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Topher Spiro Archives

The Affordable Care Act is not in crisis — but it could be better

Zeke Emanuel and Topher Spiro discuss if the Affordable Care Act’s insurance exchanges are sustainable.

by Zeke Emanuel and Topher Spiro | Monday, August 22, 2016

Healthcare mega-mergers drive income inequality. They must stop

Topher Spiro discusses why the U.S. Department of Justice's most recent action comes at a critical moment for the health care system and antitrust policy.

by Topher Spiro | Monday, July 25, 2016

Re-Evaluating the Patient-Centered Outcomes Research Institute

A patient walks down a hallway. article icon Issue Brief PCORI has made some progress but needs to act quickly to make a bigger impact on comparative effectiveness research.

by Zeke Emanuel, Topher Spiro, Thomas Huelskoetter | Tuesday, May 31, 2016

The Population of Pregnant Women at Potential Risk of Zika Virus Infection

blood samples with Zika article icon Issue Brief More than 2 million pregnant women will be potentially at risk from Zika this summer and fall.

by Topher Spiro and Thomas Huelskoetter | Thursday, May 26, 2016

State Options to Control Health Care Costs and Improve Quality

Nurses at the University of Chicago Medical Center book_alt2 icon Report States should take the lead in implementing innovative cost control and quality improvement reforms.

by Zeke Emanuel, Joshua Sharfstein, Topher Spiro, Meghan O'Toole | Monday, April 11, 2016

Sending nurses to work with poor moms helps kids. So why don’t we do more of it?

Topher Spiro and Lanhee Chen discuss the bipartisan benefits of investing in nurse coaching programs.

by Topher Spiro and Lanhee Chen | Tuesday, April 5, 2016

Divestitures Will Not Maintain Competition in Medicare Advantage

Man reading Medicare brochure article icon Issue Brief Experiences from past mergers show that divestitures most likely will not be a successful remedy in the proposed Aetna-Humana merger.

by Topher Spiro, Maura Calsyn, Meghan O'Toole | Tuesday, March 8, 2016

Bigger Is Not Better

Doctor with files article icon Issue Brief A proposed merger between Aetna and Humana, two of the country’s largest health insurance companies, likely would increase costs for consumers and taxpayers.

by Topher Spiro, Maura Calsyn, Meghan O'Toole | Thursday, January 21, 2016

Pa., expand home visiting

Topher Spiro and Meghan O'Toole describe how home-visiting programs can improve the lives of families in Pennsylvania and save millions of dollars for the state.

by Topher Spiro and Meghan O'Toole | Wednesday, January 20, 2016

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