June 2017 - Health Affairs - The Network of Care

ACA Round-Up: Litigation Over Cost-Sharing Reductions And Reinsurance Fees, Tax Filings, And More

On May 30 the House of Representatives filed its response to the motion of attorneys general from 15 states and the District of Columbia asking that the stay in House v. Price be lifted and that they be allowed to intervene in the appeal. The federal...

Published Thu, Jun 01 2017 2:09 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, risk corridor payments, house v. price

On Objections To Contraceptive Coverage, Trump Administration Appears Set To Reverse Obama Approach

On May 30, 2017, a draft of an interim final rule promulgated by the Departments of Health and Human Services, Labor, and Treasury, addressing conscience-based objections to the coverage of contraceptives under the preventive services requirement of the...

Published Fri, Jun 02 2017 10:11 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Women's Health, contraceptive coverage, Preventive Services Mandate, HRSA, ERISA

The CBO’s Updated Estimate Of The AHCA

On May 24, the Congressional Budget Office (CBO) released its assessment of the American Health Care Act (AHCA) . The estimate reflects the impact of two amendments that were key to the US House of Representatives’ passage of the bill three weeks earlier...

Published Tue, Jun 06 2017 4:47 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Congressional Budget Office, American Health Care Act

Replicating Effective Models Of Complex Care Management For Older Adults

Improving our system of care for older adults with complex, chronic illnesses requires wrestling with a vexing dilemma. Models of care that are readily scalable have limited effectiveness, and effective models are difficult to scale. As an example of...

Published Wed, Jun 07 2017 6:44 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Costs and Spending, Diffusion of Innovation, Health Quality Partners, chronically ill older adults, complex care management, health and aging

The Private Sector Can Lead In Delivery System And Payment Reform

Editor’s Note: This is the fourth in a five-part Health Affairs Blog series, produced in conjunction with the Bipartisan Policy Center, examining current issues and care models in the delivery system reform effort. Each post will be jointly authored by...

Published Thu, Jun 08 2017 9:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Featured, Payment Policy, Organization and Delivery, Costs and Spending, reference pricing, CalPERS, shoppable services, bipartisan delivery system reform

Nursing Home Certificate-Of-Need Laws Should Be Repealed

Imagine if your state had a regulation explicitly limiting the number of hotels in a local area. Rather than letting the market dictate the supply of hotel beds, the number of beds would be set by a regulatory body. One does not need a degree in economics...

Published Fri, Jun 09 2017 7:34 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, Featured, Medicaid and CHIP, nursing homes, roemer's law, certificate-of-need laws

Two Things Health Researchers And Allies Can Do Right Now To Advance LGBT Research

Editor’s note : In a related piece, former US Assistant Secretary for Aging and administrator of the Administration for Community Living Kathy Greenlee also reflects on the elimination of the sexual orientation and gender identity measure from the National...

Published Mon, Jun 12 2017 8:50 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Population Health, Featured, health equity, LGBT issues, Census data, sexual orientation and gender identity, Behavioral Risk Factor Surveillance System

What To Expect When You Are Managing A Population Health Coalition

Collaboration among a litany of health care and community-based organizations (CBOs) has become a popular approach to pursuing health improvements in cities and towns across the United States. Examples of cross-sector coalitions can be found in the work...

Published Tue, Jun 13 2017 9:45 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Politics, Hospitals, Health Philanthropy, GrantWatch, Population Health, Health Promotion and Disease PreventionGW, community-based organizations, Robert Wood Johnson Foundation, Health Research & Educational Trust

The American Health Care Act Could Chip Away At The Medicare Savings Programs

The American Health Care Act (AHCA) is not just an alarming, slapdash effort to repeal the Affordable Care Act—it’s also a plan to radically weaken Medicaid, our nation’s health care safety net. Indeed, the US House-passed bill’s most dramatic savings—...

Published Thu, Jun 15 2017 7:05 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Payment Policy, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, dual eligibles, ACA repeal and replace, American Health Care Act

‘Will It Work Here?’: Health Systems Need Contextual Evidence Before Adopting Innovations

Health systems are eager to learn about better ways to deliver care. This requires innovation—doing something differently from how it is currently done. In a recent Health Affairs article , Elizabeth McGlynn and Mark McClellan noted that innovations...

Published Fri, Jun 16 2017 8:14 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Hospitals, Health Professionals, evidence-based decisions, Diffusion of Innovation, care delivery innovation, innovation adoption

Sandoz v. Amgen: What The Court Settled, What It Didn’t, And What Might Come Next

On June 12, the United States Supreme Court released a heavily anticipated decision relating to patent disputes between the developers of new biological medicines and the manufacturers of “biosimilar” copies of those medicines. This was the Court’s first...

Published Mon, Jun 19 2017 10:09 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Costs and Spending, biosimilars, Drugs and Medical Innovation, Biologics Price Competition and Innovation Act, Food and Drug Administration, Hatch Waxman, biologics

Deploying The Cascade Of Care Framework To Address The Opioid Epidemic Means Taking A Closer Look At Quality Measures

In a March 13, 2017, Health Affairs Blog post , Arthur Robin Williams, Edward Nunes, and Mark Olfson propose repurposing the “Cascade of Care” framework, once used to combat the HIV/AIDS crisis, to fight the opioid epidemic. Williams and colleagues propose...

Published Wed, Jun 21 2017 7:43 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Quality, Population Health, Featured, Health Policy Lab, Substance Use Disorders, opioid epidemic, Cascade of Care, data collection systems, tracking and delivery system

The Payment Reform Landscape: Is The Debate Over Retrospective Versus Prospective Bundled Payments A Distraction?

Based on surveys of health plans by Catalyst for Payment Reform, less than 3 percent of payments in the commercial market are “bundled.” One can argue that there have been more conferences and webinars about bundled payment than actual bundled payments...

Published Fri, Jun 23 2017 6:25 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Costs and Spending, Catalyst for Payment Reform, bundled payment

Sounding The Alarms On Children’s Health Coverage

Buried beneath a very intense discussion on the future of adult coverage in this country has been a far more serious issue in children’s coverage many years in the making. The American Health Care Act (AHCA) and the president’s recent budget proposal...

Published Mon, Jun 26 2017 7:49 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Quality, Following the ACA, Medicaid and CHIP, ACA repeal and replace, AHCA

CBO Projects That 22 Million Would Lose Coverage Under Senate Bill

On June 26, 2017, the Congressional Budget Office and Joint Committee on Taxation (referred here collectively as CBO) released a cost estimate on the Senate’s Better Care Reconciliation Act (BCRA) of 2017. The JCT separately released an analysis of the...

Published Mon, Jun 26 2017 8:37 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Congressional Budget Office, 1332 waivers, continuous coverage requirements, The Better Care Reconciliation Act, The American Health Care Act

June 2017 - Health Affairs

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