Health Affairs

Health Affairs Web First: ACA Improved Medical Care And Health Among Low-Income Adults

As the Senate evaluates potential changes to the Affordable Care Act (ACA), a new study , released today by Health Affairs as a Web First, examines the effects of gaining insurance coverage. The authors evaluated telephone survey data of low-income adults...

Published Wed, May 17 2017 1:03 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Web First

A Consumer-Centered Framework For Quality: How Do We Get There From Here?

When buying a car, consumers are able to readily review some critical pieces of information, such as the price of the car; the mileage per gallon; what other owners thought of that model’s reliability; and how the car handles on various road tests. When...

Published Thu, May 18 2017 8:32 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Costs and Spending, quality measurements

Insurers, Marketplaces Face Uncertainty As Parties Seek Further House v. Price Delay

On May 22, 2017, the House of Representatives and the Department of Justice jointly asked the District of Columbia Court of Appeals to continue to hold House v. Price in abeyance , presumably for another 90 days as contemplated by the court’s earlier...

Published Mon, May 22 2017 10:49 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, House v. Burwell, cost-sharing reductions, house v. price

First Trump Administration ASPE Report On ACA Notes Premium Increases

During the first seven years of the Affordable Care Act, the Obama administration’s Office of the Health and Human Services Assistant Secretary for Planning and Evaluation (ASPE) put out a series of reports (twenty in 2016 and eight in the first few weeks...

Published Wed, May 24 2017 7:55 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, ASPE, premiums, individual health insurance market

The Burgeoning “Yelpification” Of Health Care: Foundations Help Consumers Hold A Scale And A Mirror To The Health Care System

From flashy tech start-ups in Silicon Valley to modernized insurers in New York, everyone wants to “disrupt” health care. In practice, this is immensely more challenging than it sounds. Electronic health records (EHRs), more than a decade ago, were expected...

Published Thu, May 25 2017 10:55 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Consumers, Quality, Hospitals, Health Philanthropy, GrantWatch, Featured, HCAHPS, New York State, Yelp

Looking At The Centers For Medicare And Medicaid Services Research Designs In A New Context

It’s time to take a fresh look at how the Centers for Medicare and Medicaid Services (CMS) designs its initiatives to test new models of provider payment and care delivery. As highlighted recently in the Health Affairs Blog by Tim Gronniger and colleagues...

Published Tue, May 30 2017 8:23 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Payment Policy, Insurance and Coverage, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Centers for Medicare and Medicaid Services, Alternative Payment Models, Center for Medicare and Medicaid Innovation, factorial experiments

For Patients With Multiple Chronic Conditions, Improving Care Will Be A Bipartisan Effort

Editor’s Note: This is the third 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, Jun 01 2017 9:04 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Chronic Care, Medicare, Social Determinants of Health, Payment Policy, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Long-term Services and Supports, Alternative Payment Models, Bipartisan Policy Center, bipartisan delivery system reform, integrated models of care, CHRONIC Care Act

Debunking The Pharmaceutical Research ‘Free Rider’ Myth: A response To Yu, Helms, And Bach

Policy researchers at the Memorial Sloan Kettering Center for Health Policy and Outcomes have published a recent, valuable Health Affairs Blog post . The post shows that major pharmaceutical companies that manufacture some of the top-selling drugs “charge...

Published Fri, Jun 02 2017 7:41 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Costs and Spending, Research and Development, Big Pharma, drug pricing, drug innovation, Drugs and Medical Innovation, free-rider myth

This Intervention Helps Underserved Women Access Needed Postpartum Care

Pregnancy and childbirth can exacerbate many health risks, especially among underserved women or those who have a hard time getting health care. Diabetes, hypertension, and depression are all serious health conditions that occur frequently during pregnancy...

Published Mon, Jun 05 2017 8:28 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Primary Care, Quality, Payment Policy, Medicaid and CHIP, health equity, Women's Health, Maternal Health, maternal depression, postpartum care

Investing In Policy And Advocacy: A Foundation Shares Lessons Learned

Working on advocacy and policy is challenging. Not only is it complex, fluid, and increasingly politicized, it is also challenging to measure progress and communicate success. Some Background Understanding this, in 2012, the Foundation for a Healthy Kentucky...

Published Tue, Jun 06 2017 9:54 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health Reform, Policy, Politics, Insurance, States, Coverage, Medicaid, Health Law, Health Philanthropy, GrantWatch, Insurance and Coverage, Medicaid and CHIP, Matt Bevin, Kentucky

State Medicaid Lessons For Federal Health Reform

Editor’s note: This post draws on two issue briefs prepared by the authors with the support of the California Health Care Foundation. The subjects covered below and in the briefs will be discussed in a webinar on Thursday, June 8. Republicans’ health...

Published Wed, Jun 07 2017 8:55 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Featured, Payment Policy, Medicaid and CHIP, Indiana, Michigan, Arkansas, Section 1115 Waivers, Healthy Indiana Plan

CMS Outlines Pre-Enrollment SEP Verification Process, Reaches Out To Those In Both Medicare And Marketplaces

The Centers for Medicare and Medicaid Services has released a slide deck describing in greater detail the process that they intend to use for pre-enrollment verification of special enrollment period (SEP) eligibility . CMS has also begun sending out Medicare...

Published Thu, Jun 08 2017 12:13 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, special enrollment periods

HHS Requests Feedback On ACA Regulations; Evidence On Effect Of CSR Payment Uncertainty Continues To Mount

On June 8, 2017, the Centers for Medicare and Medicaid Services posted a request for information at the Federal Register entitled “Reducing Regulatory Burdens Imposed by the Patient Protection and Affordable Care Act & Improving Healthcare Choices...

Published Fri, Jun 09 2017 10:04 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, AHIP, 1332 waivers, cost-sharing reduction payments, American Medical Association, Blue Cross Blue Shield Association, American Hospital Association, National Association Of Insurance Commissioners, United States Chamber of Commerce

CMS Releases Data On Effectuated Enrollments, Plan Cancellations

On June 12, 2017, the Centers for Medicare and Medicaid Services released effectuated enrollment data for the 2017 open enrollment period . ( press release ) They also released a Health Insurance Exchanges Trends Report , which summarizes information...

Published Tue, Jun 13 2017 6:38 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, cost-sharing reduction payments, advanced premium tax credits, effectuated enrollment, plan cancellations

On AHCA, CMS Actuary Finds Smaller Coverage Losses, Smaller Spending Reductions Than CBO

On June 13, 2017, the Office of the Chief Actuary of the Centers for Medicare and Medicaid Services released its report on the Estimated Financial Effect of the “American Health Care Act of 2017 .” The CMS Office of the Actuary is responsible for evaluating...

Published Wed, Jun 14 2017 8:40 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending, Star ratings, Medicaid expansion, health care networks, risk corridors, ACA Marketplaces, "bare" counties

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