John E. McDonough

Guest Contributor

Stories by John E. McDonough

Bending the Medicaid cost curve

Bending the Medicaid cost curve

Massachusetts is betting big on accountable care organizations

IN A WILDLY uncertain national health care environment, something new, audacious, and risky is happening in MassHealth, the Medicaid program that provides health coverage to 1.9 million people who are poor, elderly, and persons with disabilities in Massachusetts. Gov. Charlie Baker’s administration is betting that an emerging health care delivery and payment model, called “accountable(...)

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Obamacare more durable than expected

Obamacare more durable than expected

The state of play post-Trump/RyanCare

GLOBAL HEALTH EXPERT Michael Reich says that the acid test of any national health reform comes when a new national administration takes over. Only when a new president or prime minister assumes power can we judge the stability and staying power of any health system reform. In the US, that’s this moment. Since November 8,(...)

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GOP cuts are moral challenge for America

GOP cuts are moral challenge for America

Republican plan trades health care for 24 million to provide tax cuts to the super-wealthy

THE BIG NEWS IS, of course, the “score” from the Congressional Budget Office detailing that the House Republican bill to repeal and replace the Affordable Care Act/Obamacare will result in 14 million Americans losing health insurance by 2018 and 24 million by 2026. Before that, something else caught my eye today from the Bangor Daily(...)

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Republicans showing their hand on ACA ‘replacement’

Republicans showing their hand on ACA ‘replacement’

Draft health care legislation would slash coverage expansion and subsidies

LATE LAST WEEK, Politico released a leaked 105-page draft bill defining the House Republican plan to repeal/replace/repair/re-whatever the Affordable Care Act/Obamacare. The draft legislation was dated February 10, so likely it’s already out of date, though it is the best indication yet of their rapidly evolving intentions and fits with many of their prior recent(...)

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Voices from Ohio on Medicaid expansion

Voices from Ohio on Medicaid expansion

Experience mirrors that of all states that expanded coverage under ACA

OHIO IS ONE of 31 states that expanded Medicaid as permitted by the Affordable Care Act/Obamacare for nearly all low-income citizens. The state’s Republican governor, former presidential candidate John Kasich, has been among the most vocal proponents of the expansion on the Republican side and has taken a lot of grief for it from ACA(...)

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Time to step up fight against ACA repeal

Time to step up fight against ACA repeal

GOP will only succeed if we let them

A NEW REPUBLICAN-CONTROLLED Congress is in place. And for the sixth time, the Affordable Care Act (ACA) is facing extinction. Indeed, a gripping narrative history of the ACA/Obamacare could be written focused only on its numerous near-death experiences. Maybe the sixth time will be the curse, and maybe not. Let’s recall. One, in January 2010,(...)

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Five Affordable Care Act questions for the GOP

Five Affordable Care Act questions for the GOP

Republican plans don't add up

SO, REPUBLICANS ARE planning a major blitz to repeal and delay/replace/collapse the Affordable Care Act/ACA/ObamaCare. I’ve got five questions to ask leaders of the Grand Old Party. First, if your guarantees are honest that your replacement law will be better than the ACA, why not share real numbers? President-elect Donald Trump, Speaker Paul Ryan, and(...)

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Trump poised to dump Affordable Care Act

Trump poised to dump Affordable Care Act

Health and human services nominee is leading critic of landmark law

PRESIDENT-ELECT DONALD TRUMP has nominated Rep. Tom Price of George, an orthopedic surgeon and the House Budget Committee chairman, to be his first secretary of health and human services. For those lulled into believing that Trump was moderating his views on the Affordable Care Act because of recent statements on 60 Minutes that he leaned(...)

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State gains approval for big Medicaid overhaul

State gains approval for big Medicaid overhaul

Baker administration secures waiver worth $52b over 5 years

THE FEDERAL GOVERNMENT today approved a huge infusion of money to Massachusetts and big restructuring of the state’s Medicaid program, known as MassHealth. The five-year $52.4 billion waiver is major win for the Baker administration, and especially for Health & Human Services Secretary Marylou Sudders and Medicaid director Daniel Tsai. The new waiver will preserve(...)

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Baker’s big health care move

Baker’s big health care move

Revamping MassHealth offers great potential — and great risks

FOR THE THIRD time since 1996, the Massachusetts Medicaid program, called MassHealth, is preparing for transformation. After submitting a final proposal in July, state officials are anxiously awaiting a decision on the plan from the US Centers for Medicaid & Medicare Services. The goals are to: first, transform how medical services are delivered to many(...)

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