Short history of competitive bidding in Medicare

Austin Frakt has a post with a nice run down of various competitive bidding demonstrations/attempts in Medicare. He concludes:

Interestingly, in all cases where competitive bidding was tested, it led to large savings. However, more often than not, Congress or CMS repealed or suspended bidding demonstrations and programs.

The technical issues are hard enough, but the political barriers are immense.

About Don Taylor
Professor of Public Policy (with appointments in Business, Nursing, Community and Family Medicine, and the Duke Clinical Research Institute), and Chair of the Academic Council at Duke University . I am one of the founding faculty of the Margolis Center for Health Policy. My research focuses on improving care for persons who are dying, and I am co-PI of a CMMI award in Community Based Palliative Care. I teach both undergrads and grad students at Duke. On twitter @donaldhtaylorjr

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