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Payment Systems, Strategy Stephen Kemble, MD 5/6/25 Payment Systems, Strategy Stephen Kemble, MD 5/6/25

The Case for Single-Payer: Reduce Healthcare Cost with Administrative Simplification and Restore Professional Autonomy

One Payer States · After thirty years of privatization, managed care and value-based payment failing to control cost, a summary of the key concepts and payment design for a cost-effective universal system.

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Payment Systems Mike Huntington, MD 11/30/24 Payment Systems Mike Huntington, MD 11/30/24

Testimony to the Oregon Health Policy Board

One Payer States · Testimony arguing that Oregon's managed-care model rests on a mistaken over-utilization premise, and that the Medicaid eligibility cliff punishes people for earning more.

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Medicare, Payment Systems Stephen Kemble, MD 10/18/22 Medicare, Payment Systems Stephen Kemble, MD 10/18/22

Capitation payment of ACO REACH plans will sabotage "Realizing Equity, Access, and Community Health"

OPS Policy Work Group · How the capitation model behind CMS's REACH demonstration shifts risk onto providers and undermines the equity goals it claims to advance.

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Insurance Industry, Payment Systems Stephen Kemble, MD 3/1/21 Insurance Industry, Payment Systems Stephen Kemble, MD 3/1/21

Beware of Insurance Industry “Trojan Horses” in “Single-Payer” Proposals!

OPS Policy Work Group · Why HMOs, ACOs, and capitated delivery systems undermine single-payer cost savings, and the four elements a genuine single-payer bill must contain.

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