Health Affairs

Executive Order Addresses Religious Objections To Contraception

President Trump has been in office for slightly over 100 days, but over that time has issued the most executive orders (EO) of any president since Truman. On May 4, 2017 he issued yet another executive order — Promoting Free Speech and Religious...

Published Fri, May 05 2017 6:17 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Hobby Lobby, Women's Health, contraceptive coverage, religious accommodation, contraceptive mandate, Religious Freedom Restoration Act, Zubik v. Burwell, executive order

House Passes AHCA: How It Happened, What It Would Do, And Its Uncertain Senate Future

On May 4, 2017 the House of Representatives passed the American Health Care Act (AHCA) by a near party-line vote of 217 to 212. The AHCA was first introduced in the House on March 6, 2017 in response to the long-standing promise by Republican members...

Published Thu, May 04 2017 11:20 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, ACA repeal and replace, AHCA

Orphan Drugs: Pursuing Value And Avoiding Unintended Effects Of Regulations

Amid ongoing scrutiny of high pharmaceutical drug prices, debate about the value of “orphan drugs”—those designed to treat rare conditions that affect fewer than 200,000 individuals —continues to capture public and policy maker attention....

Published Thu, May 04 2017 8:10 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Insurance and Coverage, Costs and Spending, Drugs and Medical Innovation, Duchenne Muscular Dystrophy, orphan drugs, Orphan Drug Act, government regulation, value-based pricing

As Patients Take On More Costs, Will Providers Shoulder The Burden?

Despite the uncertainty about the future of the Affordable Care Act (ACA) and any replacement, in the coming years, more Americans will almost surely find themselves in health plans with considerable patient cost sharing at the point of service (for example...

Published Thu, May 04 2017 7:31 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Insurance and Coverage, Costs and Spending, cost sharing, high-deductible plans, medical debt

New $8 Billion For Those With Preexisting Conditions Appears To Boost AHCA; Critics Say Amount Is Too Low

On May 3, 2017, the House of Representatives may have broken the gridlock that has prevented its passage of Republican changes to the Affordable Care Act. Representative Fred Upton (R MI) and six other moderate Republicans offered what they viewed as...

Published Wed, May 03 2017 8:14 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

‘Right To Try’ Won’t Give Patients Access To Experimental Drugs. Here’s What Will.

Two federal bills, S.204: Trickett Wendler Right to Try Act of 2017 and a companion act in the House (H.R.878), claim to give terminally ill patients the “right to try” experimental drugs outside of a clinical trial. They don’t. If enacted, a federal...

Published Wed, May 03 2017 8:12 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Drugs and Medical Technology, FDA, right to try, Drugs and Medical Innovation, Trickett Wendler Right to Try Act, expanded access, NYU School of Medicine Working Group on Compassionate Use and Pre-Approval Access, experimental drugs

How Should We Prepare For The Wave Of Retiring Baby Boomer Nurses?

Beginning in the early 1970s, career-oriented and largely female baby boomers embraced the nursing profession in unprecedented numbers following large increases in health care spending after the introduction of the Medicare and Medicaid programs. By 1990...

Published Wed, May 03 2017 7:18 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Population Health, Health Professionals, Nursing, retirement, registered nurses, succession planning for nurses

Interrogating The Dream: What Does Single Payer Really Mean?

It is paradoxical and rash, but understandable, that some have reacted to the stalled Trump-Ryan health care bill with renewed hopes of going further on health: Nancy Pelosi (D-CA), Angus Deaton (Nobel Prize winner in economic science)—respectable...

Published Tue, May 02 2017 8:28 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Medicaid expansion, single payer, universal health coverage, ACA repeal and replace

Making A Prohibition On Preexisting Condition Exclusions Effective Requires Additional Measures

One of the most popular components of the Affordable Care Act (ACA) is the prohibition on preexisting condition exclusions, eliminating the practice in which insurers exclude coverage for health problems that people had prior to enrolling in an insurance...

Published Tue, May 02 2017 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Following the ACA, Insurance and Coverage, Costs and Spending, Essential Health Benefits, community rating, ACA repeal and replace, preexisting conditions, American Health Care Act

Funding Bill Prohibits Full Risk Corridor Payments, Omits Cost-Sharing Reduction Payments; HHS Takes Over CT Reinsurance Program

Democrats and Republicans have reportedly reached an agreement on an appropriations bill for the remainder of fiscal year 2017, which lasts through September. According to a summary of the portion of the legislation covering the Department of Health and...

Published Mon, May 01 2017 2:42 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA

Health Affairs May Issue: ACA Coverage, Access, Medicaid & More

The May issue of Health Affairs , a variety issue, contains several studies examining whether some expected consequences of the Affordable Care Act (ACA) have come to pass. As editor-in-chief Alan Weil wrote in his May issue letter, “We didn’t plan it...

Published Mon, May 01 2017 1:19 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Health Affairs journal

Scott Gottlieb And The Goldilocks Theory Of Bringing Change To The FDA

With the nomination of Dr. Scott Gottlieb to head the U.S. Food and Drug Administration (FDA) headed to the Senate floor, we can expect another Goldilocks debate. Like the heroine of the classic tale who famously tested the three bowls of porridge to...

Published Mon, May 01 2017 9:01 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Costs and Spending, Health Professionals, FDA, 21st Century Cures Act, Big Pharma, off-label drugs, Drugs and Medical Innovation, off-label promotion

Restoring Equity To The Health Law Debate

Millions of Americans suffer every day because we sidelined one word from our health reform debates: equity. They endure health systems that treat them as second-class patients. They undergo partial procedures because it is all they can afford. They seek...

Published Mon, May 01 2017 7:56 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health Reform, Public Health, Quality, Population Health, Insurance and Coverage, Costs and Spending, health equity, Colorado, American Health Care Act, Archie Cochrane

Health Affairs Forum: Oral Health In California

In December 2016, Health Affairs journal published its first-ever theme issue dedicated to oral health. Papers examined the topic from many angles, including how to expand access to care, how to diversify the oral health workforce, and how to improve...

Published Fri, Apr 28 2017 12:29 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Oral Health, Elsewhere@ Health Affairs, events

Managing The Beginning Of The End: Advanced Disease Management And Concurrent Care Under Current Financing

Editor’s Note: This is the second Health Affairs Blog post from the author on E nd of Life & Serious Illness . His first post “ Why Now? Concerns About End-Of-Life Health Care Policy ” was published on December 19, 2016. The Medicare...

Published Fri, Apr 28 2017 7:25 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, End-of-Life Care, Palliative Care, Organization and Delivery, Costs and Spending, Long-term Services and Supports, Hospice care, End of Life & Serious Illness, advanced disease management

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