Lake Street Strategies Papers

Our published papers aim to open new lines of conversation in current health policy debates and ask new questions to drive policy forward.

10 Things You Need to Know about the FDA User Fee Reauthorizations – Congress must reauthorize user fee programs for prescription drugs, medical devices, generic drugs, and biosimilars by September 30, 2017. This report answers 10 key questions about the User Fee Acts and explains their history.

10 Consequences from Repealing the ACA – Media coverage of the repeal debate has focused on the fate of the 20 million people who have attained coverage under the ACA. But the story of the ACA’s success is much more robust than that. Using objective measures of coverage, this report identifies 10 major consequences of repealing the ACA without a replacement.

Provide High-Cost Medicare Beneficiaries with Highly Valued Care – Highly valued care is person-centered, convenient, efficient, and delivered in innovate ways to help each patient achieve their life goals. Medicare administrators need to make explicit goals on spending and health performance, and be held accountable achieve them. Doing so will deliver highly valued care to the highest-cost Medicare fee-for-service beneficiaries and can save the federal government as much as $80 billion over 10 years.

Bundled Payments: A Stable Foundation for Medicare Financing – A combined price, or bundled payment, gives patients a single price for a given treatment. If Medicare adopted bundled payments, patients would receive better care and Medicare would save $206.5 billion over ten years.

Coordinate Care for the Most Vulnerable – Nine million Americans are dually eligible for Medicare and Medicaid. They face challenges due to poor health and issues related to their socioeconomic status, but also due to an antiquated financing and benefit structure that requires them to navigate two separate coverage systems. We can coordinate care, integrate coverage, and align the financing of these two programs, while saving money in the process.

A Path to Recovery for Americans with Serious Mental Illness – Our system has a tendency toward instituionalizing an individual with severe mental illness in order to address an immediate situation, but does far less to provide complete treatment and services that are better for the patient and cost less in the long run. A number of innovations are happening across the country to help patients with mental health issues, including with assertive community treatment.

Give Medicare Beneficiaries Complete Information About The PlansWhen Medicare beneficiaries receive clear, understandable, and comparable quality and cost information, they are more likely to choose plans that offer high quality at an affordable price. Several policy changes can help beneficiaries choose value.

Innovations in Decision Support and Default Choice – Finding the right Medicare plan should be easier, and it can be. By providing Medicare beneficiaries with decision support tools and safer default choices, seniors can find the right plan for them, leading to less spending and better health outcomes.

Innovations in Drug Adherence – Health care providers and plans are working to address medication nonadherence—when patients do not take their medications as prescribed— in an effort to combat the resulting illnesses, hospitalizations, and readmissions that lead to more than 125,000 deaths and $290 billion in wasted spending in the United States every year.

Help Consumers Shop for High Value Health CareBold experiments by employers and health plans are enabling employees to shop for care, which creates competition that holds prices in check. By scaling this approach up nationally, policymakers can give patients more control over the cost of their health care and reduce health care costs overall by as much as 1.3%, which amounts to billions of dollars of savings when aggregated across the health care system.

Innovations in Electronic Health Records – After more than a decade of efforts, no one in the country has a complete and comprehensive electronic health record (EHR). Instead, individual health information is stored in various places, and as records become increasingly digitized, they are seldom integrated. This lack of interoperability means that one EHR system cannot readily exchange data with another system. A health information exchange can improve interoperability and supply the data to build a lifetime electronic health record for every American.

Innovations in Telehealth – Under stress, and often after regular business hours, patients with a worrisome health problem make a snap decision to go to the ER because they are fearful and have no other choice. What if patients could get care anytime from the comfort of home? Telehealth allows patients to connect to providers via phone or a webcam.