, which will provide a valuable backstop if rapid cost growth returns to Medicare.
United States Health Care Reform: Progress to Date and Next Steps | JAMA | JAMA Network
8 years
...on how past changes in Medicare payment rates have affected private payment rates implies that these changes in Medicare payment policy are helping decrease prices in the private sector as well.35,36 The ACA also included numerous policies to detect and prevent health care fraud, including increased scrutiny prior to enrollment in Medicare and Medicaid for health care entities that pose a high risk of fraud, stronger penalties for crimes involving losses in excess of $1 million, and additional funding for antifraud efforts. The ACA has also widely deployed “value-based payment” systems in Medicare that tie fee-for-service payments to the quality and efficiency of the care delivered by health care organizations and healt...
United States Health Care Reform: Progress to Date and Next Steps | JAMA | JAMA Network
8 years
In 2009, during my first month in office, I extended the Children’s Health Insurance Program and soon thereafter signed the American Recovery and Reinvestment Act, which included temporary support to sustain Medicaid coverage as well as investments in health information technology, prevention, and health research to improve the system in the long run. In the s...
United States Health Care Reform: Progress to Date and Next Steps | JAMA | JAMA Network
8 years
In my first days in office, I confronted an array of immediate challenges associated with the Great Recession. I also had to deal with one of the nation’s most intractable and long-standing problems, a health care system that fell far short of its potential. In 2008, the United States devoted 16% of the econ...
United States Health Care Reform: Progress to Date and Next Steps | JAMA | JAMA Network
8 years
