Health Affairs

Changing The Way Physicians Are Paid: Report Of The National Commission On Physician Payment Reform

The loud cries warning that rising health care costs are going to destroy the nation’s economy have been shouted so often that the will to move firmly in any one direction has almost halted. We’ve all heard them: health care costs are unsustainable, excessive...

Published Mon, Mar 04 2013 5:02 AM by Health Affairs Blog

Filed under: All Categories, Prevention, Payment, Physicians, Primary Care, Chronic Care, Health Care Costs, Spending, Medicare, Competition, Quality, Hospitals

Implementing Health Reform: The Benefit And Payment Parameters Final Rule

On March 1, 2013, the Department of Health and Human Services released its final Notice of Benefit and Payment Parameters for 2014 rule. The rule addresses a grab bag of issues: the risk-adjustment, reinsurance, and risk-corridors premium stabilization...

Published Sun, Mar 03 2013 12:05 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, Payment, States

Implementing Health Reform: The Multi-State Plan Program Final Rule

Perhaps the most controversial issue raised by the entire health reform debate in the fall and winter of 2009 to 2010 was whether the final legislation would include a “public plan.” In part, the issue was whether or not Americans would be denied the...

Published Fri, Mar 01 2013 9:20 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Insurance, States

Implementing Health Reform: A Burst Of Regulatory Activity

The final days of February and the first day of March 2013 have seen a landslide of new Affordable Care Act implementation issuances. Perhaps the agencies decided to get all of their work done before sequester furloughs begin, or perhaps they have awakened...

Published Fri, Mar 01 2013 12:51 PM by Health Affairs Blog

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

A Tribute To Surgeon General C. Everett Koop

A frequent statement of mine is, "We need public health leadership that cares enough, knows enough, is willing to do enough, and will be persistent." Surgeon General C. Everett Koop was just such a leader, for he was caring; he was competent;...

Published Fri, Mar 01 2013 9:48 AM by Health Affairs Blog

Filed under: All Categories, Public Health, Policy, Politics, Physicians, AIDS, Children, Substance Abuse

Health Affairs Web Firsts: Primary Care Shortages And Rx Drug Monitoring

Primary care access . With insurance coverage set to expand under the Affordable Care Act (ACA), 44 million people live in areas where the projected increase in demand for primary care providers is greater than 5 percent of current baseline supply. Of...

Published Thu, Feb 28 2013 1:21 PM by Health Affairs Blog

Filed under: All Categories, Policy, Physicians, States, Workforce, Access, Pharma

Health Policy Brief: The CO-OP Health Insurance Program

A new Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation discusses the Consumer Operated and Oriented Plan (CO-OP) program, a provision of the Affordable Care Act. Starting in October, many Americans will be able to enroll...

Published Thu, Feb 28 2013 12:09 PM by Health Affairs Blog

Filed under: All Categories, Consumers, Insurance, Coverage

Howard Koh On Health Literacy: Proposing A New Model Of Care

Health literacy is the essential backbone of informed patient engagement, said Howard Koh, Assistant Secretary for Health at the Department of Health and Human Services, at a February 6 Health Affairs briefing . The event was held to unveil the journal...

Published Thu, Feb 28 2013 11:47 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Physicians, Health IT, Primary Care, Quality, Patient Safety

A Health Care Entitlement Worth Ending

The “fiscal cliff” deal raised taxes on households earning more than $450,000 a year and sheltered everyone else from an automatic income tax increase. Tough decisions about spending were put off until March 1, the new deadline by which Congress must...

Published Wed, Feb 27 2013 11:02 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Payment, Spending, Quality, Innovation, Effectiveness

From The Health Affairs Archives: An Interview With C. Everett Koop

In 2004, Health Affairs’ Fitzhugh Mullan interviewed C. Everett Koop , who passed away on Monday. The full interview is freely available to all readers, as is a 1998 Health Affairs article coauthored by Dr. Koop evaluating health education programs designed...

Published Wed, Feb 27 2013 9:35 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Public Health, Policy, Politics, Physicians, Health Care Costs, Global Health, AIDS, Children, Substance Abuse

Not In My Name: Real Patient-Centeredness Means Sharing Power

It is as natural for doctors, hospitals, health plans and others to aggressively affirm their “patient-centeredness” as it is for politicians to loudly proclaim their fealty to the hard-working American middle class. Like the politicians, the health care...

Published Tue, Feb 26 2013 9:17 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Payment, Physicians, Primary Care, Health Care Costs, Spending, Competition, Hospitals, Patient Safety

Now For The Rest Of The Story On Massachusetts Cost Control

TweetA bureaucracy-centric governing philosophy is spreading in health care, and with it comes heavy reliance on “experts” to determine how to curb costs outside the normal legislative and democratic process. This was embodied at the national level by...

Published Mon, Feb 25 2013 11:02 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Payment, Health Care Costs, States, Spending, Competition, Hospitals

Implementing Health Reform: The Final Market Reform Rule

The time is quickly approaching when health insurers must file the rates and forms they will need to put in place for 2014. The Department of Health and Human Services is rapidly releasing the final rules that insurers will need to determine the coverage...

Published Fri, Feb 22 2013 11:20 PM by Health Affairs Blog

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

The US Health Disadvantage And Clinicians: An Interview With Paula Braveman

The US spends far more per person on health care than any other nation. But a growing body of research demonstrates that Americans – rich or poor, minority or not - suffer from a widening “health disadvantage” when compared to citizens of other high-income...

Published Fri, Feb 22 2013 10:39 AM by Health Affairs Blog

Filed under: All Categories, Nonmedical Determinants, Consumers, Prevention, Policy, Physicians, Primary Care, Nurses, Europe

Medicaid Expansion: Benefits For Women of Childbearing Age And Their Children

States are in the midst of deciding whether and how to expand their Medicaid programs to nonelderly individuals with income below 133 percent of Federal Poverty Level (FPL), as permitted under the Affordable Care Act (ACA). The group that perhaps stands...

Published Fri, Feb 22 2013 8:38 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Prevention, Policy, Primary Care, Health Care Costs, States, Spending, Access, Disparities, Medicaid, Children

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