March 2016 - Health Affairs - The Network of Care

Medicaid Expansion Through Section 1115 Waivers: Evaluating The Tradeoffs

Editor’s note: This post is part of a Health Affairs Blog Symposium on Health Law stemming from 4th Annual Health Law Year in P/Review conference hosted by the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School...

Published Tue, Mar 15 2016 9:30 AM by Health Affairs Blog

Filed under: Public Health, Medicare, Quality, Costs and Spending, Medicaid and CHIP, ACA, Michigan, The Health Law Year in P/Review, NFIB v. Sebelius, Medicaid expansion, Section 1115 Waivers, Arizona

A New Understanding Of Health System Performance For Older Adults

The number of people age 65 and older in the U.S. will almost double between 2012 and 2050, increasing from 43.1 million in 2012 (one in seven Americans) to 83.7 million (one in five Americans). At the same time this large demographic shift is occurring...

Published Mon, Mar 14 2016 9:06 AM by Health Affairs Blog

Filed under: Medicare, Quality, End-of-Life Care, Aging, Population Health, Featured, Health Professionals, Long-term Services and Supports, Cancer, patient-centered care, specialty care, Dartmouth Atlas, readmisisons

Today’s Medicare Is Built On 50 Years Of Robust Compromise. Now What?

If the Presidential race is any guide, many Americans do not like “politicians.” Weak-kneed and compromised by campaign contributions, “politicians” imperil our virtuous Republic. Or so we are told by ideologues on the Right and Left and by a distressing...

Published Tue, Mar 08 2016 9:30 AM by Health Affairs Blog

Filed under: Politics, Medicare, Featured, Payment Policy, Insurance and Coverage, Medicare Advantage, single payer, presidential election, Medicare for All, Bernie Sanders

Whole Woman’s Health v. Hellerstedt: Quantifying The Case’s Potential Impact On Abortion

Editor’s note: The post below discusses Whole Woman’s Health v. Hellerstedt , which will be argued before the Supreme Court tomorrow. The Court today decided another important health-related case, holding in Gobeille v. Liberty Mutual Insurance...

Published Tue, Mar 01 2016 8:35 AM by Health Affairs Blog

Filed under: Public Health, Hospitals, Population Health, Featured, Health Professionals, Supreme Court, Women's Health, Reproductive Health, Texas, Abortion, HB2, Whole Woman’s Health v. Hellerstedt

The 2017 Benefit And Payment Parameters Final Rule: Drilling Down (Part 2)

Implementing Health Reform. This is my third post on the 2017 Benefit and Payment Parameters final rule . The first post summarized the highlights of the rule and the final 2017 Letter to Issuers in the Federally Facilitated Marketplace. The second post...

Published Wed, Mar 02 2016 10:13 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

The Making Of Nepal’s Immunization Law

Financial independence for Nepal’s immunization program is now within reach for the first time in history. On January 26, 2016, President Bidya Devi Bhandari of Nepal signed into law a long-awaited immunization bill. This law will improve oversight of...

Published Mon, Mar 07 2016 9:00 AM by Health Affairs Blog

Filed under: Global Health, Population Health, Featured, Costs and Spending, vaccines, Nepal, Kathmandu Declaration, Gavi, Sustainable Immunization Financing Program

The Payment Reform Landscape: Where We Started On Transparency Tools And Where We Need To Go

Today we live in the age of information. Modern technology is abundant, providing many with access to a wealth of knowledge and resources. With so much information at our fingertips, we can easily learn more about many of the choices we face in daily...

Published Thu, Mar 31 2016 9:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Consumers, Quality, Featured, Payment Policy, Costs and Spending, Catalyst for Payment Reform, high deductible health plans, tiered networks

A New Arena For Reducing Antibiotic Misuse: Outpatient Care

Antibiotic resistance related to the misuse and overuse of antibiotics has emerged as a growing public health concern, with at least 2 million people infected with resistant bacteria each year . To date, most efforts to promote more judicious use of antibiotics...

