April 2017 - Health Affairs - The Network of Care

How Dorothy Rice Helped Transform Health Care In America And Inspired A Generation of Researchers

Dorothy Rice—who passed away on February 25, 2017, at the age of 94—was a giant in the field of health services research, conducting groundbreaking studies and mentoring others who continue to contribute to the field. Her pioneering study...

Published Fri, Apr 07 2017 4:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, Aging, Insurance and Coverage, seniors, Social Security Administration, Dorothy Rice

How Should The Trump Administration Handle Medicare’s New Bundled Payment Programs?

Secretary of Health and Human Services (HHS) Dr. Tom Price and Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma face significant decisions across a range of programs in the first half of 2017. Decisions regarding how the new...

Published Mon, Apr 10 2017 8:07 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, Featured, Costs and Spending, oncology care model, tom price, CMS Innovation Center, bundled payment, Bundled Payments for Care Improvement Initiative, Episode Payment Model, Seema Varma, Comprehensive Care for Joint Care Model

Medicaid Work Requirements: Who’s At Risk?

While the American Health Care Act (AHCA) has collapsed, adding work requirements to Medicaid continues as a key theme in conservative health reform efforts. Department of Health and Human Services Secretary Tom Price and Centers for Medicare and Medicaid...

Published Wed, Apr 12 2017 8:39 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Medicaid and CHIP, Section 1115 Waivers, employment, tom price, American Health Care Act, health status, medicaid work requirement, Seema Verma, work requirements

Health Affairs Briefing: Securing The Future Of Value-Based Payment

On April 18, Health Affairs will sponsor a half-day forum for policy makers on the future of value-based payment in health care. The forum follows an event we hosted last year to educate the policy community on critical value-based payment issues that...

Published Thu, Apr 13 2017 10:52 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs

Looking Ahead To 2018: Will A Shorter Open Enrollment Period Reduce Adverse Selection In Exchange Plans?

On April 13, 2017 the Centers for Medicare and Medicaid Services (CMS) released the final rule designed to “improve the risk pool and promote stability in the individual insurance market” for 2018. The rule finalizes the provision from the proposed rule...

Published Fri, Apr 14 2017 8:22 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Marketplace Open Enrollment Notice, open enrollment, open enrollment period

How Minnesota Is Stepping Up To Preserve Its Individual Market

Last December I wrote about the steps Minnesota was taking to save its individual insurance market. The state’s commissioner of commerce negotiated enrollment caps with five insurers in response to the decision of Blue Cross Blue Shield (BCBS) to leave...

Published Tue, Apr 18 2017 6:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Insurance and Coverage, Costs and Spending, Minnesota, 1332 waivers, Health Insurance Pemium Relief bill, Council of Health Plans, MinnesotaCare, Premium Security Plan, Health Care Access Fund, Mark Dayton

Health Affairs Web First: Medical Marijuana Laws Reduced The Number Of Medicaid Prescriptions

In the past twenty years, twenty-eight states and the District of Columbia have passed some form of medical marijuana law. A new study , released today by Health Affairs as a Web First, studied nine clinical areas to find out if Medicaid enrollees in...

Published Wed, Apr 19 2017 1:08 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Web First, medical marijuana

Loathing And Loving As A Pathway To Meaningful Health Care Reform

The Republicans are having trouble reaching consensus on a plan to replace the Affordable Care Act (ACA), and the Democrats understandably are not inclined to help. Searching for areas of agreement at this point seems like a waste of legislators’ valuable...

Published Fri, Apr 21 2017 4:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Following the ACA, Insurance and Coverage, Medicare Advantage, ACA repeal and replace, AHCA

The Payment Reform Landscape: For Employers, Keep Pushing Ahead

With all the tumult in Washington, D.C. surrounding health care reform, it is hard to know which reforms will be prioritized at the federal level and whether provider payment reform will still be a central focus. But in some corners of the health care...

Published Fri, Apr 21 2017 10:45 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Payment Policy, Insurance and Coverage, Costs and Spending, Payment Reform, Behavioral Health, employer-sponsored health coverage, maternity care

Health Policy’s Gordian Knot: Rethinking Cost Control

Medical spending has resumed its long-term rise. After several years of deceptive stability in the last, deep recession’s wake, health spending rose by 3.7 percentage points more than general inflation in 2014 , then by 5.8 percentage points more in 2015...

Published Wed, Apr 26 2017 7:28 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health IT, Payment Policy, Insurance and Coverage, Costs and Spending, Drugs and Medical Technology, Research and Development, intellectual property, value-based payment, patents

GOP Removes AHCA Exemption Of Congress From State Coverage Limitations; Plaintiffs Seek End To Contraceptive Coverage Case Delay

On April 26, 2017, the House Rules Committee posted yet another proposed amendment to the American Health Care Act. This amendment would remove the provision in the MacArthur amendment , released on April 25, which would have exempted coverage for members...

Published Thu, Apr 27 2017 1:22 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

Overcoming Challenges Of Outcomes-Based Contracting For Pharmaceuticals: Early Lessons From The Genentech–Priority Health Pilot

In recent decades, treatment advances have helped people with cancer live longer and better lives. Scientific investments have led to breakthroughs not previously imaginable, such as the development of immunotherapies and precision medicines. However...

Published Mon, Apr 03 2017 9:37 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Costs and Spending, Drugs and Medical Technology, Outcomes-based agreements

ACA Round-Up: Negotiations To Revive AHCA, Alexander-Corker Bill, and Risk Adjustment

On the morning of April 4, 2017, rumors are flying regarding continuing Republican efforts to repeal and replace parts of the Affordable Care Act (ACA). It is reported that Vice President Pence is discussing a compromise with conservative Republican House...

Published Tue, Apr 04 2017 9:33 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Tennessee, risk adjustment program, ACA repeal and replace, AHCA, Bob Corker, Lamar Alexander, Health Care Options Act

House GOP Moves To Add ‘Invisible Risk Sharing Program’ To AHCA; Other ACA Developments

On April 6, 2017, as Congress headed out the door for its spring recess, a new amendment to the American Health Care Act was submitted to the House Rules Committee by congressmen Gary Palmer (R-AK) and David Schweikert (R-AZ). The amendment would create...

Published Thu, Apr 06 2017 11:01 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Maine, Alaska, high-risk pools, ACA repeal and replace, AHCA

Scott Gottlieb’s FDA Commissioner Confirmation Hearing: Remarkably Unremarkable

On Wednesday morning, the United States Senate Committee on Health, Energy, Labor, and Pensions conducted the confirmation hearing for Dr. Scott Gottlieb , President Trump’s nominee to be the next Commissioner of the Food & Drug Administration (FDA...

Published Fri, Apr 07 2017 8:16 AM by Health Affairs BlogHealth Affairs Blog

Filed under: FDA, generic drugs, opioid epidemic, Drugs and Medical Innovation

April 2017 - Health Affairs

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