April 2016 - Health Affairs

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Accountable Care Organizations In 2016: Private And Public-Sector Growth And Dispersion

As of the end of January 2016, Leavitt Partners, in partnership with the Accountable Care Learning Collaborative, has identified 838 active Accountable Care Organizations (ACOs) (see Figure 1) across the country with service areas in all 50 states and...

Published Thu, Apr 21 2016 1:30 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Population Health, Payment Policy, Insurance and Coverage, Organization and Delivery, Costs and Spending, ACOs, Medicare Shared Savings Program, MACRA, Bundled Payments, Accountable Care Learning Collaborative
Increasing Access To Dental Care For Seniors To Improve Overall Health

Shirley, like other senior residents in downtown San Diego, faces stark choices in day-to-day life. With more than 40 percent of seniors in San Diego living below the self-sufficiency level , many, like Shirley, have to choose between paying rent and...

Published Tue, Apr 26 2016 2:06 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Consumers, Prevention, Coverage, Access, Medicaid, Aging, Health Philanthropy, GrantWatch, Health Care Delivery, Oral Health, Health Promotion and Disease PreventionGW, Insurance and Coverage, Organization and Delivery, Medicaid and CHIP, California, Medi-Cal, seniors, Denti-Cal, dental health
Medicaid Managed Care Final Rule: Examining The Alignment With Qualified Health Plan Requirements

Editor’s note: This post focuses on provisions in the Medicaid and CHIP managed care final rule regarding alignment, and sometimes lack of alignment, between Medicaid managed care requirements and those governing other insurance coverage programs, specifically...

Published Fri, Apr 29 2016 5:35 AM by Health Affairs BlogHealth Affairs Blog

Filed under: States, Medicare, Quality, Following the ACA, Insurance and Coverage, Medicaid and CHIP, medical loss ratios, network adequacy, Summary of Benefits And Coverage, external review, provider directories, internal review
Health Policy Brief: Final 2015-20 Dietary Guidelines For Americans

A new policy brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) focuses on the recommendations of the eighth edition of the Dietary Guidelines for Americans, released on January 7, 2016. This brief updates a previous Health Policy...

Published Fri, Apr 01 2016 12:00 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Featured, FDA, Health Policy Brief, Dietary Guidelines Advisory Committee
Hospitals’ Engagement In Population Health: Moving Past The Medicine And Into The Community

Traditionally, hospitals are thought of as places people go for medical care. But could one imagine a world where hospitals reached out to people in their communities to address the deeply rooted social and environmental factors impacting health? While...

Published Tue, Apr 05 2016 7:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Quality, Hospitals, Social Determinants of Health, Population Health, Payment Policy, Costs and Spending, Medicaid and CHIP, Equity and Disparities, Health Professionals, ACOs, New York, culture of health, Alternative Payment Models, New York State, value-based payment
The Toyota Production System: What Does It Mean, And What Does It Mean For Health Care?

The Toyota Production System (TPS), also known as the Lean management system (Lean), is already helping health care organizations provide high-quality, low-cost care, and it promises to do far more. However, the potential benefits of TPS/Lean are endangered...

Published Wed, Apr 06 2016 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Hospitals, Population Health, Featured, Organization and Delivery, Costs and Spending, Health Professionals, ACOs, taylorism, Lean management, Toyota Production System
Lessons From More Than A Decade In Patient Portals

Many of us look forward to a time when the experience of interacting with our health care providers will be as consumer-friendly and technology-enabled as, for example, using an ATM or Uber. The vision is health care at the touch of a finger — lab...

Published Thu, Apr 07 2016 11:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Physicians, Health IT, Primary Care, Quality, Featured, Insurance and Coverage, Organization and Delivery, Drugs and Medical Technology, Health Professionals, triple aim, EHRs, electronic health records, chronic conditions, patient uses of evidence, patient portals
In Rural States Policy Changes To Improve Access To Home Dialysis Are Vital

By its very nature, chronic kidney disease can rob individuals of their independence. It gradually causes a person to lose the ability to filter wastes from the body, and should kidneys fail entirely, a patient must rely on renal replacement therapy Read...

Published Tue, Apr 12 2016 9:40 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Health IT, Quality, Costs and Spending, Health Professionals, chronic disease, Telehealth, kidney disease, dialysis, rural health, nephrology
Medicare Help At Home

Nine million community-dwelling Medicare beneficiaries—about one-fifth of all beneficiaries—have serious physical or cognitive limitations and require long-term services and supports (LTSS) that are not covered by Medicare . Nearly all have...

