September 2017 - Health Affairs - The Network of Care

Let’s Adapt Health Care Quality Measures To Meet The Needs Of Transgender People

Editor’s Note: This month’s issue of Health Affairs also features a personal essay by a transgender doctor about meeting the health care needs of transgender patients. As transgender people become increasingly visible , so have the challenges they face...

Published Mon, Sep 11 2017 7:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Population Health, equality, health equity, Alternative Payment Models, quality measures, transgender health, LGBT health

Census Bureau Finds Health Coverage Stabilization; Oregon 1332 Waiver Open For Comment

On September 12, 2017, the United States Census Bureau released its report on Health Insurance Coverage in the United States for 2016. The report is based on data collected by the Census Bureau’s Current Population Survey Annual Social and Economic Supplement...

Published Wed, Sep 13 2017 6:54 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Medicaid and CHIP, Oregon, Section 1332 waivers, Medicaid expansion, Census Bureau

Unpacking The Sanders Medicare-For-All Bill

On September 13, Senator Bernie Sanders (I-VT)—with 16 Democratic cosponsors—released the Medicare-For-All Act of 2017 , intended to transition the American health care system to a single-payer system. In addition to the bill text, Senator...

Published Thu, Sep 14 2017 8:11 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Featured, Following the ACA, Insurance and Coverage, single payer, Bernie Sanders

Private Employers Should Demand And Share Evidence From Payment Reforms

Employers want to know whether payment reforms are an effective strategy for containing costs and increasing the value of the health care they purchase. There is a dearth of evidence on the impact of payment reforms within employer health plans , and...

Published Fri, Sep 15 2017 5:33 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Employer-Sponsored Insurance, Featured, Payment Policy, Costs and Spending, employer-sponsored coverage

What We Talk About When We Talk About Single Payer

There appears to be growing momentum on the left for a move toward single-payer health care. Sen. Elizabeth Warren (D-MA) declared that while President Barack Obama took an important first step, “Now it’s time for the next step. And the next step is single...

Published Tue, Sep 19 2017 7:45 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Insurance and Coverage, Organization and Delivery, Costs and Spending, single-payer health care

ACA Round-Up: Bipartisan Market Stabilization Efforts Stall; Iowa 1332 Waiver Application Advances; And More

On September 19, 2017, Senator Lamar Alexander (R-TN), Chair of the Senate Health, Education, Labor, and Pension (HELP) Committee, announced that after two weeks of bipartisan hearings on individual market stabilization, Republicans and Democrats “have...

Published Wed, Sep 20 2017 10:40 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Medicaid and CHIP, 1332 waivers, ACA repeal and replace, market stabilization, health plan star ratings, Iowa, Graham-Cassidy

The Graham-Cassidy Plan: Sweeping Changes In A Compressed Time Frame

Senators Lindsey Graham (R-SC) and Bill Cassidy (R-LA) have proposed a new plan for rolling back key provisions of the Affordable Care (ACA). It is possible that the Senate will vote on this plan in the coming days. The plan has many similarities to the...

Published Fri, Sep 22 2017 10:21 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Featured, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Bill Cassidy, ACA repeal and replace, preexisting conditions, block grants, state waivers, Lindsey Grahm

Graham-Cassidy Continues Efforts To Bar Private Insurance Coverage of Abortion

Across all of the major House and Senate Republican proposals in 2017 to repeal and replace major portions of the Affordable Care Act (ACA), one thing that has been consistent is their inclusion of language barring federal money from being used to support...

Published Mon, Sep 25 2017 9:06 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, abortion coverage, Graham-Cassidy

Fighting For Breath: Access To Oxygen Therapy Should Not Be A Matter Of Location Or Luck

In June, the World Health Organization (WHO) updated its Model List of Essential Medicines and List of Essential Medicines for Children to include an additional indication for oxygen therapy, specifying that it should be used to treat patients with dangerously...

Published Tue, Sep 26 2017 8:01 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, World Health Organization, health equity, oxygen therapy, United4Oxygen, PATH, hypoxemia, Model List of Essential Medicines

De-Medicalizing Death

There’s been an unexpected, and excellent, consequence to California’s new medical aid-in-dying law. For many terminally ill patients, immersion in the process of securing lethal drugs ultimately renders them unnecessary. How did this come about? Passed...

Published Thu, Sep 28 2017 6:50 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Palliative Care, California, End of Life & Serious Illness, medical aid in dying, intensive care unit, End of Life Option Act, critical care

ACA Round-Up: Governors Offer Individual Market Stabilization Proposals And More

On August 30, 2017, governors John Kasich of Ohio, John Hickenlooper of Colorado, and six other Republican, Democratic, and Independent governors sent a letter to the Republican and Democratic leaders of the House and Senate asking them to take immediate...

Published Fri, Sep 01 2017 12:07 PM by Health Affairs BlogHealth Affairs Blog

Filed under: States, Following the ACA, Insurance and Coverage, budget reconciliation, out-of-network billing, governors, John Hickenlooper, John Kasich

Should Value Frameworks Take A ‘Societal Perspective’?

Editor’s note: One of the authors of this post, Peter Neumann, will be discussing issues related to the post at a Health Affairs September 13 event, “ Understanding The Value of Innovations In Medicine .” In 1996, the U.S. Panel on Cost-Effectiveness...

Published Wed, Sep 06 2017 5:39 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Costs and Spending, cost-effectiveness, Drugs and Medical Innovation, 2nd Panel on Cost-Effectiveness in Health and Medicine

Can States Substantially Reduce Medicaid Spending Through Delivery System and Financing Reform?

To achieve federal Medicaid savings and make federal expenditures more predictable, the American Health Care Act (AHCA) and the Better Care Reconciliation Act of 2017 included a Medicaid block grant and per capita caps. In these proposals, if Medicaid...

Published Thu, Sep 07 2017 9:47 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Costs and Spending, Medicaid and CHIP, Long-term Services and Supports, per capita caps, Medicaid block grants, RTI International

A Billion Here, A Billion There: Selectively Disclosing Actual Generic Drug Prices Would Save Real Money

Brand and generic prescription drugs dispensed by retail pharmacies cost nearly $400 billion and accounted for more than 10 percent of health care spending in 2016. Despite totaling more than $100 billion, reimbursement for generic drugs has received...

Published Tue, Sep 12 2017 7:12 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Costs and Spending, generic drugs, Prescription Drugs, Drugs and Medical Innovation, generic drug ingredient costs

Investing To Save: Marketing Builds Stable Marketplaces And Saves Money

How to stabilize individual health insurance markets and lower premiums for consumers is rightly one of the hot button issues before policy makers at the state and national levels. Providing ongoing direct funding of the cost-sharing reduction subsidies...

Published Wed, Sep 13 2017 10:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, ACA Marketplaces, ACA marketing, risk mix

September 2017 - Health Affairs

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