Health Affairs

People Post: Staff And Board Changes, Honors, In Health Philanthropy

Gail C. Christopher, senior adviser and vice president for the Truth, Racial Healing and Transformation initiative at the W.K. Kellogg Foundation , “has decided to exercise her option for retirement from the foundation and devote her creative energy to...

Published Thu, Aug 03 2017 5:03 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Children, Health Philanthropy, GrantWatch, health equity, W.K. Kellogg Foundation, Grantmakers In Health, California Health Care Foundation, maternal-fetal medicine

The Many Problems With Medicare’s MIPS Exclusion Thresholds

The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) allows the secretary of the Department of Health and Human Services, Tom Price, to define a low-volume threshold for the purpose of excluding some number of eligible clinicians from participating...

Published Thu, Aug 03 2017 7:08 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, Payment Policy, Insurance and Coverage, Costs and Spending, MACRA, Merit-Based Incentive Payment System, tom price, Medicare Access and CHIP Reauthorization Act

How The Private Sector Can Empower Entrepreneurs To Improve Global Health

For health entrepreneurs and funders, successful collaboration requires a variety of ingredients that go beyond an initial monetary investment. Strong communication, alignment of objectives, and a long-term outlook are critical for any partnership to...

Published Wed, Aug 02 2017 12:17 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Pharma, Global Health, Health Philanthropy, GrantWatch, Health Care Delivery, Featured, Health Professionals, Africa, Global Health Policy, entrepreneurs, Pfizer Foundation

What Could Happen If The Administration Stops Cost-Sharing Reduction Payments To Insurers?

Although the decision of the Court of Appeals for the District of Columbia Circuit to allow attorneys general from 17 states and the District of Columbia to join the House v. Price cost-sharing reduction (CSR) litigation as parties complicates President...

Published Wed, Aug 02 2017 8:56 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, California, risk adjustment, cost-sharing reduction payments, Covered California, house v. price

MinnesotaCare Buy-In: Maybe Not A Long Shot

States are developing creative policy options to address the high cost of premiums for those purchasing coverage in the individual market. Given the inaction and lack of leadership at the federal level, states need to continue to move forward. Minnesota...

Published Wed, Aug 02 2017 8:01 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Medicaid and CHIP, Section 1332 waivers, State Innovation Waivers, Minnesota, MinnesotaCare

The Latest Motion In House v. Price Has A Significant Impact On The Future Of CSR Payments

On August 1, 2017, the United States Court of Appeals for the District of Columbia granted the motion of the attorneys general of 17 states and the District of Columbia to intervene in House v. Price . House v. Price is before the D.C. Circuit on appeal...

Published Tue, Aug 01 2017 7:05 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Costs and Spending, house v. price

Professional Athletes And Back Surgery: A Teachable Moment On Overuse In Health Care?

After four back surgeries, Tiger Woods still is not back on the golf course. Steve Kerr, the coach of the Golden State Warriors, missed most of last season and even much of this year’s playoffs with headaches and recurrent pain after back surgery. These...

Published Tue, Aug 01 2017 7:12 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Payment Policy, Costs and Spending, chronic pain

ACA Round-Up: A Double-Threat Presidential Tweet, Cassidy-Graham-Heller, Bipartisan Market Stabilization Ideas, And Good News From Ohio

Although the high drama of the Senate debate on repeal of the Affordable Care Act seems to be over for the time being, health care reform remains in the headlines. Trump’s Threats Regarding Congressional Coverage And Cost-Sharing Reduction Insurer...

Published Mon, Jul 31 2017 5:41 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending, Ohio, cost-sharing reduction payments, FEHB, market stabilization, "bare" counties, Cassidy-Graham-Heller Amendment

Outside Of Washington, There Is A New Vital Center In Health Care Reform

Republicans in Congress are mired in political quicksand. Following passage of the Affordable Care Act (ACA) in 2010, they locked themselves into a promise to repeal and replace it at the behest of ultra-conservative donors and party activists who control...

Published Mon, Jul 31 2017 8:41 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, ACA repeal and replace, Arthur M. Schlesinger Jr.

Physician Workforce Trends And Their Implications For Spending Growth

Controlling the growth rate of health care spending is central to the success of the Affordable Care Act or any subsequent reform. Because labor represents more than 50 percent of health care costs and the clinical workforce drives use and prices, the...

Published Fri, Jul 28 2017 8:19 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Primary Care, Featured, Organization and Delivery, Costs and Spending, Health Professionals, nurse practitioners, physician’s assistants

The Senate’s Health Care Freedom Act

Editor’s Note: This post will be continually updated as debate in the Senate continues on July 27. At 10:00 p.m. on July 27, 2017, Senator McConnell introduced amendment 502, his Health Care Freedom Act . The bill is indeed skinny, only eight pages...

Published Thu, Jul 27 2017 7:41 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA

With The ACA Under Fire, Can Health Conversion Foundations Patch The Safety Net For Low-Income Americans?

With the threatened repeal of the Affordable Care Act (ACA), a surprising source is emerging as the nation’s largest pool of philanthropic dollars for health: health conversion foundations. Together, 228 conversion foundations represent some $27.5 billion...

Published Thu, Jul 27 2017 10:40 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health Reform, Hospitals, Health Philanthropy, GrantWatch, Social Determinants of Health, Safety Net, health insurers, mergers and acquisitions, health legacy foundations, health conversion foundations

US Drug Prices And R&D, Take 2: A Reply To Grabowski And Manning, And To Light

Recently we (along with Zachary Helms) published a Health Affairs Blog post refuting the pharmaceutical industry argument that the higher prices the industry charges in the US are justified because they are necessary to support research and development...

Published Thu, Jul 27 2017 9:53 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Costs and Spending, Drugs and Medical Innovation, prescription drug prices, Pharmaceutical R&D

The Skinny On The Senate ACA Debate, Day Three

Editor’s note: This post is part of ongoing Health Affairs Blog coverage by Tim Jost of the Senate debate over repealing and replacing—or maybe just repealing, or maybe just minimally repealing, or maybe retaining—the Affordable Care Act....

Published Thu, Jul 27 2017 9:52 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending, Congressional Budget Office, employer mandate, individual mandate, 1332 waivers, medical device tax, skinny ACA repeal

Request For Abstracts: Precision Medicine

Health Affairs is planning a theme issue on Precision Medicine , to be published in May 2018. The rapid development of technologies in this sphere has generated important questions for public policy makers, private sector leaders, and the public that...

Published Wed, Jul 26 2017 1:38 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs

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