Health Affairs

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

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

Independent Review Needed for Future DSM Revisions

Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the association’s comprehensive guide that sets the classification, diagnosis, and treatment of mental disorders across the United States and the world. In an April 24 Health Affairs Web First...

Published Fri, Apr 26 2013 1:35 PM by Health Affairs Blog

Filed under: All Categories, Nonmedical Determinants, Insurance, Payment, Pharma, Mental Health

What Does Maximum Transparency Look Like When It Comes To Hospital Ratings?

In our recent paper published in Health Affairs comparing four national hospital ratings, we and our co-authors argued that the lack of agreement among the ratings requires at least two remedies — increasing rating transparency and rethinking the...

Published Fri, May 08 2015 6:23 AM by Health Affairs Blog

Filed under: Quality, Hospitals, Research, Featured, Organization and Delivery, hospital safety, ranking hospitals, hospital ratings, maximum transparency

Envisioning A Post-CLASS Long-Term Care Insurance Program

As has been widely reported, the Department of Health and Human Services announced on Friday that they would stop implementing the Community Living Assistance Services and Supports (CLASS) program the long-term care program included in the Affordable...

Published Mon, Oct 17 2011 10:06 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Spending, Long-Term Care

Integrating Medical And Social Services: A Pressing Priority For Health Systems And Payers

The United States spends more on health care than any other nation in the world—more than double the amount that some industrialized countries do—yet our health outcomes are comparatively horrible. We live with higher incidence of chronic illness , we...

Published Tue, Jul 05 2016 4:52 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Nonmedical Determinants, Payment, Chronic Care, Health Care Costs, Health Philanthropy, GrantWatch, Health Care Delivery, Payment Policy, Organization and Delivery, Costs and Spending, Long-term Services and Supports, Commonwealth Fund, social services, integration of medical and nonmedical services

Paying For Value In Cancer Care

Everyone wants to pay for value (and certainly not just for volume) and the value imperative is nowhere greater than in cancer care. Cancer care cost the US health care system $125 billion in 2010, accounting for 5 percent of total health care spending...

Published Thu, Oct 29 2015 9:00 AM by Health Affairs Blog

Filed under: Primary Care, Medicare, Quality, Once In A Weil, Payment Policy, Costs and Spending, Drugs and Medical Technology, Long-term Services and Supports, Cancer, Bundled Payments, performance payments, ECRI

The Opioid Commission: Ringing The Right Alarm To Respond To The Overdose Epidemic

The 20-year opioid overdose epidemic confronting our nation has continued unabated largely because of an uncoordinated response that has over emphasized supply-side interventions (i.e. prescriber guidelines, Prescription Drug Monitoring Programs, law...

Published Mon, Aug 21 2017 8:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Quality, Featured, Opioid Addiction, opioid epidemic

Medicaid Coverage For Residential Substance Use Disorder Treatment: Addressing The Institution For Mental Disease Exclusion Policy

On August 10, 2017, President Donald Trump announced that the opioid crisis will be declared “a national emergency.” This announcement was in line with one of the nine recommendations made by the President’s Commission on Combating Drug Addiction and...

Published Thu, Aug 31 2017 5:33 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Population Health, Insurance and Coverage, Medicaid and CHIP, substance use disorder treatment, substance use disorder, Institution for Mental Disease exclusion policy, opioid crisis, Section 1115 waiver

Administration Allows States To Extend Transitional Policies Again

On February 23, 2017, the Centers for Medicare and Medicaid Services released an insurance standards bulletin allowing states once again to extend the life of “grandmothered” or transitional health insurance policies to policy years beginning on or before...

Published Thu, Feb 23 2017 1:20 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, risk pools, grandmothered plans

Dichotomous Endings: A Physician’s Personal Reflection

My grandfather was the patriarch of his family, at the center of a tightknit Lebanese immigrant community in Toronto, Canada. Some of my warmest childhood memories are from Sundays at my grandparents’ home, where there was always family, community, and...

Published Thu, Jun 08 2017 4:07 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Cancer, Hospice care, advance care planning, end-stage renal disease, End of Life & Serious Illness

CMS Should Continue Innovating Health Care Payment And Delivery

Editor’s Note: This is the second in a five-part Health Affairs Blog series, produced in conjunction with the Bipartisan Policy Center, examining current issues and care models in the delivery system reform effort. Each post will be jointly authored by...

Published Thu, May 25 2017 9:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Innovations in Care Delivery, Featured, Payment Policy, Insurance and Coverage, Medicaid and CHIP, value based care, Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation, bipartisan delivery system reform

States Be Warned: High-Risk Pools Offer Little Help At A High Cost

Recently, House Republican Leadership announced a new “State Innovation Grants” program as part of its plan and draft legislation to replace the Affordable Care Act (ACA). These funds could be used for high-risk pools among other purposes. Historically...

Published Tue, Feb 28 2017 7:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Insurance and Coverage, Costs and Spending, high-risk pools, ACA repeal and replace, preexisting conditions, Pre-existing Condition Insurance Plan

Six Reasons That Justify A ‘Marriage Of Convenience’ Between HIV And Noncommunicable Disease Programs In Sub-Saharan Africa

Another round in the battle to end HIV/AIDS began on June 10, 2016, at United Nations (UN) headquarters in New York, when the HIV community adopted targets and actions to end the AIDS epidemic by 2030. For Sub-Saharan Africa (SSA), which bears the largest...

Published Fri, Aug 05 2016 9:15 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Global Health, Costs and Spending, HIV/AIDS, NCDs, United Nations, sub-saharan africa

Republicans Should Take The Time Necessary To Improve The American Health Care Act

When Donald Trump was elected president last November, it became inevitable that Congress would move aggressively to roll back elements of the Affordable Care Act (ACA) and replace them with different provisions. Trump ran hard against the ACA, as did...

Published Thu, Mar 09 2017 9:09 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Medicaid and CHIP, Medicaid expansion, Republicans, Paul Ryan, ACA repeal and replace, Mitch McConnell

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