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Six Problems With The ACA That Aren’t Going Away

As Congress and the Obama Administration await the Supreme Court’s decision in King v. Burwell , there is heightened interest in what happens after the decision. One common assumption is that if the court rules in favor of the administration, there will...

Published Thu, Jun 25 2015 5:29 AM by Health Affairs Blog

Filed under: Medicare, Following the ACA, Insurance and Coverage, Costs and Spending, ACA, Medicare Advantage, employer coverage, individual mandate, premium subsidies, global budgets, GDP
Hearts, Minds, And Health Care Reform

Thinking about the Affordable Care Act (ACA), King v. Burwell was not a difficult case. The congressional majority that passed this long and complicated statute sought to expand health insurance coverage for all Americans and found constitutionally permissible...

Published Fri, Jun 26 2015 8:26 AM by Health Affairs Blog

Filed under: Featured, Following the ACA, Insurance and Coverage, ACA, King v. Burwell, Social Security Act, NFIB v. Sebelius, Taft-Hartley Act
What’s Next For The Affordable Care Act? Life After King v. Burwell

In the not-too-distant future, the U.S. Supreme Court’s 6-3 decision in King v. Burwell will be viewed as a significant turning point for the Affordable Care Act (ACA). Simply stated, the ACA is not only the law of the land — it will remain the...

Published Mon, Jun 29 2015 8:34 AM by Health Affairs Blog

Filed under: Disparities, Featured, Following the ACA, Insurance and Coverage, Costs and Spending, Equity and Disparities, King v. Burwell, Affordable Care Act, out-of-pocket health care costs, family glitch, Medicaid expansion
The ACA Survives — But With A Note Of Caution For The Future?

Chief Justice Roberts has once again saved a core provision of the Affordable Care Act (ACA). In King v Burwell , a majority of six Justices upheld the validity of an Internal Revenue Service (IRS) rule interpreting the text of the ACA to permit tax credits...

Published Tue, Jun 30 2015 10:00 AM by Health Affairs Blog

Filed under: Health Law, Population Health, Featured, Payment Policy, Following the ACA, Insurance and Coverage, Costs and Spending, Equity and Disparities, ACA, Supreme Court, King v. Burwell, subsidies
Implementing Health Reform: First-Year Results From Reinsurance And Risk Adjustment Programs

On June 30, 2015, right on schedule, the Centers for Medicare and Medicaid (CMS) announced the results of the first year (2014) of the operation of the reinsurance and risk adjustment programs. The reinsurance and risk adjustment programs are two of the...

Published Wed, Jul 01 2015 7:24 AM by Health Affairs Blog

Filed under: Payment Policy, Following the ACA, Insurance and Coverage, Costs and Spending, CMS, insurers, reinsurance, health insurance, risk adjustment, premium stabilization programs
Medicaid Private Option For All?

The Medicaid “private option” pioneered by Arkansas continues to dominate the headlines. First, additional states, most recently Montana, are expanding Medicaid with this model. Now, Arkansas is considering the future of its program. There has also been...

Published Thu, Jul 02 2015 6:08 AM by Health Affairs Blog

Filed under: Quality, Medicaid, Population Health, Payment Policy, Following the ACA, Costs and Spending, Medicaid and CHIP, Equity and Disparities, ACA, Arkansas, Private Insurance, 1332 waivers, Red States
Thirteen Ways Of Looking At King v. Burwell: A Virtual Symposium

In the week after the Supreme Court handed down its anxiously-awaited decision on King v. Burwell , Health Affairs Blog published a series of nine essays analyzing the justices’ opinions and considering the case’s potential long-term impact. From Tim...

Published Thu, Jul 02 2015 12:04 PM by Health Affairs Blog

Filed under: Featured, Following the ACA, Insurance and Coverage, ACA, Supreme Court, King v. Burwell, Affordable Care Act
Request For Abstracts: Health Affairs Alzheimer’s Disease Theme Issue

Health Affairs plans a thematic issue on Alzheimer’s disease in April 2014. We plan to cover a range of topics with the aim of providing “one stop shopping” for our policy-oriented audience. Topics include overview papers on the state of the science of...

Published Thu, Jun 13 2013 7:47 AM by Health Affairs Blog

Filed under: All Categories, Prevention, Chronic Care, States, Global Health, Innovation, Aging
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
Death Of A Sales Job (A Three Act Ploy)

With apologies to Arthur Miller … President Obama went back before the cameras again Wednesday, providing yet another recycling of fading rationales for his health reform product that more voters would rather leave on the Capitol Hill store shelves...

