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Medicaid’s Drug Problem: $329 million a year

I have blogged before about the problems that we have here in Massachusetts with our exploding Medicaid costs (here, here, here)– roughly 40% of the budget this year. Alex Brill at American Enterprise Institute (AEI) updated a working paper titled Overspending on Multi-Source Drugs in Medicaid that brings attention to one of those cost drivers –the elevated use of multi-source drugs in Medicaid. Multi-source drugs are prescription drugs that are available in both brand and generic form. While the title may not draw in many readers outside of the health policy community, it highlights a very important issue that does (and will continue) to impact state budgets for years to come. The recently enacted Affordable Care Act (ACA or Obamacare) […]

Teacher pensions: Answering Your Questions

Last week, I blogged on teacher pensions and the piece drew agreement and criticism. In response to critics, I’ll let the numbers speak for themselves. Today, I wanted to continue the conversation by following up on the good questions raised by commenters. How much do teachers’ salaries go up on average? Berkman34 and ChuckinMedford asked about the assumption of a 4.69 percent annual increase in salaries that underpins my average salary number for 2011. There are a few things to say on this which can be helpful. First, the 4.69 percent increase is simply what empirically happened between 2004 and 2009, which were also difficult fiscal years, and years in which municipal aid from the state was not seeing the […]

FactCheck.org: ‘RomneyCare’ Facts and Falsehoods

A reporter from FactCheck.org visited Pioneer’s office a couple of weeks ago to learn more about the Massachusetts health reform law. Without a doubt this will be a big issue in the 2012 presidential campaign. I give the Annenberg Public Policy Center at UPenn and their FactCheck.org project credit for attempting to get ahead of the curve here. A few thoughts on the article: More Research Needed: There are still a lot of unknowns in Massachusetts. The data in the state is improving but much is still unclear. Pioneer has attempted to capture key metric in its Report Card Series. Interim Report Cards on Massachusetts Health Care Reform A) Increasing Access B) Equitable and Sustainable Financing C) Administrative Efficiency D) […]

Relearning the Lesson

Its been painful to watch the situation with Transportation Secretary Mullan play out over the past two weeks. As an observer of transportation in this state, I have had the opportunity to interact with him and he’s been gracious enough to appear at one of our events. I’ve found him to be smart, knowledgeable, and dedicated. Further, given two false starts at the position and the importance of managing major structural reforms, the administration could ill-afford another transition at the Secretary level. So its been painful to watch as we review the same painful lesson once again: its not the ‘crime’, its the coverup. The inability to get a story straight on a hot button issue related to the Big […]

Obamacare superstar sales team goes missing

Here’s yet more evidence that, in the year since Nancy Pelosi and Harry Reid presided over the ramming of Obamacare through Congress, the dust has yet to settle – the Democratic superstars who were supposed to be trumpeting its virtues are in hiding. Jennifer Haberkorn has a piece on Politico noting that the Health Information Campaign, launched with great fanfare last June, is all but defunct. Wal-Mart Watch founder Andrew Grossman unveiled the Health Information Campaign with great fanfare last June. Tom Daschle and Ted Kennedy’s widow, Vicki, were expected to lead the effort. They’d have help from former White House Communications Director Anita Dunn. They’d have an office in Washington with 10 or 15 operatives backing the Affordable Care Act […]