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Tracking The Impact Of The Affordable Care Act In Kentucky
Independence—It’s What Older People Want
What We Discovered At ‘The Frontiers’ About Financing And Leading Improvements In Health
Beyond SGR: Aligning The Peanut Butter Of Payment Reform With The Jelly Of Consumer Engagement
Health Care Reform And The Trap Of The “Iron Law”
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Implementing Health Reform: 2016 Benefit And Payment Parameters Proposed Rule, Consumer Provisions; Hardship Exemptions
On November 15, 2014, the marketplaces reopened for 2015. Anecdotal reports indicate that in most places enrollment and reenrollment are running smoothly. But the Centers of Medicare and Medicaid Services (CMS) of the Department of Health and Human Services...
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Sat, Nov 11 2014 1:59 PM
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High Quality, Affordable Care: Making The Case For Smarter Networks
Narrow networks are one means health insurance plans have used to mitigate increases in health insurance premiums. These networks have become more prevalent since the expansion of coverage brought about by the Affordable Care Act (ACA). But these narrow...
Published
Thu, Nov 11 2014 6:00 AM
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Yes, We Can Transcend Obamacare
In a recent Health Affairs Blog post , Washington and Lee University law professor Timothy Jost described a new health-reform plan designed by one of us (Roy) and fiscally modeled by the other (Parente) as a “serious proposal [that] deserves to be taken...
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Thu, Nov 11 2014 11:49 AM
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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...
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Thu, Nov 11 2014 9:24 AM
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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
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Implementing Health Reform: The Qualified Health Plan Federal Exchange Participation Agreement And More
CMS continues to put the pieces into place that are needed for the launch of the 2015 coverage year. On October 16, 2014, the Centers for Medicare and Medicaid Services released at its REGTAP.info website the certification agreement and privacy and security...
Published
Tue, Oct 10 2014 8:41 PM
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Resources Don’t Solve Design Flaws
The first three sessions of a conference I recently attended tackled some complex and important questions: How do we extend health insurance to people such as migrant and informal workers who don't fit neatly into mainstream coverage programs? As...
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Tue, Oct 10 2014 10:48 AM
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Vets Deserve The Right To Shop For Care
Editor's note: For more on this topic, see the Health Affairs Blog post from Theodore Stefos and James Burgess , and stay tuned for an upcoming blog post from Joel Kupersmith. As former Procter & Gamble CEO Robert McDonald steps in to lead the...
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Thu, Oct 10 2014 8:59 AM
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An Interview With George Halvorson: The Kaiser Permanente Renaissance, And Health Reform’s Unfinished Business
For decades, health policymakers considered Kaiser Permanente the lode star of delivery system reform. Yet by the end of 1999, the nation’s oldest and largest group model HMO had experienced almost three years of significant operating losses, the first...
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Tue, Sep 09 2014 10:44 AM
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The Payment Reform Landscape: Value-Oriented Payment Jumps, And Yet …
Today, Catalyst for Payment Reform (CPR) unveiled some potentially exciting news: Our 2014 National Scorecard on Payment Reform tells us 40 percent of commercial sector payments to doctors and hospitals now flow through value-oriented payment methods...
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Tue, Sep 09 2014 4:12 AM
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How Engaging Patients Can Improve Care And Health Outcomes
Patients and caregivers are gaining momentum as powerful new resources in efforts to improve the health care system. They are increasingly becoming active partners in their own care, as well as seeking to make the health care delivery system more responsive...
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Fri, Sep 09 2014 9:19 AM
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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
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Pediatric Asthma: An Opportunity In Payment Reform And Public Health
Editor’s note: The post is informed by a case study, the third in a series made possible through the Merkin Initiative on Physician Payment Reform and Clinical Leadership , a special project to develop clinician leadership in health care delivery and...
Published
Thu, Sep 09 2014 12:21 PM
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The Payment Reform Landscape: Non-Payments
Throughout 2014 here on Health Affairs Blog, I have shared Catalyst for Payment Reform (CPR)’s insights on different types of payment reform, which run along a spectrum of financial risk. We began the year by examining payment models that have “upside...
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Thu, Sep 09 2014 8:33 AM
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Transcending Obamacare? Analyzing Avik Roy’s ACA Replacement Plan
Avik Roy’s proposal, “ Transcending Obamacare ,” is the latest and most thoroughly developed conservative alternative for reforming the American health care system in the wake of the Affordable Care Act. It is a serious proposal, and it deserves to be...
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Tue, Sep 09 2014 11:53 AM
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