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August 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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Health Industry Price Inflation At Historical Low
One hesitates to make too much of a single report, but the Altarum Institute’s July Report, “ Health Care Price Growth at 20+ Year Low ,” certainly commands one’s attention. According to Altarum’s analysis, the health sector pricing trend ran at a 1.0...
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Thu, Aug 01 2013 11:09 AM
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Health Affairs Conversations Podcast: ACA Implementation With Gail Wilensky And Tim Jost
Today, Health Affairs released the first installment of Health Affairs Conversations , a new periodic series of podcasts featuring discussions with health policy experts and Health Affairs contributors. We begin with a discussion of the implementation...
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Tue, Aug 06 2013 10:13 AM
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We Need To Know More About Wellness Incentives
Recently, the federal government published Final Rules on wellness incentives. What’s in it for you? From next year, your employer may increase your insurance premiums by up to 50 percent of the cost of coverage if you smoke. If you’re overweight, you...
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Thu, Aug 22 2013 10:15 AM
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The Slowing Of Health Care Spending: Have We Turned A Corner?
The news in recent years has been good: Overall U.S. spending for health care in 2011 again grew only 3.9 percent . This represented the third consecutive year of a relatively slow growth rate, down from rates as high as 11 percent in 1990 and 7.6 percent...
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Fri, Aug 09 2013 10:49 AM
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Technology And The Changing Business Of Health Care
Three years after the passage of the Patient Protection and Affordable Care Act, popularly known as “Obamacare,” scholars and political pundits have paid much attention to the macroeconomic effects of the law. Will Obamacare bend the health care cost...
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Wed, Aug 14 2013 12:15 PM
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Narrative Matters: A Safety Net Tale Of Ticking Clocks And Tricky Diagnoses
In a time-crunched clinic, physician Maria Maldonado and her resident battle the clock to uncover a potentially fatal diagnosis. Maldonado tells this story in her August 2013 Health Affairs Narrative Matters essay . The essay is freely available in full...
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Tue, Aug 27 2013 12:11 PM
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An ACA Navigator Massive Open Online Course: Using The Emerging U.S. Health Care System
Many observers claim that we do not have a true “healthcare system” in the United States. Instead we have fragmentation across multiple dimensions resulting in unsustainable cost increases, compromised quality, and growing inequity. Streams of public...
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Fri, Aug 30 2013 8:41 AM
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Implementing Health Reform: Verifying Income, Combating Discrimination, And More
We are in the very depths of summer and should all be at the beach. But with the exchanges set to open their doors in less than nine weeks time, there is little rest for federal and state agency staff charged with opening those doors. After three years...
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Thu, Aug 01 2013 1:48 PM
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Physician Payment: Forget Carrots And Sticks, It’s Motivation
Motivation is the fuel that keeps any professional going, the fuel for our internal generator. Where we go, of course, depends on our morals and ethics, but that's a different issue. Our motivation is to achieve certain goals, and overwhelmingly,...
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Wed, Aug 07 2013 5:06 AM
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Implementing Health Reform: Reaching The ‘Young Invincibles,’ Privacy, And More
All has been quiet on the Affordable Care Act regulatory front in recent days, although the final Program Integrity regulation --- which will include matter from earlier proposed regulations (including the eligibility appeals) that have not been finalized...
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Fri, Aug 23 2013 8:10 AM
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Implementing Health Reform: A Proposed Rule On Congressional Exchange Participation
The Affordable Care Act has been plagued by misinformation and misunderstanding since long before its adoption. One of the ACA’s provisions that has been most misunderstood is its requirement that members of Congress and their personnel staff purchase...
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Wed, Aug 07 2013 9:22 AM
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Why Congress Should Pass The Accuracy In Medicare Physician Payment Act
Editor's note: For more on the debate over the role of the Relative Value Scale Update Committee (RUC), see " In Setting Doctors’ Medicare Fees, CMS Almost Always Accepts The Relative Value Update Panel’s Advice On Work Values ," by Miriam...
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Fri, Aug 09 2013 10:51 AM
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Pioneer ACOs’ Disappointing First Year
On July 16, the CMS Innovation Center reported the first year results for the Pioneer ACO program : 13 Pioneers, or about 40 percent of the participants, earned bonuses. The program saved the Medicare program a gross $87.6 million before bonus distributions...
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Thu, Aug 15 2013 11:32 AM
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Implementing Health Reform: Final IRS Individual Mandate Regulations
On August 27, 2013, the 2014 Affordable Care Act health care reforms moved an important step closer to reality with the issuance of final Internal Revenue Service regulations on the ACA’s shared responsibility for maintaining minimum essential coverage...
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Wed, Aug 28 2013 4:14 AM
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Implementing Health Reform: Details On The Program Integrity And Appeals Rule
On August 28, 2013, the Department of Health and Human Services released its program integrity and appeals rule . My post of August 29, 2013, offers an introduction to that rule. This post will analyze it in greater detail. Selecting geographic rating...
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Fri, Aug 30 2013 9:31 AM
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