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IRS Releases Final Rule On Premium Tax Credits, Notice Addressing Employer Coverage

Implementing Health Reform. On December 16, 2015, the Internal Revenue Service (IRS) released a final regulation containing a number of premium tax credit eligibility provisions. Several of these concern the question of when an employer-sponsored health...

Published Thu, Dec 17 2015 12:55 PM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending, MAGI, employee wellness incentives, ACA premium tax credits, family glitch, COBRA, TRICARE, minimum value rule, AmeriCorps
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
State Expectations: Setting The Record Straight In King v. Burwell

On Wednesday, March 4 th , the Supreme Court will hear the latest attack on the Affordable Care Act (ACA): the case King v. Burwell . The King petitioners allege that the Internal Revenue Service overstepped its authority by issuing regulations authorizing...

Published Wed, Feb 25 2015 6:00 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Politics, Insurance, Health Care Costs, States, Coverage, Access, Health Law
Implementing Health Reform: Final Rule on Increased Federal Medicaid Matching Funds and FAQ on Medicaid Premium Assistance Programs

On Good Friday, March 29, 2013, the Department of Health and Human Services released a final rule regarding increased federal Medicaid percentage changes under the Affordable Care Act for covering adults who are newly eligible under the ACA’s Medicaid...

Published Sun, Mar 31 2013 6:22 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Blog, Policy, Politics, States, Coverage, Access, Medicaid, Reform
Informal Caregiving By And For Older Adults

Editor’s Note: For more on informal caregivers and related issues, see Bridging Troubled Waters: Family Caregivers, Transitions, And Long-Term Care and other articles in the January issue of Health Affairs, titled Advancing Long-Term Services &...

Published Tue, Feb 16 2010 9:17 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Aging, Long-Term Care
The Value And Limits Of Economic Evaluation In Policy Analysis

Health care resources, no matter how represented, are ultimately finite. Trade-offs occur as spending in one area means that those same resources are unavailable to fund another program. In spite of this, U.S. policymakers remain reluctant to engage in...

Published Tue, Sep 01 2015 6:35 AM by Health Affairs Blog

Filed under: Global Health, Quality, Comparative Effectiveness, Research, Population Health, Featured, Payment Policy, Costs and Spending, Medicaid and CHIP, Equity and Disparities, Drugs and Medical Technology, Health Policy, WHO, hepatitis C, health economics, PCORI, heart disease, cost-effectiveness, malaria, QUALY
Project ECHO GEMH: Disruptive Technology For Geriatric Mental Health

New York State is a leader on many health fronts, whether it be antismoking, obesity reduction , or insurance coverage. But our state is also a leader in another area: we are among the states with the greatest shortages in physician supply. According...

Published Thu, May 28 2015 4:50 PM by Health Affairs Blog

Filed under: Health IT, Primary Care, Chronic Care, States, Workforce, Access, Innovation, Health Philanthropy, GrantWatch, Mental Health, Health Care for the Elderly, Rural Health Care, Drugs and Medical Technology, Health Professionals, Dementia
The Post-Launch Problem: The Affordable Care Act’s Persistently High Administrative Costs

Last year we, and many others, drew attention to the chaotic and costly roll out of the Affordable Care Act’s (ACA) exchanges. The chaos is mostly over (unless King prevails over Burwell), but the costs will linger on. The roughly $6 billion in...

Published Wed, May 27 2015 7:22 AM by Health Affairs Blog

Filed under: Insurance, Medicare, Following the ACA, Costs and Spending, Medicaid and CHIP, costs, ACA, health care, Projections
Analysis Of Post-ACA Uninsured Leads Health Affairs Blog June Top Ten

Who will be left uninsured under the Affordable Care Act? That's the question addressed by Rachel Nardin and coauthors in the most-read Health Affairs Blog post for June . Next on last month's top-ten list: Joanne Pohl and coauthors' look...

