Health Affairs

The Unfolding Medicaid Story: Congress, Governors, And The Trump Administration

Anyone who has had the chance to witness (or be part of) any of the epic health reform dramas that continually play out in Washington D.C. will agree: in the end, it always comes down to Medicaid. We have once again arrived at one of those moments. The...

Published Mon, Mar 20 2017 7:35 PM by Health Affairs BlogHealth Affairs Blog

Filed under: States, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, per capita caps, governors, block grants

Value: Can We Afford To Think Long-Term While Ignoring Budget Impact?

In their Health Affairs Blog post, Darius Lakdawalla and Peter Neumann raise numerous concerns about the inclusion of potential budget impact estimates alongside what they view as more traditional analyses of the “value” of a health care service. They...

Published Thu, Sep 22 2016 8:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Featured, Payment Policy, Costs and Spending, cost-effectiveness, Drugs and Medical Innovation, ICER

CMS Contractors’ Survey Research Illustrates Four Health Care Transparency Paradoxes

In August 2006, Health and Human Services (HHS) Secretary Mike Leavitt announced a Value-driven Health Care Initiative based on “ four cornerstones ,” two of which involved transparency: reporting of price information and reporting of quality information...

Published Wed, Dec 28 2016 8:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Costs and Spending, HHS, CMS, Price Transparency, shoppable services

Sandoz v. Amgen: What The Court Settled, What It Didn’t, And What Might Come Next

On June 12, the United States Supreme Court released a heavily anticipated decision relating to patent disputes between the developers of new biological medicines and the manufacturers of “biosimilar” copies of those medicines. This was the Court’s first...

Published Mon, Jun 19 2017 10:09 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Costs and Spending, biosimilars, Drugs and Medical Innovation, Biologics Price Competition and Innovation Act, Food and Drug Administration, Hatch Waxman, biologics

Implementing Health Reform: 2016 Benefit And Payment Parameters Proposed Rule, Insurance Provisions

On November 21, 2014, the Centers on Medicare and Medicaid Services of the Department of Health and Human Services released its proposed Benefits and Payment Parameters (BPP) Rule . Part I of this post examined the benefit provisions of this proposed...

Published Sun, Nov 23 2014 1:15 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, States, Employer-Sponsored Insurance

Narrative Matters, The Next Chapter: Amy Berman Reflects On ‘Living Life In My Own Way’

Almost four years ago I was diagnosed with terminal cancer. And yet, as devastating as the diagnosis was, I have a great story to share, a success in every sense. I did something so simple yet so rarely done. I chose the road less taken, and it led to...

Published Thu, May 22 2014 12:14 PM by Health Affairs Blog

Filed under: All Categories, End-of-Life Care, Long-Term Care, Narrative Matters

Misplaced Faith: The Real Causes of Ill Health

Editor’s Note: The post below by Merrill Goozner first appeared on The Values and Health Reform Connection, a site run by the Hastings Center and supported by Health Affairs as a media sponsor. Goozner’s post can also be found on his blog...

Published Thu, Oct 15 2009 5:30 PM by Health Affairs Blog

Filed under: All Categories, Bioethics

Structuring Legal, Ethical, And Practical Workplace Health Incentives: A Reply to Horwitz, Kelly, And DiNardo

This commentary is in response to the March 5, 2013 Health Affairs article, " Wellness Incentives in the Workplace: Cost Savings through Cost Shifting to Unhealthy Lifestyles ." In that article, Jill Horwitz and coauthors express concerns about...

Published Tue, Apr 23 2013 10:42 AM by Health Affairs Blog

Filed under: All Categories, Nonmedical Determinants, Consumers, Prevention, Policy, Health Care Costs, Employer-Sponsored Insurance

The Million Veteran Program: Building VA’s Mega-Database for Genomic Medicine

This year marks the fiftieth anniversary of Watson and Crick (and Wilkins) being named Nobel Prize recipients for discovering DNA, the genetic code. In the half century since, there has been an exponential growth of knowledge and accomplishment based...

Published Mon, Nov 19 2012 11:29 AM by Health Affairs Blog

Filed under: All Categories, Health IT, Technology, Science and Health, Research

Remembering Oliver Sacks, A Pioneer Of Narrative Medicine

Hasn’t he brought us through the decades, guiding us stage by stage toward the present? Hasn’t he opened the way toward a health care loyal to the singular stories of those for whom we care? Hasn’t he opened the way toward a kind of writing loyal...

Published Wed, Sep 30 2015 9:28 AM by Health Affairs Blog

Filed under: Quality, Narrative Matters, Featured, Health Professionals, narrative medicine, City Island, Columbia University, Oliver Sacks

The Price Of Inequality For Puerto Rico

Puerto Rico is in the midst of an economic and fiscal crisis and without congressional action the situation could become a humanitarian crisis. — Andrew Weiss, Treasury Testimony to the Senate … Committee on October 21, 2015 The effects of the Puerto...

Published Tue, Dec 29 2015 7:40 AM by Health Affairs Blog

Filed under: Public Health, Medicare, Global Health, Quality, Featured, Costs and Spending, Medicaid and CHIP, Equity and Disparities, Congress, Medicare Advantage, immigration, Puerto Rico, U.S. citizens

A Wannabe Winemaker Plots The Path To A New Health Care Delivery System

Health Affairs Editor-in-Chief Alan Weil recently surprised readers with his comments on “ Why I Oppose Payment Reform .” Those of us who fell for that bit of click bait discovered that, of course, he does not oppose reform. Rather, he wanted to remind...

Published Tue, Apr 28 2015 9:00 AM by Health Affairs Blog

Filed under: Consumers, Quality, Hospitals, Health Care Delivery, Featured, Payment Policy, Costs and Spending, Value, Payment Reform, Health Professionals, Alan Weil

Saving Money While Providing Benefit In Medicare: A Standard Applied Only To Hospice

Medicare is caught between two countervailing impulses: the desire of beneficiaries (and providers and the adult children of beneficiaries) to have a benefit package that covers more, rather than less, and the desire to restrain program spending due to...

Published Thu, May 16 2013 1:18 PM by Health Affairs Blog

Filed under: All Categories, Policy, Health Care Costs, Medicare, Quality, Comparative Effectiveness, End-of-Life Care

The Challenges Of Payment Reform And Administrative Simplification

As both a Canadian and an analyst who focuses on US healthcare, I have an abiding curiosity in comparisons between the US and Canadian systems, so it was with great interest that I read the recent Health Affairs article by Dante Morra and coauthors entitled...

Published Wed, Aug 31 2011 9:57 AM by Health Affairs Blog

Filed under: All Categories, Insurance, Payment, Physicians, Health Care Costs, Quality, Hospitals, Innovation

The State Of Medicaid In New York: Progress And The Road To Value-Based Payments

As states throughout the nation work to change how health care is delivered and paid for, New York is undertaking its largest effort yet to transform the state’s Medicaid health care delivery and payment system through the Delivery System Reform Incentive...

Published Mon, Oct 19 2015 7:14 PM by Health Affairs Blog

Filed under: Policy, Payment, Health Care Costs, States, Medicaid, Health Philanthropy, GrantWatch, Health Care Delivery, Payment Policy, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Delivery System Reform Incentive Payment (DSRIP) program, New York State

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