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New Lancet paper abt opp costs of spending on new drugs in NHS totally ignores difference between value of average versus marginal spending on alternate NHS services. Unclear how value of marginal services relates to average value, but assuming they're = seems dubious...

Does Medicaid reduce involvement with the criminal justice system? In this new paper we find no effect of Medicaid on criminal charges and convictions using experimental variation in Medicaid coverage from the Oregon Health Insurance Experiment.

Let's be clear, though. "Knock[ing] out the middleman" here has virtually nothing to do with getting drug costs down. There's a reason pharmaceutical companies were lobbying so hard for PBM restrictions.

Enjoyed talking with Elizabeth Trovall about Medicaid and Medicare for this morning's Marketplace Morning Report. Link to audio🔽 UVA Batten School UVA

In the 2026 MA Advance Notice, CMS said that it may begin calibrating the MA risk adjustment model using encounter data (snippet below). Unfortunately, this change would not achieve what CMS hopes it would—and might well be a step in the wrong direction.

We already know where a lot of the waste, fraud, abuse is. Between Medicare Advantage, policing Medicare fraud, & enhanced tax collection efforts, there's big $$ to be saved. And it can even be done through legal means, a good amount with current authority.