June 2015 - Health Affairs - The Network of Care

Game Changer: CMS’ Proposed Medicaid Managed Care Regulation

The Centers for Medicare and Medicaid Services (CMS) released its long awaited Medicaid managed care proposed rules on May 26; the rules were published in the Federal Register on June 1 (80 Fed. Reg. 30198-31297). The last time the federal government...

Published Wed, Jun 10 2015 11:23 AM by Health Affairs Blog

Filed under: States, Population Health, Featured, Insurance and Coverage, Medicaid and CHIP, Long-term Services and Supports, actuarial soundness, medical loss ratios, managed care, beneficiary protections, quality of care

Supported State-Based Market Places: The Point of Convergence?

On paper, a supported state-based health insurance marketplace (SSBM) could be a match made in policy wonk heaven for many states implementing the Affordable Care Act (ACA). SSBMs —the after-the-fact-name of the hybrid operations that have emerged...

Published Thu, Jun 11 2015 11:21 AM by Health Affairs Blog

Filed under: States, Population Health, Following the ACA, Insurance and Coverage, King v. Burwell, health insurance exchanges, CCIIO, SSBM, supported state-based health insurance marketplace

Domestic And Global Health Converge At Spotlight Health

When the Ebola outbreak shattered parts of West Africa and a handful of cases surfaced in the United States, the world was again reminded that a disease anywhere can become a disease everywhere. Yet infectious agents are only one dramatic example, not...

Published Fri, Jun 12 2015 10:00 AM by Health Affairs Blog

Filed under: Public Health, Global Health, Population Health, Featured, Organization and Delivery, Equity and Disparities, Ebola, Agriculture, Spotlight Health, Aspen Institute, food insecurity, trade, Climate Change

Balancing Goals In The MSSP: Consider Variable Savings Rates

Having started with a solid design and attracted a sizable number of organizations, the Centers for Medicare and Medicaid Services (CMS) continues to improve and evolve the options for health systems to participate in value-based payment reform. On Thursday...

Published Tue, Jun 16 2015 9:23 AM by Health Affairs Blog

Filed under: Medicare, Hospitals, Population Health, Featured, Payment Policy, Costs and Spending, Health Professionals, ACOs, baseline spending, MSSP, benchmarking

Foundations Begin Investing In Climate Change And Health: New Report

From 1600 Pennsylvania Avenue to Vatican City, global leaders are acknowledging the threat of climate change to people around the world. This recognition has come to philanthropy as well. Foundations are finding compelling motives and innovative areas...

Published Wed, Jun 17 2015 12:33 PM by Health Affairs Blog

Filed under: Nonmedical Determinants, Public Health, Disparities, Health Philanthropy, GrantWatch, Environmental Health, Health Promotion and Disease PreventionGW, Featured, Equity and Disparities, Climate Change

Nature And Nurture: What’s Behind the Variation In Recent Medical Home Evaluations?

Recent evaluations of two regional medical home pilots (i.e., efforts to improve the capabilities and performance of primary care practices) within the Pennsylvania Chronic Care Initiative (PACCI) have produced differing results. In the southeast region...

Published Fri, Jun 19 2015 6:00 AM by Health Affairs Blog

Filed under: Primary Care, Chronic Care, Quality, Hospitals, Population Health, Organization and Delivery, Health Professionals, Long-term Services and Supports, AHRQ, EHRs, Pennsylvania, medical homes, Commonwealth Fund, Patient-Centered Medical Home, NCQA

The Call To A New Kind Of Care: Integrative Medicine Group Visits Offer Promise In The Treatment Of Chronic Pain And Depression

I first met Mr. J when I was a newly minted doctor at Boston Medical Center (BMC). He walked into my office with an air of confidence, his head high, but his eyes rested warily upon me. He had been a member of the Black Panthers and now was a strong member...

Published Wed, Jun 24 2015 12:00 PM by Health Affairs Blog

Filed under: Public Health, Hospitals, Innovations in Care Delivery, Featured, Organization and Delivery, Equity and Disparities, Health Professionals, Institute of Medicine, International Classification of Diseases, IMGV, Boston Medical Center, National Resident Matching Program, ICD-10 code

It Is Time To Make Oral Health An Integral Part Of Primary Care

While health care experts and health philanthropy are becoming increasingly aware that oral health is essential for healthy development and healthy aging, nationwide, there remains an unacceptably high burden of oral disease. Dental caries is the most...

Published Thu, Jun 25 2015 12:05 PM by Health Affairs Blog

Filed under: Physicians, Primary Care, Chronic Care, Spending, Workforce, Access, Children, Health Philanthropy, GrantWatch, Health Care Delivery, Oral Health, Health Promotion and Disease PreventionGW, Organization and Delivery, Costs and Spending, Health Professionals

Health Affairs Briefing: Medicaid’s Evolving Delivery Systems

As Medicaid marks its 50th year in existence, and enrollment surpasses 70 million people, the July 2015 issue of Health Affairs includes a collection of papers focused on how the program is shaped by and has reshaped care delivery. You are invited to...

Published Fri, Jun 26 2015 7:37 AM by Health Affairs Blog

Filed under: Medicaid, Elsewhere@ Health Affairs, CHIP, Insurance and Coverage, Medicaid and CHIP, California HealthCare Foundation, Health Affairs Briefing

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

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

The Core Quality Measures Collaborative: A Rationale And Framework For Public-Private Quality Measure Alignment

Editor’s note: The full list of authors for the Core Quality Measures Collaborative Workgroup is included at the end of the blog post. In today’s health care system, physicians are faced with an unprecedented number of quality measures required by different...

Published Tue, Jun 23 2015 6:00 AM by Health Affairs Blog

Filed under: Quality, Hospitals, Population Health, Featured, Payment Policy, Organization and Delivery, AHRQ, CMS, AHIP, 3Rs, National Quality Forum, health outcomes

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

June 2015 - Health Affairs

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