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January 2016 - 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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Discovering New Medicines And New Ways To Pay For Them
While the rest of the health care system is moving toward paying for value, payments for drugs largely continue to be stuck in a 20th century construct that focuses on price, regardless of the health outcomes of each patient. This lack of payment innovation...
Published
Thu, Jan 28 2016 10:00 PM
by
Health Affairs Blog
Filed under:
Physicians
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Featured
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Health Policy Lab
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Payment Policy
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Costs and Spending
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Drugs and Medical Technology
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regulation
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Research and Development
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drug pricing
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value-based payment
In The Marketplaces Some People May Not Be Able To Purchase The Second Lowest Cost Silver Plan
The Affordable Care Act’s (ACA’s) Marketplaces allow individuals and families to select and purchase health insurance, with premium subsidies available to qualified individuals to make coverage more affordable. Health insurance premiums vary considerably...
Published
Thu, Jan 28 2016 6:17 AM
by
Health Affairs Blog
Filed under:
States
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Quality
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Following the ACA
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Insurance and Coverage
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Costs and Spending
,
silver plan
,
rating area
Ten Most-Read GrantWatch Posts Of 2015
During 2015, these were the most-read posts from Health Affairs Blog’s GrantWatch section on health philanthropy. Perhaps you missed reading one of these? Why not check them out today? Note: Bloggers’ affiliations are as of the time they wrote the post...
Published
Wed, Jan 27 2016 2:18 PM
by
Health Affairs Blog
Filed under:
Physicians
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Primary Care
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Disparities
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Medicaid
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Innovation
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Technology
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Aging
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Long-Term Care
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Health Philanthropy
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GrantWatch
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Health Care Delivery
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Social Determinants of Health
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Organization and Delivery
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Medicaid and CHIP
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Equity and Disparities
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Behavioral Health
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New York
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Robert Wood Johnson Foundation
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culture of health
,
data
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Aetna Foundation
,
safety net and value
A Payment Reform Conundrum: Reconciling Conflicting Policy Goals
In early 2015, the Secretary of the Department of Health and Human Services (HHS), Sylvia Burwell, announced goals for shifting Medicare payment from fee-for-service (FFS) to alternative payment models (APMs). Qualifying APMs include, among others, accountable...
Published
Wed, Jan 27 2016 7:50 AM
by
Health Affairs Blog
Filed under:
Medicare
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Quality
,
Hospitals
,
Population Health
,
Featured
,
Payment Policy
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Insurance and Coverage
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Organization and Delivery
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Costs and Spending
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ACOs
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Medicare Advantage
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MACRA
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Alternative Payment Models
Put The ‘Network’ In Measures Of Network Adequacy
According to the Urban Institute more than 11 million people were enrolled in Affordable Care Act (ACA) marketplace health plans in 2015. While enrollment numbers tell us how many people are covered, they do not necessarily tell us whether all 11 million...
Published
Tue, Jan 26 2016 11:00 AM
by
Health Affairs Blog
Filed under:
States
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Quality
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Population Health
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Featured
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Payment Policy
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Insurance and Coverage
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Equity and Disparities
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Health Professionals
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CMS
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narrow networks
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NPRM
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network adequacy
Health Affairs In 2015: Editor’s Picks
As Health Affairs Editor-in-Chief, I have the pleasure of reading hundreds of articles — more, I’m sure, than most of our readers have time to read. I have selected my own “top ten” for 2015. The papers I chose go beyond our “most-read” articles...
Published
Tue, Jan 26 2016 9:15 AM
by
Health Affairs Blog
Filed under:
Once In A Weil
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Health Affairs journal
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most read articles
CBO Lowers Marketplace Enrollment Projections, Increases Medicaid Growth Projections
Implementing Health Reform. On January 25, 2016, the Congressional Budget Office (CBO) released The Budget and Economic Outlook, 2016 to 2026 . The report does not update completely the Affordable Care Act (ACA) estimates found in the CBO’s March 2015...
Published
Tue, Jan 26 2016 8:12 AM
by
Health Affairs Blog
Filed under:
Following the ACA
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Insurance and Coverage
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Costs and Spending
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Medicaid and CHIP
,
open enrollment
,
CMS
,
advance premium tax credits
Health Affairs Briefing: Vaccines
As Seth Berkely, CEO of Gavi, the Vaccine Alliance, notes in an interview in the forthcoming issue of Health Affairs , “Vaccines do not deliver themselves.” They also don’t finance their own development or distribution, educate the public...
