Tom Miller's proposals for Medicaid reform. 

The problem of coverage for pre-existing conditions remains relatively small and limited to the individual health insurance market, despite exaggerated claims used to advance passage of the Affordable Care Act. Nevertheless, too many people still remained at risk of falling through the cracks of protective measures provided by HIPAA, COBRA, and state-run high risk pools.

Better-designed provider-level measurement can make the cost containment tools of differential reimbursement, high-performance tiered networks, valuebased benefit design, clinical re-engineering, and the responsible choices they offer more visible and effective.

Tom Miller's speech at the Pioneer Institute's health care policy luncheon and The Great Experiment book launch on March 13, 2012.

Real health reform is needed at both the state and federal levels. It will take a few more shovels first to bury most, if not all, of the Affordable Care Act and then to dig a way out to a market-based solution that relies on state-level policy innovation in key areas.  

The U.S. economy has been doing poorly for so long now that it's easy to get dispirited. But there are several reasons to think 2012 might be a good one for American economic performance.

Alzheimer's is a disease without a cure; the number of people afflicted continues to rise, and it is time for bureaucrats in Washington to support brain science research in the hope of finding a cure.

Europe can improve its medical research and development by liberating the private sector.