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Topher Spiro Archives

Paying It Forward

Mother and child book_alt2 icon Report Creating a new Medicaid benefit for evidence-based home visiting services would simplify funding and allow states and communities to scale services, improve outcomes for families, and produce significant savings for states and the federal government.

by Rachel Herzfeldt-Kamprath, Meghan O'Toole, Maura Calsyn, Topher Spiro, Katie Hamm | Thursday, November 12, 2015

What if drugs were priced based on their effectiveness?

Author Topher Spiro argues that drugs should be priced based on their effectiveness.

by Topher Spiro | Monday, October 12, 2015

Enough Is Enough

Luillia Van Lanen with some of her prescription medication book_alt2 icon Report Sustainable drug pricing requires paying for drugs based on their benefits to patients.

by Topher Spiro, Maura Calsyn, Thomas Huelskoetter | Friday, September 18, 2015

A Strategy for Medicare Payment Reform

Doctor and patient book_alt2 icon Report Medicare’s Pioneer ACO Model has shown modest yet improving results so far. The Centers for Medicare & Medicaid Services should make improvements to the Pioneer ACO Model while also expanding bundled payment reforms.

by Topher Spiro, Maura Calsyn, Meghan O'Toole | Monday, June 1, 2015

The Great Cost Shift

Stethoscope book_alt2 icon Report Cost shifting from employers to employees—not the Affordable Care Act—is the reason why employees continue to experience growing health care costs. Employees should be aware of these cost-shifting efforts and share in health care cost savings.

by Topher Spiro, Maura Calsyn, Meghan O'Toole | Tuesday, March 3, 2015

Payment Reform Action Plan: Meeting the New Medicare Payment Reform Target

Chemotherapy is administered to a cancer patient. article icon Issue Brief The new Medicare goal for payment reform is a significant milestone toward improving patient care and making health care spending more sustainable. CAP recommends these next steps to help achieve this goal.

by Zeke Emanuel, Allyson Schwartz, Topher Spiro, Thomas Huelskoetter | Thursday, February 26, 2015

King v. Burwell: The Prohibitive Cost of Any Congressional Response to a Ruling Against the Affordable Care Act

Supreme Court article icon Issue Brief The Supreme Court should not expect Congress to act to prevent disastrous consequences.

by Topher Spiro | Thursday, January 29, 2015

Reforms to Help Meet the Growing Demand for Long-Term Care Services

Health care article icon Issue Brief Targeted reforms will help more Americans afford the long-term care they are likely to need in the coming decades.

by Daniel Bahr, Topher Spiro, Maura Calsyn | Friday, October 31, 2014

Prostate Cancer Treatment: Unproven Proton Radiation Therapy Wastes Millions of Dollars

Radiation therapists use X-rays to show the exact position of a patient's tumor in the left lung article icon Fact Sheet New proton therapy technology costs Medicare and seniors millions of dollars but offers zero improvement for prostate cancer patients.

by Topher Spiro, Thomas Huelskoetter, Gina Phillipi | Thursday, July 17, 2014

Eye Treatment for Seniors: How Lucentis Wastes More Than $1 Billion per Year

A shopper walks toward the pharmacy at a Little Rock, Arkansas, Wal-Mart store. article icon Fact Sheet A new CAP analysis finds that one drug company’s packaging decision costs Medicare and seniors more than $1 billion per year.

by Topher Spiro, Thomas Huelskoetter, Gina Phillipi | Thursday, May 22, 2014

A New Management Structure for a New Phase of the Affordable Care Act article icon Issue Brief The next round of open enrollment for the Affordable Care Act begins in November. To avoid problems and to optimize the consumer experience, a new, more effective management structure is essential for the next phase of implementation.

by Neera Tanden, Zeke Emanuel, Topher Spiro | Saturday, May 17, 2014

Spiro: Why the General Assembly must act

Topher Spiro, Dr. Christopher Lillis, and Thomas Huelskoetter explore the Virginia General Assembly's debate on mental health reform and Medicaid.

by Topher Spiro, Dr. Christopher Lillis, Thomas Huelskoetter | Tuesday, May 6, 2014

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, Thomas Huelskoetter | Friday, January 24, 2014

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, 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