Roosevelt Institute | Cornell University

Healthcare's shift from Fee-For-Service payments to Accountable Care Organizations

By Matthew Hersman Published March 11, 2015

Fee-for-service has long been known to be an ineffective and wasteful way to determine physicians' payments. As healthcare providers increasingly shift their payment models away from fee-for-service methods to Accountable Care Organizations, money will be saved as quality of care improves.


The Two-Midnight Rule Negatively Impacts Hospitals and Patients Alike

By Matthew Hersman Published November 9, 2014

In 2013, the Center for Medicare and Medicaid Services implemented a rule that required patients to spend two nights in a hospital in order to qualify for in-patient hospital rates. This rule has had a negative effect on patients and has had a costly impact on hospitals.


Huntington's Disease

By Matthew Hersman Published October 21, 2014

Huntington's Disease (HD) is a debilitating hereditary disorder that leads to the progressive decline of one's physical and mental capabilities. Current legislation used to determine Medicare and Social Security Disability payments are outdated and in major need of reform in order to ensure that those with HD are able to get the treatment they need.


Why The Government Should Be Embracing, Not Rejecting, Cost-Effectiveness Analysis

By Matthew Hersman Published April 25, 2014

Medicare is barred from using comparative effectiveness studies run by the Patient Center Outcomes Research Institute in determining how much to pay for specific treatments. Rather than rejecting these studies in fear of "rationing," the government should instead use this information to shift the extra financial burden from the government to the patients for expensive treatments that show little added benefit.


The Latest on Obamacare

By Matthew Hersman Published April 6, 2014

With the first ever enrollment period of the Affordable Care Act finally coming to a close, everyone is watching and wondering how the shaky rollout will affect the future of Obamacare. While it is becoming increasingly apparent that enough people signed up on the Marketplace to sustain the Affordable Care Act, the less-than-expected number of enrollees is likely to come at a cost in the future.