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Topher Spiro Archives

Comparing the Effectiveness of Health Care

Doctor working on tablet article icon Issue Brief The Patient-Centered Outcomes Research Institute, or PCORI, should rapidly increase its investment in comparative effectiveness research, or CER.

By Neera Tanden, Zeke Emanuel, Topher Spiro, Emily Oshima Lee, and Thomas Huelskoetter | Friday, January 24, 2014

The Affordable Care Act’s Lower-Than-Projected Premiums Will Save $190 Billion

Insure Central Texas article icon Issue Brief Due to the health law’s lower premiums, its deficit reduction will increase by 174 percent.

By Topher Spiro and Jonathan Gruber | Wednesday, October 23, 2013

Reducing the Cost of Defensive Medicine

Surgery article icon Issue Brief Physicians are increasingly practicing defensive medicine to avoid lawsuits, but this trend increases costs and doesn’t improve health care outcomes.

By Zeke Emanuel, Topher Spiro, and Maura Calsyn | Tuesday, June 11, 2013

Testimony: Health Insurance Premiums Under the Patient Protection and Affordable Care Act

Topher Spiro testifies before the Committee on Energy & Commerce and the Subcommittee on Oversight & Investigations.

By Topher Spiro | Monday, May 20, 2013

Why Jeffrey Toobin Is Wrong About the Supreme Court and Obamacare

Topher Spiro explains why CNN legal analyst Jeffrey Toobin is wrong in his analysis of the Supreme Court arguments on the constitutionality of Obamacare.

By Topher Spiro | Wednesday, April 4, 2012

If Medicare for All Is Constitutional, So Is Obamacare

Topher Spiro uses the example of Medicare for all to prove that Obamacare is constitutional.

By Topher Spiro | Wednesday, March 28, 2012

Latest House Republican Budget Threatens Medicare and Shreds the Safety Net

article icon Issue Brief Instead of reducing health care costs, the House Republican budget would shift costs to seniors, health care providers, businesses, and states, writes Topher Spiro.

By Topher Spiro | Tuesday, March 20, 2012

The Independent Payment Advisory Board

article icon Issue Brief Topher Spiro explains how the Independent Payment Advisory Board created by the Affordable Care Act makes premium support plans that shift costs to beneficiaries unnecessary.

By Topher Spiro | Monday, March 5, 2012

The Case for the Individual Mandate in Health Care Reform

book_alt2 icon Report If we want to solve longstanding problems in the health care system but continue rely on private insurance the most effective solution is an individual mandate, write Neera Tanden and Topher Spiro.

By Neera Tanden and Topher Spiro | Wednesday, February 8, 2012

Comments on Essential Health Benefits

The Center for American Progress's comments on the Essential Health Benefits Bulletin released by the Center for Consumer Information and Insurance Oversight on December 16, 2011.

By Topher Spiro | Monday, January 30, 2012

The Inherent Flaws in Medicare Premium Support

article icon Issue Brief Close examination of recent proposals to restructure Medicare by providing premium support or vouchers reveals fundamental flaws, writes Topher Spiro.

By Topher Spiro | Friday, December 16, 2011

Expand Competitive Bidding in Medicare

Ezekiel J. Emanuel, David M. Cutler, and Topher Spiro explain the benefits of expanding Medicare's competitive bidding program.

By Zeke Emanuel, David M. Cutler, and Topher Spiro | Wednesday, October 26, 2011

How the Federal Government Can Save $100 Billion or More in Health-Care Costs

Ezekiel J. Emanuel, David M. Cutler, and Topher Spiro offer reforms to achieve billions in savings in addition to what the Affordable Care Act will accomplish.

By Zeke Emanuel, David M. Cutler, and Topher Spiro | Wednesday, October 26, 2011

Replace Fee-for-Service with Bundled Payments in Medicare

David M. Cutler, Ezekiel J. Emanuel, and Topher Spiro explain why Medicare payments should be bundled together for multiple providers.

By David M. Cutler, Zeke Emanuel, and Topher Spiro | Wednesday, October 26, 2011

Pay for Interventions That Work in Medicare

Ezekiel J. Emanuel, David M. Cutler, and Topher Spiro on Medicare's least costly alternative policy for treatments.

By Zeke Emanuel, David M. Cutler, and Topher Spiro | Wednesday, October 26, 2011