November 2014 - Health Affairs - The Network of Care

High Quality, Affordable Care: Making The Case For Smarter Networks

Narrow networks are one means health insurance plans have used to mitigate increases in health insurance premiums. These networks have become more prevalent since the expansion of coverage brought about by the Affordable Care Act (ACA). But these narrow...

Published Thu, Nov 13 2014 6:00 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Insurance, Coverage, Quality

Risk And Reform Of Long-Term Care

Editor’s note: This post is part of a series of several posts stemming from presentations given at “ The Law of Medicare and Medicaid at Fifty ,” a conference held at Yale Law School on November 6 and 7 . The 50 th Anniversary of Medicare and Medicaid...

Published Fri, Nov 14 2014 7:56 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Nonmedical Determinants, Consumers, Policy, Insurance, States, Medicare, Medicaid, Health Law, Long-Term Care

How Consumers Might Game The 90-Day Grace Period And What Can Be Done About It

Under the Patient Protection and Affordable Care Act (ACA), individuals receiving a federal subsidy are entitled to a three-month premium nonpayment grace period . As long as such an individual has paid at least the first month’s premium of the year,...

Published Mon, Nov 17 2014 9:00 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, Coverage, Health Law

Challenges For People With Disabilities Within The Health Care Safety Net

Medicare and Medicaid were passed to serve as safety nets for the country’s most vulnerable populations, a point that has been reemphasized by the expansion of the populations they serve, especially with regards to Medicaid. Yet, even after 50 years,...

Published Tue, Nov 18 2014 8:38 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Policy, Politics, Insurance, Health Care Costs, Coverage, Workforce, Access, Disparities, Health Law, Long-Term Care, Disabilities

The Case For Advancing Access To Health Coverage And Care For Immigrant Women And Families

Before the end of the year, the Obama administration is expected to announce that millions of undocumented immigrants will be able to lawfully stay in the United States. The new Congress may also take action on immigration reform legislation. Regardless...

Published Wed, Nov 19 2014 9:00 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Public Health, Policy, Coverage, Access, Disparities

Adverse Events In Older Adults: The Need For Better Long-Term Care Financing And Delivery Innovation

Evidence mounts that a major disconnect exists between the services most frail older adults need and what they get. The vast majority of frail older adults (around 75 percent) who face challenges in taking care of themselves live at home. According to...

Published Thu, Nov 20 2014 11:01 AM by Health Affairs Blog

Filed under: All Categories, Nonmedical Determinants, Policy, Chronic Care, Health Care Costs, Innovation, Aging, Long-Term Care, Health Care Delivery

Implementing Health Reform: 2016 Benefit And Payment Parameters Proposed Rule, Insurance Provisions

On November 21, 2014, the Centers on Medicare and Medicaid Services of the Department of Health and Human Services released its proposed Benefits and Payment Parameters (BPP) Rule . Part I of this post examined the benefit provisions of this proposed...

Published Sun, Nov 23 2014 1:15 PM by Health Affairs Blog

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

ONC’s 10-Year Roadmap Towards Interoperability Requires Changes To The Meaningful Use Program

When I first started using an electronic health record (EHR) almost 20 years ago, many policy makers misunderstood how EHRs worked. They assumed that care was somehow made better just by having an EHR, and thus began to build the case for policy aimed...

Published Mon, Nov 03 2014 6:00 AM by Health Affairs Blog

Filed under: All Categories, Health IT, Technology

The Payment Reform Landscape: Benefit And Network Design Strategies To Complement Payment Reform

For the past ten months on Health Affairs Blog, we've been discussing the evidence for different models of payment reform , examining everything from pay for performance to nonpayment. But no discussion of payment reform is complete without addressing...

Published Tue, Nov 04 2014 9:42 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Insurance, Payment, Health Care Costs, Employer-Sponsored Insurance, Access, Quality, Comparative Effectiveness, Effectiveness

November 2014 - Health Affairs

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