June 2015 - Health Affairs - The Network of Care

Post-King: Moving Forward In A New Normal

Despite its monumental achievement, the Affordable Care Act (ACA), like any landmark piece of legislation, was only the beginning. Its aim was grand, but even putting aside the wild circumstances of its enactment , it was evident that effective implementation...

Published Tue, Jun 30 2015 5:36 AM by Health Affairs Blog

Filed under: Medicare, Population Health, Featured, Payment Policy, CHIP, Following the ACA, Insurance and Coverage, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Equity and Disparities, ACA, King v. Burwell, NFIB v. Sebelius, coverage gap

Implementing Health Reform: The Congressional Budget Office On Repealing The ACA

The Congressional Budget Office report on the Budgetary and Economic Effects of Repealing the Affordable Care Act has been widely reported and by now its themes are well known. I add just a few observations. The report was the first since 2012 analyzing...

Published Mon, Jun 22 2015 5:28 AM by Health Affairs Blog

Filed under: Medicare, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, budget, macroeconomic effects, Congressional Budget Office, repealing the ACA, CBO, dynamic scoring

Implementing Health Reform: ACA Litigation Beyond King v. Burwell

All eyes are focused on the Supreme Court, as its decision in King v. Burwell is expected to be issued on Thursday June 25, Friday June 26, or Monday June 29. In the meantime, however, a number of other cases challenging the ACA or its implementation...

Published Tue, Jun 23 2015 2:23 PM by Health Affairs Blog

Filed under: Following the ACA, ACA litigation, contraceptive coverage, Origination clause, employer mandate, cost-sharing reduction subsidies

How Institutional Review Boards Can Support Learning Health Systems While Providing Meaningful Oversight

Editor’s note: This post is part of a series stemming from the Third Annual Health Law Year in P/Review event held at Harvard Law School on Friday, January 30, 2015. The conference brought together leading experts to review major developments in health...

Published Fri, Jun 05 2015 11:22 AM by Health Affairs Blog

Filed under: Comparative Effectiveness, Research, Population Health, Featured, Equity and Disparities, Health Professionals, HHS, SUPPORT study, IRBs, Institute of Medicine, OHRP

Implementing Health Reform: High Court Won’t Hear Medicaid Case

The nation continues anxiously to await the Supreme Court’s decision in King v. Burwell , which will likely be announced late this month. On June 8, 2015, however, the Court quietly announced another important Affordable Care Act decision that should...

Published Tue, Jun 09 2015 6:32 AM by Health Affairs Blog

Filed under: Health Law, Following the ACA, Insurance and Coverage, Medicaid and CHIP, Maine, Supreme Court, unconstitutional coercion, health insurance exchanges, maintenance of effort

Health Affairs Event Reminder: The Medi-Cal Waiver And Health System Improvement In California

California’s five-year federal waiver to help revamp the state’s $95 billion Medi-Cal program is set to expire on October 31, 2015. While crucial changes have been made to the program in terms of flexibility and accountability, and coverage...

Published Wed, Jun 10 2015 9:00 AM by Health Affairs Blog

Filed under: States, Elsewhere@ Health Affairs, Costs and Spending, Medicaid and CHIP, California, California HealthCare Foundation, Blue Shield of California Foundation, Medi-Cal

Ensuring A Discrimination-Free Health Insurance System

After two open enrollment periods for insurance coverage under the Affordable Care Act (ACA), millions of Americans with preexisting conditions now have access to health care coverage — many for the first time. One of the law’s most popular provisions...

Published Thu, Jun 11 2015 7:19 AM by Health Affairs Blog

Filed under: Featured, Insurance and Coverage, Equity and Disparities, ACA, Long-term Services and Supports, HHS, HIV/AIDS, Adverse Tiering, Preexisting Condition, Aetna

The Payment Reform Landscape: Public-Private Alignment Is Critical

In the past few years, a growing number of state health agencies have formed partnerships with large, private employers and/or commercial health plans to realign efforts and resources and change how we pay for health care. The ultimate goal of these partnerships...