Published
Mon, Jan 25 2016 12:38 PM
by
Health Affairs Blog
Filed under:
Public Health
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Global Health
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Elsewhere@ Health Affairs
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vaccines
,
Health Affairs events
Reducing Health Care Costs Through Early Intervention On Mental Illnesses
This month’s edition of Health Affairs features an article focusing on patients with high mental health costs — and how they incur 30 percent more costs than other high-cost patients. This research helps to make the increasingly compelling case...
Published
Mon, Jan 25 2016 9:00 AM
by
Health Affairs Blog
Filed under:
Public Health
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Quality
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Mental Health
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Featured
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Organization and Delivery
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Costs and Spending
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Equity and Disparities
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Health Professionals
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chronic disease
,
Congress
CMS Releases Final 2017 Actuarial Value Calculator And Methodology, 2016 Enrollment Updates
Late in the day on January 21, 2016, as the city of Washington prepared to shut down for a massive snowstorm, the Centers for Medicare and Medicaid Services (CMS) released the Final 2017 Actuarial Value Calculator and Methodology and the Department of...
Published
Fri, Jan 22 2016 7:58 AM
by
Health Affairs Blog
Filed under:
Following the ACA
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Insurance and Coverage
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Costs and Spending
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open enrollment
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ASPE
,
advance premium tax credits
,
Final 2017 Actuarial Value Calculator and Methodology
Mega Health Insurance Mergers: Is Bigger Really Better?
The health insurance industry has been rocked with the announcement of three large mergers: Aetna/Humana, Anthem/Cigna, and Centene/HealthNet. But many benefits of megamergers put forward by these companies will not materialize, and there will be few...
Published
Fri, Jan 22 2016 7:45 AM
by
Health Affairs Blog
Filed under:
States
,
Quality
,
Hospitals
,
Featured
,
Payment Policy
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Insurance and Coverage
,
Costs and Spending
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insurers
,
mergers
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concentrated markets
,
insurer consolidation
Supplemental Benefits Under Medicare Advantage
Medicare Advantage has grown rapidly since the 2003 Medicare Modernization Act, and now covers 17 million or 33 percent of the 54 million Medicare beneficiaries — up from 13 percent a decade ago. This option allows seniors and the disabled to receive...
Published
Thu, Jan 21 2016 10:00 AM
by
Health Affairs Blog
Filed under:
Medicare
,
Payment Policy
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Insurance and Coverage
,
Costs and Spending
,
CMS
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fee-for-service
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Medicare Advantage
,
Medicare Modernization Act
Using Travel As A Teaching Tool, And A Lever For Change
Foundations seeking to drive systems change in health care have a powerful method they can use to educate health system leaders. The Nicholson Foundation has found that sponsoring out-of-state, or even out-of-country, learning trips is an especially effective...
Published
Thu, Jan 21 2016 7:09 AM
by
Health Affairs Blog
Filed under:
Physicians
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Primary Care
,
Chronic Care
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Health Care Costs
,
Quality
,
Medicaid
,
Innovation
,
Health Philanthropy
,
GrantWatch
,
Effectiveness
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Health Care Delivery
,
Organization and Delivery
,
Costs and Spending
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Medicaid and CHIP
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Health Professionals
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ACO
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Telemedicine
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Federally Qualified Health Center
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New Jersey
,
Project ECHO
Health Affairs Web First: Wide Differences In Rural Health Information Technology Adoption
Over the past few years, health providers in the United States have been adopting health information technology. While prior national research has shown that rural providers have introduced health IT at the same, or greater, rates than their urban counterparts...
Published
Wed, Jan 20 2016 1:07 PM
by
Health Affairs Blog
Filed under:
Health IT
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Elsewhere@ Health Affairs
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EHRs
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electronic health records
,
Web First
,
rural health
Four Key Issues In Health Law That Are As Relevant As Ever In 2016
Spring may be the season of renewal and growth, but each year, January offers a chance for reflection and hope, learning from the past and taking on new challenges. The same is true in the world of health policy. As we embark on the new year, it’s the...
Published
Wed, Jan 20 2016 11:15 AM
by
Health Affairs Blog
Filed under:
Public Health
,
Medicare
,
Quality
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Costs and Spending
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Medicaid and CHIP
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FDA
,
21st Century Cures Act
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The Health Law Year in P/Review
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