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March 2013 - Health Affairs
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Health Affairs Web First: Choosing Wisely Campaign
The Transformation Of Medical Education From Choosing More To Choosing Wisely
Professionalism And Choosing Wisely
ACA Round-Up: Iowa, Massachusetts Waivers Stymied; States In CSR Case Face Tough Questioning
1332 Reinsurance Waivers Revisited: Could Oregon’s Approval Beget An Oklahoma Do-Over?
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Implementing Health Reform: External Review As An Example Of A Nuanced Regulatory Approach
On Marcy 23, 2013, the United States will observe the third anniversary of the Affordable Care Act. On March 15, 2013, the Departments of Health and Human Services, Labor, and Treasury issued a joint technical release extending until January 1, 2106,...
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Mon, Mar 18 2013 11:58 AM
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The Human Face of Hospital Readmissions
The numbers are disturbing and disappointingly familiar. According to the federal government, one in five elderly patients winds up back in the hospital within 30 days of leaving. The cost is troubling, too. The readmission of Medicare patients alone...
Published
Thu, Mar 14 2013 9:20 AM
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EHRs Are A Tool, Not A Solution: The NYC Primary Care Information Project
No one expects a scalpel to perform surgery by itself. Similarly, no one should be surprised by the conclusion of a widely cited article in the January 2013 edition of Health Affairs (“ What It Will Take To Achieve The As-Yet-Unfulfilled Promises Of Health...
Published
Wed, Mar 13 2013 8:33 AM
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Comprehensive Look At ACOs Leads HA Blog February Top Ten
David Muhlestein's survey of the Accountable Care Organization landscape leads the Health Affairs Blog most-read list for February. Also on the month's top-ten list are three posts dealing with patient engagement by Chas Roades , Paul Wicks and...
Published
Tue, Mar 12 2013 11:26 AM
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A Lost Opportunity For Persons With Disabilities? The Final Essential Health Benefits Rule
Among its myriad elements, the Affordable Care Act contains a breakthrough provision that, if implemented, could dramatically alter the way that health insurance coverage works for persons with disabilities. [ PPACA § 1302(b)(4)(B) ] This provision applicable...
Published
Mon, Mar 11 2013 8:20 AM
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Decline In Utilization Rates Signals A Change In The Inpatient Business Model
Use rates for inpatient and certain hospital outpatient services are declining in many areas of the country, reflecting fundamental change brought by the new business model. Importantly, as evidenced by trends in Chicago and Minnesota, there also appears...
Published
Fri, Mar 08 2013 7:13 AM
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Creating A Workforce For The New Health Care World
Recently, the Institute of Medicine and the National Research Council reported that Americans die earlier and live in poorer health than people in other industrialized countries. This is the latest evidence of the urgent need for health reform, as embodied...
Published
Thu, Mar 07 2013 12:37 PM
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Hospitals
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No Competition: The Price Of A Highly Concentrated Health Care Market
As health care costs swell, the private insurance system that covers most working Americans is in crisis . Americans are paying higher and higher premiums for increasingly threadbare coverage, and employers are getting out of the business of providing...
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Wed, Mar 06 2013 10:32 AM
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Implementing Health Reform: Federally Facilitated And Partnership Exchanges
As I have already noted in several previous posts, March 1, 2103 was a banner day for Affordable Care Act implementation. In the midst of all of the other regulatory issuances publicly released by the implementing agencies on March 1, 2013, one seems...
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Tue, Mar 05 2013 7:22 AM
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In New Health Affairs: Mortality Rates, EHRs, Wellness Programs, And Cesareans
The March issue of Health Affairs , released today, includes a variety of articles revolving around health and wellness, including an examination of mortality rates among American men and women by county. The issue also addresses whether physicians will...
Published
Mon, Mar 04 2013 12:59 PM
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Changing The Way Physicians Are Paid: Report Of The National Commission On Physician Payment Reform
The loud cries warning that rising health care costs are going to destroy the nation’s economy have been shouted so often that the will to move firmly in any one direction has almost halted. We’ve all heard them: health care costs are unsustainable, excessive...
Published
Mon, Mar 04 2013 5:02 AM
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Quality
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Hospitals
Implementing Health Reform: The Benefit And Payment Parameters Final Rule
On March 1, 2013, the Department of Health and Human Services released its final Notice of Benefit and Payment Parameters for 2014 rule. The rule addresses a grab bag of issues: the risk-adjustment, reinsurance, and risk-corridors premium stabilization...
Published
Sun, Mar 03 2013 12:05 PM
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Implementing Health Reform: The Multi-State Plan Program Final Rule
Perhaps the most controversial issue raised by the entire health reform debate in the fall and winter of 2009 to 2010 was whether the final legislation would include a “public plan.” In part, the issue was whether or not Americans would be denied the...
Published
Fri, Mar 01 2013 9:20 PM
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Implementing Health Reform: A Burst Of Regulatory Activity
The final days of February and the first day of March 2013 have seen a landslide of new Affordable Care Act implementation issuances. Perhaps the agencies decided to get all of their work done before sequester furloughs begin, or perhaps they have awakened...
Published
Fri, Mar 01 2013 12:51 PM
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A Tribute To Surgeon General C. Everett Koop
A frequent statement of mine is, "We need public health leadership that cares enough, knows enough, is willing to do enough, and will be persistent." Surgeon General C. Everett Koop was just such a leader, for he was caring; he was competent;...
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Fri, Mar 01 2013 9:48 AM
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