Published Thu, Jul 11 2013 11:43 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Blog, Policy, Physicians, Health IT, Primary Care, Coverage, Quality, Medicaid, Nurses
What The Supreme Court’s ACA Ruling Will Mean For Providers

The constitutional waiting game is finally over. Nearly three months to the day after the historic hearings on the constitutionality of the Patient Protection and Affordable Care Act, the Supreme Court has upheld the vast majority of the law’s provisions...

Published Thu, Jun 28 2012 2:16 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Politics, Payment, Chronic Care, Health Care Costs, States, Medicare, Quality, Hospitals, Medicaid, Health Law, Aging
Implementing Health Reform: The Liberty University Case And Exchange Workarounds

On December 2, 2013, the Supreme Court denied review of the Fourth Circuit Court of Appeals’ decision in Liberty University v. Lew . I discussed this decision in an earlier post . Liberty University had originally filed suit in 2010 challenging the individual...

Published Mon, Dec 02 2013 2:55 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Insurance, Payment, Health IT, States, Medicaid, Health Law, Children
Bigger May Not Be Better: Does Scale Matter For Payors?

Editor’s note: In addition to Shubham Singhal (photo and linked bio above), this post is authored by Rohit Kumar and Jeris Stueland. Rohit Kumar is a consultant in McKinsey’s Chicago office. Jeris Stueland, an expert in McKinsey’s Healthcare Systems and...

Published Fri, Nov 15 2013 9:58 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Insurance, Payment, Health IT, Health Care Costs, States, Employer-Sponsored Insurance, Competition, Medicaid, Innovation, Business of Health Care
Individual Patient Expanded Access: Developing Principles For A Structural And Regulatory Framework

Editor's note: In addition to Meaghan George, Sara Bencic and Darshak Sanghavi also coauthored this post. Individual patient expanded access, sometimes termed “compassionate use,” refers to situations where access to a drug still in the development...

Published Thu, Jul 31 2014 12:12 PM by Health Affairs Blog

Filed under: All Categories, Public Health, Consumers, Policy, Access, Bioethics, Pharma, Health Law, Effectiveness, Research
What Do Patients Need From Clinicians? Jessie Gruman On Patient Engagement

Editor's note: The February issue of Health Affairs was a thematic issue focused on patient engagement. In conjunction with the Patient-Centered Outcomes Research Institute (PCORI) , the journal has launched a new initiative inviting questions from...

Published Wed, Mar 20 2013 8:35 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Physicians, Personal Experience, Nurses
Unpacking The Burr-Hatch-Upton Plan

Anticipating the upcoming Supreme Court decision on King v. Burwell , which could halt health insurance subsidies available through the federal exchange, Republican Senators Richard Burr and Orrin Hatch joined with Representative Fred Upton to propose...

Published Tue, Mar 24 2015 11:26 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Policy, Politics, Insurance, Public Opinion, Health Care Costs, States, Employer-Sponsored Insurance, Spending, Medicare, Workforce, Hospitals, Medicaid, Health Law, Health Care Delivery

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IRS Releases Final Rule On Premium Tax Credits, Notice Addressing Employer Coverage

How The Private Sector Can Empower Entrepreneurs To Improve Global Health

State Expectations: Setting The Record Straight In King v. Burwell

Implementing Health Reform: Final Rule on Increased Federal Medicaid Matching Funds and FAQ on Medicaid Premium Assistance Programs

Informal Caregiving By And For Older Adults

The Value And Limits Of Economic Evaluation In Policy Analysis

Project ECHO GEMH: Disruptive Technology For Geriatric Mental Health

The Post-Launch Problem: The Affordable Care Act’s Persistently High Administrative Costs

Analysis Of Post-ACA Uninsured Leads Health Affairs Blog June Top Ten

What The Supreme Court’s ACA Ruling Will Mean For Providers

Implementing Health Reform: The Liberty University Case And Exchange Workarounds

Bigger May Not Be Better: Does Scale Matter For Payors?

Individual Patient Expanded Access: Developing Principles For A Structural And Regulatory Framework

What Do Patients Need From Clinicians? Jessie Gruman On Patient Engagement

Unpacking The Burr-Hatch-Upton Plan