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Changes Needed To Fulfill The Potential Of Medicare’s ACO Program

The Medicare Shared Savings Program (MSSP), Medicare’s main program for accountable care organizations (ACOs), has grown rapidly since it began in 2012. It added 89 new provider organizations earlier this year, bringing the total to over 400 Medicare...

Published Wed, Apr 04 2015 10:23 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Insurance, Payment, Health Care Costs, Spending, Medicare, Quality, Health Care Delivery

The Medicare Shared Savings Program: CMS Turns To Stakeholders On Incentivizing ACO Risk

On December 1, 2014, the Centers for Medicare & Medicaid Services ("CMS") released its long awaited Proposed Rule to update regulation and operation of the Medicare Shared Savings Program (“MSSP”). In response to concerns raised by participating...

Published Fri, Dec 12 2014 8:45 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, Payment, Health Care Costs, Spending, Medicare, Quality

An Emerging Consensus: Medicare Advantage Is Working And Can Deliver Meaningful Reform

Since enactment of the Affordable Care Act (ACA) in 2010, much of the attention in the policy community has been on modernizing Medicare’s traditional fee-for-service (FFS) program. Through Accountable Care Organizations (ACOs), larger “bundles” of payments...

Published Thu, Nov 11 2014 9:24 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Insurance, Payment, Health Care Costs, Medicare, Competition, Quality

The Payment Reform Landscape: Benefit And Network Design Strategies To Complement Payment Reform

For the past ten months on Health Affairs Blog, we've been discussing the evidence for different models of payment reform , examining everything from pay for performance to nonpayment. But no discussion of payment reform is complete without addressing...

Published Tue, Nov 11 2014 9:42 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Insurance, Payment, Health Care Costs, Employer-Sponsored Insurance, Access, Quality, Comparative Effectiveness, Effectiveness

Relative Value Health Insurance And Pay For Performance For Insurers: Complements, Not Substitutes

Background The quest for value dominates contemporary health policy. Value, properly defined, is not about cost-savings but about the balance of costs and health benefits -- improving the average cost-effectiveness of health interventions. In choosing...

Published Fri, Sep 09 2014 8:37 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Insurance, Public Opinion, Payment, Health Care Costs, Spending, Quality, Comparative Effectiveness, Innovation, Effectiveness, Business of Health Care

Making Markets Work In Health Care: What Does That Mean?

Editor's note: See Robert Berenson's post on consolidation and market power in health care, also published today, and watch for more on these subjects in Health Affairs Blog. Health Affairs last week posted a set of papers that represent several...

Published Tue, Jun 06 2014 11:56 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, Payment, Physicians, Health Care Costs, States, Spending, Competition, Quality, Hospitals, Cost

Acknowledging The Elephant: Moving Market Power And Prices To The Center Of Health Policy

Editor's note: See Stuart Guterman's post on consolidation and market power in health care, also published today, and watch for more on these subjects in Health Affairs Blog. Health Affairs recently published a set of papers addressing the problem...

Published Tue, Jun 06 2014 11:54 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, Payment, Physicians, Health Care Costs, States, Spending, Competition, Quality, Hospitals, Cost

The ACA After The First Open Enrollment: A Health Affairs Conversation With Paul Ginsburg, Sherry Glied, and Bill Hoagland

The first open enrollment period for the Affordable Care Act's health insurance exchanges recently closed. In the latest edition of our Health Affairs Conversations podcast series , Paul Ginsburg, Sherry Glied, and Bill Hoagland discuss what we can...

Published Thu, May 05 2014 5:43 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Insurance, Payment, Health Care Costs, States, Employer-Sponsored Insurance, Spending, Coverage, Quality, Medicaid, Podcast

Cracking The Code On Health Care Costs: What The States Can Do

State governments have a unique opportunity to transform the current health care system into one that provides higher-quality care at lower costs. The State Health Care Cost Containment Commission was created to identify how states might use their authorities...

Published Tue, Jan 01 2014 12:27 PM by Health Affairs Blog

Filed under: All Categories, Public Health, Consumers, Policy, Insurance, Malpractice Liability Reform, Payment, Health Care Costs, States, Spending, Workforce, Quality, Hospitals, Medicaid

A Call For Clarity In Health Care: The FAIR Health NPIC Database

By all accounts, health care in America has been ailing for several decades. Americans have struggled with acquiring and maintaining adequate health insurance as costs have steadily increased. While the increased insurance coverage provided under the...

Published Wed, Nov 11 2012 11:43 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Insurance, Payment, Health Care Costs, Quality, Research

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