August 2016 - Health Affairs - The Network of Care

Overcoming Lower-Income Patients’ Concerns About Trust And Respect From Providers

This blog post is the third in a series discussing how vulnerable segments of the US population interact with and experience the health care system. This research is part of the Robert Wood Johnson Foundation’s Right Place, Right Time initiative. The...

Published Thu, Aug 11 2016 10:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Physicians, Medicare, Quality, Innovations in Care Delivery, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Drugs and Medical Technology, Health Professionals, culture of health, low-income patients

Graduate Medical Education For The 21st Century

I began my career as a residency program director some 35 years ago when I founded a new general internal medicine training program. Despite my experience as a program director, I discovered I still had much to learn when the organization I now lead,...

Published Tue, Aug 16 2016 8:23 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Physicians, Quality, Hospitals, Mental Health, Health Policy Lab, Organization and Delivery, Health Professionals, Graduate medical education, residency

CMS Focuses On Provider Steering Of Medicare- And Medicaid-Eligible People To Marketplaces

Aetna’s August 15 announcement that is reducing its marketplace participation from 778 to 242 counties has further focused attention on the need to stabilize marketplace risk pools. The Centers for Medicare and Medicaid Services (CMS) have already taken...

Published Fri, Aug 19 2016 9:14 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Following the ACA, Insurance and Coverage, Medicaid and CHIP, APTC, risk pools

Plaintiffs Say ACA Equity Rules Illegally Require Abortion, Gender Transition Services

On August 23, 2016, a Catholic hospital system, Catholic medical group, Christian medical association, and five states filed a lawsuit challenging the Department of Health and Human Services’ (HHS) regulations implementing section 1557 , the nondiscrimination...

Published Wed, Aug 24 2016 6:44 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Equity and Disparities, section 1557, Texas, Abortion, abortion coverage, transgender discrimination

ASPE: Medicaid Expansion Lowers Marketplace Premiums

On August 25, 2016, the Office of The Assistant Secretary for Planning and Evaluation (ASPE) released a report titled “The Effect of Medicaid Expansion on Marketplace Premiums.” ASPE concludes that Marketplace premiums are about 7 percent lower in Medicaid...

Published Fri, Aug 26 2016 7:20 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Equity and Disparities, Medicaid expansion, federal poverty level

The Roadmap To Physician Payment Reform: What It Will Take for All Clinicians to Succeed under MACRA

As the largest change in Medicare physician payment since the Sustainable Growth Rate formula, the Medicare Access and CHIP Reauthorization Act ( MACRA ) will affect up to 836,000 clinicians and allocate more than $1.2 billion in payment bonuses and penalties...

Published Tue, Aug 30 2016 10:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Payment Policy, Insurance and Coverage, Costs and Spending, ACOs, MACRA, Alternative Payment Models, Merit-Based Incentive Payment System, Comprehensive Primary Care Plus

Patients, Physicians, And Price Transparency: If You Build It, Will They Come?

While health care spending growth has slowed in recent years, it is still poised to consume a fifth of the US economy by 2025. As such, the pressure to constrain costs and improve value persists — with continued focus on patients and physicians...

Published Wed, Aug 31 2016 10:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: GrantWatch, Costs and Spending, culture of health, Price Transparency, shoppable health care

Struggling To Stabilize: 3Rs Litigation And The Future Of The ACA Exchanges

Six years after passage of the Affordable Care Act (ACA), the individual and small-group insurance markets—the markets that the ACA remade—are still having growing pains. Health insurers have endured large losses and a number of ACA-created...

Published Mon, Aug 01 2016 8:55 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Following the ACA, Insurance and Coverage, Costs and Spending, ACA Marketplace, reinsurance, risk adjustment, risk corridor program, Republicans, risk corridor payments, Tucker Act

Why Health Care Innovation Lags (And What To Do About It)

Health Care Innovation: Less Than Meets the Eye As health care reform gains momentum, the role of innovation described by Dr. Berwick in this landmark Health Affairs article on the “ Triple Aim ” is as important as ever. Yet, many health system executives...

Published Wed, Aug 03 2016 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health IT, Hospitals, Featured, Organization and Delivery, Health Professionals, triple aim, Telehealth, behavioral economics

Six Reasons That Justify A ‘Marriage Of Convenience’ Between HIV And Noncommunicable Disease Programs In Sub-Saharan Africa

Another round in the battle to end HIV/AIDS began on June 10, 2016, at United Nations (UN) headquarters in New York, when the HIV community adopted targets and actions to end the AIDS epidemic by 2030. For Sub-Saharan Africa (SSA), which bears the largest...

Published Fri, Aug 05 2016 9:15 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Global Health, Costs and Spending, HIV/AIDS, NCDs, United Nations, sub-saharan africa

Building New Partnerships For American Indian And Alaska Native Health

Montana is home to federally recognized tribes on seven reservations, one state-recognized tribe, and a large urban American Indian population. Health disparities among American Indian and Alaska Native people are a serious, longstanding problem throughout...

Published Tue, Aug 09 2016 3:04 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Health IT, States, Workforce, Disparities, Health Philanthropy, GrantWatch, Health Care Delivery, Featured, Organization and Delivery, Equity and Disparities, Health Professionals, Montana, Native Americans, Alaska Native, American Indians

CMS Report Cites Flat Per-Enrollee Costs In ACA Marketplaces

One of the most hotly debated Affordable Care Act (ACA) issues in recent months has been what is happening to the individual risk pool. Insurers have been proposing significantly increased premiums for 2017 and have sought to justify these increases by...

Published Thu, Aug 11 2016 12:51 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, QHPs, risk pools, CO-OPs

Who’s Funding Mental Health Research Worldwide?

The field of mental health research worldwide is broad and fragmented. It covers a diversity of health conditions and is driven by a large and varied population of researchers and funding organizations. This presents significant challenges to coordinating...

Published Tue, Aug 16 2016 3:04 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Prevention, Global Health, Health Philanthropy, GrantWatch, Mental Health, Research, RAND, National Institutes of Health, Substance Use Disorders, charities

Using Community Input To Improve Advance Care Planning

Death panels. Seven years ago, these two words nearly brought down the Affordable Care Act (ACA), and effectively halted discussion on end-of-life care issues. Today, the landscape has changed to transform advance care planning (ACP). As described in...

Published Mon, Aug 22 2016 6:55 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Physicians, Medicare, Quality, End-of-Life Care, Aging, Featured, Equity and Disparities, Health Professionals, Michigan, advanced care planning

Examining The Effects Of Premium Increases On Consumers And The Marketplaces

On August 24, 2016, the Health and Human Services Assistant Secretary for Planning and Evaluation (ASPE) released a report on “The Effect of Shopping and Premium Tax Credits on the Affordability of Marketplace Coverage.” Although insurers still have a...

Published Wed, Aug 24 2016 1:53 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, MAGI, advance premium tax credits, ACA Marketplaces

August 2016 - Health Affairs

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