January 2014 - Health Affairs - The Network of Care

Implementing Health Reform: An October Through December Exchange Enrollment Report

On January 13, 2014, the Department of Health and Human Services released a report on the Health Insurance Marketplace covering the first three months of open enrollment, October 1 through December 28, 2013. The data are reported cumulatively over the...

Published Mon, Jan 13 2014 1:24 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Insurance, States, Employer-Sponsored Insurance, Health Law

A Standard Model For Evaluating Return On Investment From Electronic Health Record Implementation

The Institute of Medicine (IOM) Roundtable on Value and Science-Driven Healthcare views electronic health information as a pillar for the improved effectiveness, efficiency and safety of health care. Information is also fundamental to the concept of a...

Published Mon, Jan 06 2014 8:17 AM by Health Affairs Blog

Filed under: All Categories, Health IT, Business of Health Care

The Moral Imperative To Disclose Medical Error: Doing The Right Thing

Editor's note: For more on Ascension Health's initiative to disclose unexpected events to patients, see Ascension Health’s Demonstration Of Full Disclosure Protocol For Unexpected Events During Labor And Delivery Shows Promise , part of a cluster...

Published Tue, Jan 07 2014 10:05 AM by Health Affairs Blog

Filed under: All Categories, Malpractice Liability Reform, Physicians, Quality, Hospitals, Health Law, Children, Patient Safety

Health Affairs Entry Point Looks at Affordable Care Act Four Years Later

With the full implementation of the Affordable Care Act (ACA), January 1, 2014 was supposed to be a day of triumph when millions of Americans would newly have access to health insurance, says Timothy Jost, Washington and Lee University professor of law...

Published Fri, Jan 10 2014 10:25 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Politics, States, Coverage, Medicaid, Health Law

Cesarean Rates: Shifting The Focus From Increases To Variability In Use

At 1.3 million procedures each year, the Centers for Disease Control and Prevention (CDC) lists cesarean delivery as the most frequently-performed inpatient surgery in the U.S. Both public and private insurance programs pay more to hospitals for childbirth...

Published Wed, Jan 15 2014 8:21 AM by Health Affairs Blog

Filed under: All Categories, Policy, Payment, Physicians, States, Quality, Hospitals, Medicaid, Children, Patient Safety, Effectiveness

A Call To Arms: Support For Emergency Care Isn’t Making The Grade

Emergency departments (EDs) play a critical role within the American health care system, delivering life and limb saving care daily to thousands of patients. On January 16 th 2014, the American College of Emergency Physicians (ACEP) released America’s...

Published Thu, Jan 16 2014 10:36 AM by Health Affairs Blog

Filed under: Public Health, Policy, Malpractice Liability Reform, Physicians, Access, Quality, Hospitals, Patient Safety, Emergency Medicine

Examination Of Health Information Technology’s Disappointing Impact Leads Health Affairs 2013 Top-Fifteen List

Years after promises of large gains from health information technology, evidence of the impact of health IT on efficiency and safety remain mixed, Arthur Kellermann and Spencer Jones report in the most-read Health Affairs article of 2013 . Achieving health...

Published Tue, Jan 21 2014 8:44 AM by Health Affairs Blog

Filed under: All Categories, Public Health, Prevention, Policy, Politics, Physicians, Health IT, Primary Care, States, Spending, Workforce, Hospitals, Disparities, Medicaid, Nurses

Broadening the ACA Story: A Totally Accountable Care Organization

Note: This post is coauthored by Stephen Somers and Tricia McGinnis of the Center for Health Care Strategies. Amid the bumpiness of Obamacare’s widely publicized technical launch, some in the media started taking the opportunity to laud the Affordable...

Published Thu, Jan 23 2014 10:51 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Nonmedical Determinants, Public Health, Policy, Chronic Care, Disparities, Medicaid, Mental Health, Environmental Health, Substance Abuse

The Need For A Smart Approach To Big Health Care Data

Today, academic medicine and health policy research resemble the automobile industry of the early 20th century -- a large number of small shops developing unique products at high cost with no one achieving significant economies of scale or scope. Academics...

Published Mon, Jan 27 2014 6:53 AM by Health Affairs Blog

Filed under: All Categories, Policy, Physicians, Health IT, Primary Care, Technology, Research

Maryland’s Bold Experiment In Reversing Fee-For-Service Incentives

Fee-for-service (FFS) medicine encourages inappropriate volume growth, but a new experiment in Maryland seeks to turn the incentives upside down. The state, in a Model approved this month by the Centers for Medicare and Medicaid Services (CMS), will transform...

Published Tue, Jan 28 2014 9:54 AM by Health Affairs Blog

Filed under: All Categories, Policy, Payment, Physicians, Primary Care, Health Care Costs, States, Spending, Medicare, Quality, Hospitals, Medicaid

Opting Out Of Medicaid Expansion: The Health And Financial Impacts

The Affordable Care Act (ACA) was designed to increase access to health insurance by: 1) requiring states to expand Medicaid eligibility to people with incomes less than 138 percent of the Federal Poverty Level (FPL) ($19,530 for a family of three in...

Published Thu, Jan 30 2014 7:00 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, States, Coverage, Disparities, Medicaid

Implementing Health Reform: The Risk Pool, Contraceptive Coverage Litigation, And Other Developments

New Year’s Eve festivities did not interrupt the steady flow of Affordable Care Act developments. First, Marilyn Tavenner, Centers for Medicare and Medicaid Services Administrator, announced on December 31, 2013, that 2.1 million Americans were now signed...

Published Wed, Jan 01 2014 11:15 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Prevention, Policy, Insurance, States, Coverage, Access, Hospitals, Disparities, Health Law

Where Have All The Inpatients Gone? A Regional Study With National Implications

As a result of unsustainable costs and an inordinate share of gross domestic product, the U.S. health care system has a new business model—one that is transforming the delivery system from hospital-centric sick care to a super outpatient model that will...

Published Mon, Jan 06 2014 10:46 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Insurance, Physicians, Health Care Costs, Medicare, Hospitals, Medicaid, Business of Health Care

Cracking The Code On Health Care Costs: What The States Can Do

State governments have a unique opportunity to transform the current health care system into one that provides higher-quality care at lower costs. The State Health Care Cost Containment Commission was created to identify how states might use their authorities...

Published Tue, Jan 07 2014 12:27 PM by Health Affairs Blog

Filed under: All Categories, Public Health, Consumers, Policy, Insurance, Malpractice Liability Reform, Payment, Health Care Costs, States, Spending, Workforce, Quality, Hospitals, Medicaid

Health Policy Brief: Hospital Presumptive Medicaid Eligibility

A new Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation examines the concept of presumptive eligibility in Medicaid. For many years, states were permitted to allow “qualified entities” (which includes hospitals) to presumptively...

Published Fri, Jan 10 2014 12:10 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, States, Coverage, Hospitals, Medicaid

January 2014 - Health Affairs

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