October 2016 - Health Affairs - The Network of Care

Five Lessons From 30 Years Of Bundled Payments

In recent years, large employers, physician groups, and commercial and governmental payers have been increasingly interested in the use of episode-based bundled payments as a mechanism to promote high-quality health care and smarter spending. A “bundled...

Published Mon, Oct 03 2016 6:45 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Organization and Delivery, Costs and Spending, California, Comprehensive Care for Joint Replacement model, Bundled Payments, Alternative Payment Models

Encouraging Integrative, Non-opioid Approaches To Pain: A Policy Agenda

The United States is struggling to deal with an opioid epidemic that is damaging lives, resulting in overdoses, and yet not reducing chronic pain. National initiatives are underway to dramatically reduce access to prescription opioids, but these efforts...

Published Tue, Oct 04 2016 7:15 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Quality, Featured, Drugs and Medical Technology, Health Professionals, Opioid Addiction, opioids, chronic pain

Health Affairs’ October Issue: Insurance, The ACA, Care In India & More

The October issue of Health Affairs , a variety issue, includes several reports detailing aspects of the implementation of the Affordable Care Act (ACA) at a time when the latest census data shows the smallest-ever share of the US population without health...

Published Tue, Oct 04 2016 1:10 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, India, Health Affairs journal, narrow networks

A New Health Affairs Blog Featured Topic: ‘Health Equity’

Health Affairs Blog is launching a new featured topic on “Health Equity.” Health disparities and health care disparities—including differential access to treatment and inequity in the quality of care—have been covered extensively in our journal...

Published Mon, Oct 31 2016 9:05 AM by Health Affairs BlogHealth Affairs Blog

Filed under: health equity

By Spinning Early Results, CMS May Be Undermining Payment Reform

A recent press release by the Centers for Medicare and Medicaid Services (CMS) summarizes the 2015 Results for the Medicare Shared Savings Program (MSSP) and the Pioneer Accountable Care Organization Model by stating that “physicians, hospitals, and health...

Published Fri, Oct 07 2016 7:46 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Costs and Spending, ACOs, MACRA, Alternative Payment Models, Merit-Based Incentive Payment System, Pioneer ACO program

Making Marketplaces Work: California’s Ingredients For Success

For the first time in our country’s history, more than 91 percent of Americans have health care coverage. More than nine out of every 10 people you see have access to quality health care and are protected from the high cost of medical bills if they get...

Published Mon, Oct 24 2016 8:45 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, California, ACA Marketplaces

Government Files Brief In House v. Burwell; ASPE Lays Out 2017 Plans And Premiums

On October 24, 2016, the Department of Health and Human Services Secretary Sylvia Burwell and Treasury Secretary Jacob Lew filed their initial brief in their appeal of House v. Burwell in the Court of Appeals of the District of Columbia Circuit. On October...

Published Tue, Oct 25 2016 5:07 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Marketplace premiums, House v. Burwell, marketplace plans, cost-sharing reduction payments, separation of powers, benchmark premiums, advance premium tax credits, ACA Marketplaces

ACA Round-Up: Discontinued Plans, Quality And Network Breadth Info, And More

On September 30, 2016, the Centers for Medicare and Medicaid Services (CMS) released at its REGTAP.info website (registration required) a description of its strategy for communicating during the 2017 open enrollment period with consumers enrolled in plans...

Published Mon, Oct 03 2016 7:37 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, open enrollment

Tax Deductibility As A Regressive Federal Subsidy

Suppose a politician wanted to: support the health care industry, which had been generous with financial contributions to that politician’s campaigns; to that end, and also to provide Americans with better financial access to health care, grant federal...

Published Mon, Oct 03 2016 9:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Featured, Costs and Spending, insurance subsidies, Joint Committee on Taxation, health savings accounts, tax credits, tax deductions

CMS Details Open Enrollment Strategy

The marketplaces (and indeed the entire individual market) opens for the fourth open enrollment (OE4) period on November 1, 2016. A recent Commonwealth Fund survey found that nearly 40 percent of the uninsured did not know about the marketplaces and nearly...

Published Thu, Oct 13 2016 1:40 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, open enrollment, ACA Marketplaces

Mega Teaching Health Centers: A New Model To Power CHCs

Community Health Centers (CHCs) have assumed an important role in bridging coverage and access gaps for some of the most vulnerable Americans. Nevertheless, prominent gaps in coverage and access (discussed in more detail below) persist. Millions of lower...

Published Thu, Oct 13 2016 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Primary Care, Hospitals, Social Determinants of Health, Community Health Centers, Costs and Spending, Medicaid and CHIP, Health Professionals, Patient-Centered Medical Home, teaching health centers, general medical education

Social Science Insights To Advance A Culture Of Health

Editor’s note : This is part of a periodic series of Health Affairs Blog posts discussing the Culture of Health . In 2014 the Robert Wood Johnson Foundation announced its Culture of Health initiative, which promotes health, well-being, and equity. The...

Published Fri, Oct 21 2016 9:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Quality, Equity and Disparities, Health Professionals, culture of health

Many Eligible For Premium Tax Credits Not Receiving Them; A 2017 Open Enrollment Calendar

Although much of the discussion regarding the success or failure of the Affordable Care Act has focused on enrollment through the marketplaces (or exchanges), there remains a large individual insurance market outside the marketplaces. Coverage sold off...

Published Wed, Oct 05 2016 10:58 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, open enrollment, advance premium tax credits

HHS Vigorously Defends Against Insurer Claims For Risk Corridor Payments

The Affordable Care Act risk corridor program requires the Department of Health and Human Services to collect funds from excessively profitable insurers that offer qualified health plans (QHPs) through the marketplaces while paying out funds to QHP insurers...

Published Tue, Oct 04 2016 6:18 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, ACA litigation, risk corridor program, fixed indemnity insurance

Examining The HHS Projections For 2017 Marketplace Enrollment

The fourth marketplace open enrollment period begins on November 1, 2016. On October 19, the Department of Health and Human Services Assistant Secretary for Planning and Evaluation (ASPE) released projections of 2017 marketplace enrollment . CMS also...

Published Wed, Oct 19 2016 2:33 PM by Health Affairs BlogHealth Affairs Blog

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

October 2016 - Health Affairs

Syndication

Recent Posts

Tags

Archives