Published Fri, Mar 05 2010 9:15 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Politics, Insurance, Public Opinion, Malpractice Liability Reform, Competition, Coverage, Medicaid
Breaking The Fee-For-Service Addiction: Let’s Move To A Comprehensive Primary Care Payment Model

Editor’s note: This article is part of a series of blog posts by leaders in health and health care who participated in Spotlight Health from June 25-28, the opening segment of the Aspen Ideas Festival . This year’s theme was Smart Solutions to the World...

Published Mon, Aug 17 2015 9:08 AM by Health Affairs Blog

Filed under: Medicare, Quality, Hospitals, Population Health, Featured, Payment Policy, Organization and Delivery, Costs and Spending, Equity and Disparities, Health Professionals, Long-term Services and Supports, ACOs, value based care, fee-for-service, Spotlight Health, Iora Health, Grameen America, primary care payment model, Rushika Fernandopulle
The ‘Must Do’ List: Certain Patient Safety Rules Should Not Be Elective

The modern patient safety field was built on a foundation of “systems thinking,” namely, that we should avoid assigning individual blame for errors, instead focusing on identifying and fixing dysfunctional systems. While this approach is largely correct...

Published Thu, Aug 20 2015 5:21 AM by Health Affairs Blog

Filed under: Public Health, Quality, Hospitals, Patient Safety, Population Health, Health Policy Lab, Organization and Delivery, Health Professionals, Lucian Leape Institute, National Quality Forum, Robert Wachter, Just Culture, National Patient Safety Foundation
Reducing Poverty By Cutting Unplanned Births

Editor’s note: This article is part of a series of blog posts by leaders in health and health care who participated in Spotlight Health from June 25-28, the opening segment of the Aspen Ideas Festival . This year’s theme was Smart Solutions to the World...

Published Fri, Aug 21 2015 8:10 AM by Health Affairs Blog

Filed under: Public Health, Children, Population Health, Featured, Costs and Spending, Equity and Disparities, Drugs and Medical Technology, Women's Health, Spotlight Health, IUDs, LARCs, unplanned pregnancy, poverty, birth control
Narrative Matters ‘The Next Chapter': The Winding Road Of Mental Health Recovery

There’s a lot under the surface of life, everyone knows that. A lot of malice and dread and guilt, and so much loneliness, where you wouldn’t really expect to find it, either. — Marilynne Robinson , Gilead More than two years ago I published...

Published Mon, Aug 24 2015 12:41 PM by Health Affairs Blog

Filed under: Quality, Hospitals, Mental Health, Narrative Matters, Population Health, Featured, Payment Policy, Insurance and Coverage, Organization and Delivery, Equity and Disparities, Health Professionals, Ashley Clayton, person-centered care, abuse, healthcare providers, Marsha Linehan, Mental Illness, depression
From Sub-Saharan Africa To Seattle: Opportunities To Improve Health

Editor’s note: This blog post originally appeared on Impatient Optimists . The Bill & Melinda Gates Foundation is renowned for advocacy and investment in global health and development, in addition to other areas like U.S. education. As a MD...

Published Wed, Aug 26 2015 7:21 AM by Health Affairs Blog

Filed under: Global Health, GrantWatch, Social Determinants of Health, Population Health, Medicaid and CHIP, CMMI, Long-term Services and Supports, infectious diseases, education, Bill & Melinda Gates Foundation, Washington State

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Six Problems With The ACA That Aren’t Going Away

Hearts, Minds, And Health Care Reform

What’s Next For The Affordable Care Act? Life After King v. Burwell

The ACA Survives — But With A Note Of Caution For The Future?

Implementing Health Reform: First-Year Results From Reinsurance And Risk Adjustment Programs

Medicaid Private Option For All?

Thirteen Ways Of Looking At King v. Burwell: A Virtual Symposium

Request For Abstracts: Health Affairs Alzheimer’s Disease Theme Issue

Informal Caregiving By And For Older Adults

Death Of A Sales Job (A Three Act Ploy)

Breaking The Fee-For-Service Addiction: Let’s Move To A Comprehensive Primary Care Payment Model

The ‘Must Do’ List: Certain Patient Safety Rules Should Not Be Elective

Reducing Poverty By Cutting Unplanned Births

Narrative Matters ‘The Next Chapter': The Winding Road Of Mental Health Recovery

From Sub-Saharan Africa To Seattle: Opportunities To Improve Health