John McDonough
First published 5/9/11 on Kaiser Health News
When it comes to reducing or controlling rising health care costs, we face a problem called “the fierce urgency of NOW.”
We have learned from the Medicare and Medicaid budget proposals by Rep. Paul Ryan, R-Wis., that Republicans have no substantive ideas on how to address these costs beyond shifting the bill to consumers and states. We also know that Democrats embedded a lot of promising ideas to generate savings into the health law — concepts ranging from medical homes and accountable care organizations to payment bundling and value-based insurance design. But these ideas will take time before we know if and how well they work.
But time is something we don’t have.