Health Affairs

CMS Releases FAQ On Its New Proxy Direct Enrollment Pathway

In May of 2017, the Centers for Medicare and Medicaid Services (CMS) announced that it intended to make a new proxy direct enrollment pathway available for HealthCare.gov enrollees for 2018. The guidance provided that direct enrollment (DE) entities would...

Published Thu, Jul 20 2017 9:31 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA

Is Medicaid The New ‘Third Rail?’ History Suggests It Has Been For Some Time

As President Trump and Congressional Republicans regroup following the collapse of their efforts to repeal and replace the Affordable Care Act they should look not only at what went wrong with their legislation but also past efforts to reform American...

Published Thu, Jul 20 2017 8:03 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Medicaid and CHIP, ACA repeal and replace, Henry Waxman

Eliminating The Medicaid Expansion May Cause More Damage Than Congress Realizes

The American Health Care Act (AHCA) and the Senate’s ill-fated Better Care Reconciliation Act (BCRA) attempted to deliver on two promises: 1) protecting patients with preexisting conditions, and 2) eliminating the Medicaid expansion. Though repeal efforts...

Published Thu, Jul 20 2017 7:20 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Medicaid and CHIP, HIV/AIDS, medicaid expansion states

The Obamacare Repeal Reconciliation Act: What Repeal And Delay Would Mean For Coverage, Premiums, And The Budget

Late in the day on July 19, 2017, the Senate released the Obamacare Repeal Reconciliation Act (ORRA) of 2017 ( summary ). The bill would repeal the Affordable Care Act’s (ACA’s) coverage provisions, but delay the repeal of the coverage provisions until...

Published Wed, Jul 19 2017 6:37 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, ACA repeal and replace

Health Affairs Web First: Healthy Lifestyle Prolongs Americans’ Life Expectancy

Nearly 80 percent of Americans reach their fifties having smoked cigarettes, been obese, or both . If you are among those that have avoided cigarettes and maintained a healthy body weight, how long will you live, and how healthy will you be? A new study...

Published Wed, Jul 19 2017 1:13 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Web First

From The Archives: Prices And Consumer Shopping

Welcome to “ From the Archives ,” an occasional Health Affairs Blog series, where we take a timely topic and delve into the literature and history, from a Health Affairs angle, of course. The American Health Care Act and the proposed Better Care Reconciliation...

Published Wed, Jul 19 2017 7:53 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, From the Archives, shoppable health care

At It Again: Texas Continues To Undercut Access To Reproductive Health Care

Texas policymakers are once again demonstrating their contempt for reproductive health care, the health care providers who offer those services, and the women who rely on them. The state has spent years crippling a once-successful program supporting family...

Published Tue, Jul 18 2017 8:56 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Quality, Medicaid and CHIP, Women's Health, Texas, contraceptive coverage, Planned Parenthood, Section 1115 Waivers

Republican ACA Replacement Effort Collapses; States Defend House v. Price Intervention Request

On July 17, 2017, Republican efforts to enact their Better Care Reconciliation Act collapsed as GOP Senators Mike Lee of Utah and Jerry Moran of Kansas announced that they would not support the legislation. Senators Rand Paul (R KY) and Susan Collins...

Published Tue, Jul 18 2017 7:34 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, cost-sharing reduction payments, ACA repeal and replace

Are Section 1115 Waivers A Panacea For Draconian Medicaid Funding Reductions?

From a structural perspective, what makes the pending Medicaid legislation so extraordinary is that, without changing any of the program’s fundamental contours, both the House and Senate bills would simply superimpose arbitrary spending caps onto the...

Published Mon, Jul 17 2017 2:45 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Medicaid and CHIP, Section 1115 Waivers

Examining Provider Bias In Health Care Through Implicit Bias Rounds

In 2015, a 27-year-old patient presented to our primary care resident practice in intractable pain, having been recently discharged from the hospital following surgery for a complex shoulder fracture. The orthopedic surgeons evaluated him the day before...

Published Mon, Jul 17 2017 8:02 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Population Health, health equity, provider bias, implicit biases, Implicit Bias Rounds

ACA Round-Up: Medicare Trustees Report Does Not Trigger IPAB, And More

All eyes yesterday were focused on the Senate, which released significant new amendments to the Better Care Reconciliation Act. But the Senate was not the only game in town. On July 13 the Medicare Trustees released their 2017 Medicare Trust Fund report...

Published Fri, Jul 14 2017 10:38 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Following the ACA, Insurance and Coverage, Costs and Spending, CMS, IRS, cost-sharing reduction payments, advance premium tax credits, IPAB, Medicare Trustees Report

Medicaid And The Latest Version Of The BCRA: Massive Federal Funding Losses Remain

Where Medicaid is concerned, the most notable thing about the latest version of the Better Care Reconciliation Act (BCRA) is that despite the drama of the past two weeks—the flood of news coverage regarding the potential impact of the losses; mounting...

Published Fri, Jul 14 2017 10:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Following the ACA, Medicaid and CHIP, emergency response, ACA repeal and replace, BCRA

Senate GOP Leadership Unveils Latest Version Of Health Reform Legislation

On July 13, 2017, Senate Republican leadership released the latest version of the Better Care Reconciliation Act (summary of entire bill, including new amendment here ) This post will address the private insurance sections of the amendment. A subsequent...

Published Thu, Jul 13 2017 5:20 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Medicaid and CHIP, Abortion, health savings accounts, continuous coverage requirements, association health plans, Cruz Amendment, catastrophic plans, state stability funds

In Senate Health Care Bill, A Few Hidden Surprises

A low-income person, eligible for Medicaid but not enrolled, is hit by a car or a bullet. Gravely injured, she arrives at the hospital unconscious. Thanks to expert, intensive care that lasts for days or weeks, she gradually recovers. Eventually, her...

Published Thu, Jul 13 2017 12:35 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Following the ACA, Insurance and Coverage, Medicaid and CHIP, The Better Care Reconciliation Act, Senate health bill

Foundation Addresses Critical Need For Palliative Care Workforce And Leadership Development

Philanthropy has provided critical funding for the advancement of palliative care in the United States, complementing support from health systems for clinical services and the federal government for research. To catalyze palliative care leadership development...

Published Thu, Jul 13 2017 11:31 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Physicians, Chronic Care, Workforce, Access, Quality, Hospitals, End-of-Life Care, Aging, Nurses, Health Philanthropy, GrantWatch, Health Care Delivery, Palliative Care, Organization and Delivery, Health Professionals, Center to Advance Palliative Care, Cambia Health Foundation

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