Published Thu, Mar 24 2016 11:38 AM by Health Affairs Blog

Filed under: Public Health, Consumers, Quality, Hospitals, Health Philanthropy, GrantWatch, Health Care Delivery, Health Promotion and Disease PreventionGW, Drugs and Medical Technology, Health Professionals, Antibiotic Resistance

Value Pricing For Drugs: Whose Value, What Price?

It is hard to read a newspaper these days without coming across a story about the high and ever increasing cost of drugs. The Wall Street Journal named drug prices the top health story of 2015. Stories about drug prices fall into two general categories...

Published Mon, Mar 28 2016 8:15 AM by Health Affairs Blog

Filed under: Medicare, Featured, Costs and Spending, Drugs and Medical Technology, ACOs, Big Pharma, QUALY, value-based payment, PCSK9 inhibitors, high-cost drugs, cost effectiveness analysis

When Health Policy Gets Personal

Like most Health Affairs readers, I spend large parts of my day reading about, thinking about, and advocating for changes to health care. The flaws with our system are beyond obvious by now: access can be limited or nonexistent; health care costs too...

Published Mon, Mar 21 2016 9:30 AM by Health Affairs Blog

Filed under: Physicians, Primary Care, Quality, Featured, Costs and Spending, Health Professionals, value based care, fee-for-service, patient experience, patient-centered care, electronic medical record

In Annual Baseline Budget Projections, CBO Decreases Marketplace Enrollment Estimates

On March 24, 2016, the Congressional Budget Office and Joint Committee on Taxation (collectively referred to here as the CBO) released their annual baseline budget projections regarding Federal Subsidies for Health Insurance Coverage for People Under...

Published Fri, Mar 25 2016 5:45 AM by Health Affairs Blog

Filed under: Health IT, Medicare, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, healthcare.gov, Congressional Budget Office, CBO, GAO, data services hub, Government Accountability Office, federal budget projections, data privacy and security

Out of Many, One: ERISA Preemption, State All-Payer Claims Database Laws, And The Goals Of Transparency

Editor’s note: Read more Health Affairs Blog posts on the Supreme Court’s recent ruling in Gobeille v. Liberty Mutual Insurance Co. On March 1, 2016, the U.S. Supreme Court held in Gobeille v. Liberty Mutual Insurance Co. that a Vermont law...

Published Thu, Mar 10 2016 1:45 PM by Health Affairs Blog

Filed under: States, Featured, Insurance and Coverage, Costs and Spending, Supreme Court, transparency, Gobeille v. Liberty Mutual Insurance Co., ERISA, ERISA vacuum

New Health Care Symposium: Building An ACO—What Services Do You Need And How Are Physicians Impacted?

Editor’s note: This post is part of a Health Affairs Blog symposium stemming from “ The New Health Care Industry : Integration, Consolidation, Competition in the Wake of the Affordable Care Act,” a conference held recently at Yale Law School’s Solomon...

Published Thu, Mar 03 2016 9:46 AM by Health Affairs Blog

Filed under: Medicare, Quality, Hospitals, Population Health, Payment Policy, Organization and Delivery, Costs and Spending, Health Professionals, ACOs, Massachusetts, Pioneer ACO program, Yale Health Care Industry Symposium

Section 1341 And Financing The Reinsurance Program

Implementing Health Reform. Recognizing that it was likely that once health status underwriting was abolished and preexisting conditions exclusions were banned the individual market would likely disproportionately attract high-cost enrollees, Congress...

Published Tue, Mar 15 2016 6:49 AM by Health Affairs Blog

Filed under: Following the ACA, HHS, reinsurance, Section 1341, Congressional Research Service, Treasury

New Health Care Symposium: Consolidation And The Push Toward Coordinated, Accountable Care

Editor’s note: This post is part of a Health Affairs Blog symposium stemming from “ The New Health Care Industry : Integration, Consolidation, Competition in the Wake of the Affordable Care Act,” a conference held recently at Yale Law School’s Solomon...

Published Fri, Mar 04 2016 9:01 AM by Health Affairs Blog

Filed under: Quality, Hospitals, Population Health, Organization and Delivery, Costs and Spending, Health Professionals, ACOs, mergers, Yale Health Care Industry Symposium, consolidation

March 2016 - Health Affairs

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