Published Wed, Apr 13 2016 7:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, Palliative Care, Featured, Health Policy Lab, Insurance and Coverage, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Equity and Disparities, Health Professionals, Long-term Services and Supports, ACOs, chronic conditions, Aging and Health, nursing homes, Medicare Help at Home
Creating A Culture Of Whole Health: A Realistic Framework For Advancing Behavioral Health And Primary Care Together

People present in wholes, not pieces. Despite this irrefutable scientific fact, our health care delivery system has reinforced a false notion that mental health is separate from physical health . We further this fragmentation, whether or not we realize...

Published Thu, Apr 14 2016 11:26 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment, Primary Care, Workforce, Access, Technology, Health Philanthropy, GrantWatch, Mental Health, Health Care Delivery, Social Determinants of Health, Population Health, Payment Policy, Organization and Delivery, costs, Health Professionals, Behavioral Health, Robert Wood Johnson Foundation, culture of health, integrated care
To Identify Patients For Care Management Interventions, Look Beyond Big Data

Five percent of patients incur nearly 50 percent of United States’ health care costs, and there is growing evidence that investing resources in these individuals can improve care while decreasing costs . In kind, provider organizations are increasingly...

Published Tue, Apr 19 2016 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health IT, Quality, Big Data, Population Health, Featured, Organization and Delivery, Costs and Spending, Equity and Disparities, super-utilizers, Health Professionals, chronic disease, Hospital readmissions, coordinated care, physician perspective, patient use of evidence
Make The Clinician Burnout Epidemic A National Priority

The health care workforce burnout epidemic is a national crisis. The time to act like it is now. Despite the promise of delivery system reform, especially following passage of the Affordable Care Act (ACA), the risk of burnout among physicians (and other...

Published Thu, Apr 21 2016 7:27 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Physicians, Quality, Hospitals, Organization and Delivery, Health Professionals, triple aim, EHRs, physician perspective, doctor burnout
Studies Reveal A Critical Need To Educate Texans On The Basics Of Health Insurance

As the United States celebrates the sixth anniversary of the Affordable Care Act (ACA), there’s no debate that more Texans now have health insurance than before the ACA went into effect. In fact, the uninsured rate has dropped by more than 20 percent...

Published Thu, Apr 21 2016 11:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health Reform, Consumers, Coverage, Access, Health Law, Health Philanthropy, GrantWatch, Insurance and Coverage, Texas, ACA Marketplace, Affordable Care Act, health insurance, Hispanics, health literacy
What Does A New Era Of Physician Accountability Mean For Patients?

With the implementation over the next several years of the Medicare Access and CHIP Reauthorization Act (MACRA) and the gradual build-out of Physician Compare, a website launched by the Affordable Care Act (ACA), we are entering a new era of physician...

Published Tue, Apr 26 2016 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Physicians, Medicare, Quality, Population Health, Featured, Payment Policy, Insurance and Coverage, Medicaid and CHIP, CMS, EHRs, MACRA, Merit-Based Incentive Payment System, physician perspective, mips
State Options To Control Health Care Costs And Improve Quality

The recent debate on health care reform has occurred mostly at the national level. The Affordable Care Act, or ACA, was a momentous change for the American health care system. So far, 20 million people have gained health insurance coverage due to the...

Published Thu, Apr 28 2016 10:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: States, Medicare, Quality, Featured, Payment Policy, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Payment Reform, ACA, CMMI, Long-term Services and Supports, Telehealth, APCDs, state policy, Gobeille vs. Liberty Mutual Insurance Company

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April 2016 - Health Affairs

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Accountable Care Organizations In 2016: Private And Public-Sector Growth And Dispersion

Increasing Access To Dental Care For Seniors To Improve Overall Health

Medicaid Managed Care Final Rule: Examining The Alignment With Qualified Health Plan Requirements

Health Policy Brief: Final 2015-20 Dietary Guidelines For Americans

Hospitals’ Engagement In Population Health: Moving Past The Medicine And Into The Community

The Toyota Production System: What Does It Mean, And What Does It Mean For Health Care?

Lessons From More Than A Decade In Patient Portals

In Rural States Policy Changes To Improve Access To Home Dialysis Are Vital

Medicare Help At Home

Creating A Culture Of Whole Health: A Realistic Framework For Advancing Behavioral Health And Primary Care Together

To Identify Patients For Care Management Interventions, Look Beyond Big Data

Make The Clinician Burnout Epidemic A National Priority

Studies Reveal A Critical Need To Educate Texans On The Basics Of Health Insurance

What Does A New Era Of Physician Accountability Mean For Patients?

State Options To Control Health Care Costs And Improve Quality