Published Fri, Jun 12 2015 8:48 AM by Health Affairs Blog

Filed under: Featured, Payment Policy, Walmart, public-private partnership, employers, South Carolina, Arkansas, State Innovation Model, Tennessee

A Market-Based Contingency Plan for King v. Burwell

Majorities in both chambers of Congress strongly believe that the Affordable Care Act (ACA) is too prescriptive and moves too much authority over the health system to the federal government. If the Supreme Court rules in favor of the plaintiffs in the...

Published Mon, Jun 15 2015 4:40 AM by Health Affairs Blog

Filed under: States, Featured, Following the ACA, Insurance and Coverage, King v. Burwell, premium tax credits, ACA replacement, default enrollment

Fifty Years In, Medicare Has Transformed Health Care. What’s In Store For The Next Fifty?

Editor’s note: This article is part of a series of blog posts by leaders in health and health care participating from June 25-28th in Spotlight Health , the opening segment of the Aspen Ideas Festival . This year’s theme is Smart Solutions to the World...

Published Wed, Jun 17 2015 6:00 AM by Health Affairs Blog

Filed under: Medicare, Quality, Technology, Population Health, Featured, Payment Policy, Insurance and Coverage, Organization and Delivery, Value, Long-term Services and Supports, healthcare, Health Policy, CMS, Projections, electronic health records

IOM’s Vital Signs Report Lays Out Steep But Doable Climb For Safety-Net Organizations

The new Institute of Medicine (IOM) report, Vital Signs , identifies an ambitious set of 15 core measures of health system performance and population health outcomes designed to decrease measurement burden and increase transparency and comparability....

Published Thu, Jun 18 2015 6:00 AM by Health Affairs Blog

Filed under: Public Health, Quality, GrantWatch, Population Health, Featured, Organization and Delivery, triple aim, Safety Net, Institute of Medicine, Vital Signs, IOM

New Narrative Matters: Amid Fears And Controversy, A Doctor Chooses A Home Birth

In Health Affairs’ June Narrative Matters essay, a family physician who delivers babies discusses her decision to have a home birth, and the controversy and fear surrounding it. Jessica Taylor Goldstien’s article is freely available to all readers...

Published Fri, Jun 19 2015 9:00 AM by Health Affairs Blog

Filed under: Podcast, Narrative Matters, Elsewhere@ Health Affairs, narrative medicine, home birth, maternity

Big White Wall: Expanding Mental Health Access Through The Digital Sphere

There is a preponderance of evidence that conventional approaches to the provision of mental health care do not meet the needs of a large portion of the population. Due to limitations of scale alone, there is an inherent misalignment between the number...

Published Mon, Jun 01 2015 7:56 AM by Health Affairs Blog

Filed under: Public Health, Health IT, Global Health, Mental Health, Innovations in Care Delivery, Population Health, Health Professionals, Long-term Services and Supports, Big White Wall, NHS Choices, SAMHSA, digital medicine

Accountable Care Organizations Taking Hold And Improving Health Care In California

There is new evidence that California’s Accountable Care Organizations (ACOs) are growing in size and number, serving more patients, and improving quality of care. Some of the key findings from an analysis done by the Berkeley Healthcare Forum group in...

Published Tue, Jun 02 2015 11:46 AM by Health Affairs Blog

Filed under: Quality, Population Health, Featured, Payment Policy, Organization and Delivery, Costs and Spending, ACOs, EHRs, California Health Care, Berkeley Healthcare Forum

How Medicare Advantage Plans Can Thrive In A Winner-Take-All Market

For the past few years, U.S. health plans that cover Medicare Advantage (MA) beneficiaries have been struggling to hold out against a string of reimbursement cuts. Now, as these rate cuts finally begin to stabilize, plans are faced with a new challenge...

Published Thu, Jun 04 2015 9:55 AM by Health Affairs Blog

Filed under: Medicare, Quality, Featured, Insurance and Coverage, Medicare Advantage, Star ratings, Centers for Medicare and Medicaid Services

June 2015 - Health Affairs

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