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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: 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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Health Affairs Blog
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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...
Published
Wed, Mar 06 2013 10:32 AM
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Health Affairs Blog
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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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Health Affairs Blog
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Hospitals
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Disparities
The Affordable Care Act At Three: Paying For Quality Saves Health Care Dollars
For decades before the passage of the Affordable Care Act, health care costs outstripped inflation, without corresponding improvements in health care quality. Our system didn’t incentivize quality or efficiency. We paid providers for the quantity of care...
Published
Wed, Mar 20 2013 6:17 AM
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Health Affairs Blog
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Hospitals
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Medicaid
A Primer On Monday’s Supreme Court Rx Drug ‘Pay For Delay’ Case
On Monday, March 25, the Supreme Court will hear arguments concerning the legality under antitrust laws of "pay for delay" or "reverse payment" settlements, in which a brand-name drug manufacturer pays a patent challenger to keep the...
Published
Fri, Mar 22 2013 7:43 AM
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Health Affairs Blog
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Payment Reform: A Promising Beginning, But Less Talk And More Action Is Needed
In the late 1990’s, smarting from the collapse of managed care, HCFA’s retreat from the public release of provider performance data, and continued large increases in health costs in the face of evidence of waste and variation in quality, a group of large...
Published
Tue, Mar 26 2013 11:50 AM
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Health Policy Brief: The Multi-State Plan Program
A new Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation discusses the Multi-State Plan Program created under the Affordable Care Act. Under the program, at least two health insurance plans choosing to participate will offer...
Published
Fri, Mar 29 2013 6:49 AM
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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;...
Published
Fri, Mar 01 2013 9:48 AM
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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
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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Nurses
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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Health Affairs Blog
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Patient Safety
What Do Patients Need From Clinicians? Jessie Gruman On Patient Engagement
Editor's note: The February issue of Health Affairs was a thematic issue focused on patient engagement. In conjunction with the Patient-Centered Outcomes Research Institute (PCORI) , the journal has launched a new initiative inviting questions from...
Published
Wed, Mar 20 2013 8:35 AM
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Health Affairs Blog
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Why Do Some States Spend More on Health Care?
One of the interesting features of the Affordable Care Act is that reform basically takes place at the state level. Yet the states are very different. Some spend more than twice as much on health care as others, as a percent of state income. For example...
Published
Mon, Mar 25 2013 9:25 AM
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A Budget Compromise Seems Unlikely Any Time Soon
For those who like to look for silver linings, there are at least two events in the past few weeks that could provide a glimmer of hope. First, both the Budget Committee in the Republican controlled House has passed a budget and, for the first time in...
Published
Wed, Mar 27 2013 6:55 AM
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Implementing Health Reform: Final Rule on Increased Federal Medicaid Matching Funds and FAQ on Medicaid Premium Assistance Programs
On Good Friday, March 29, 2013, the Department of Health and Human Services released a final rule regarding increased federal Medicaid percentage changes under the Affordable Care Act for covering adults who are newly eligible under the ACA’s Medicaid...
Published
Sun, Mar 31 2013 6:22 AM
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