Health Affairs

Implementing Health Reform: Program Integrity And Other Exchange And Market-Reform Issues

On June 14, 2013, the Department of Health and Human Services released a notice of proposed rulemaking (NPRM) entitled “Program Integrity: Exchange, SHOP, Premium Stabilization Programs, and Market Standards.” Although the proposed rule does include a...

Published Sat, Jun 15 2013 11:28 AM by Health Affairs Blog

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

HA Blog Top Ten For February

Posts on health reform dominate the ten most-read Health Affairs Blog posts for February. Also on the list are reports on health spending and an innovative way to supplement the primary care workforce: Health Reform: The Need To Move Forward by Henry...

Published Thu, Mar 04 2010 8:03 PM by Health Affairs Blog

Filed under: All Categories, Health Reform

A Milestone Is Reached As CMS Moves Beyond Voluntary Participation

The announcement last month from the Centers for Medicare and Medicaid Services (CMS) of the Comprehensive Care for Joint Replacement Model is a significant milestone on the road to payment reform. For the first time, the agency is using its waiver authority...

Published Fri, Aug 14 2015 7:51 AM by Health Affairs Blog

Filed under: Medicare, Hospitals, Costs and Spending, Health Professionals, HHS, ACOs, CMS, Comprehensive Care for Joint Replacement model, Innovation Center, Bundled Payment for Care Improvement demo

Heading Off The Looming Diabetes-Tuberculosis Epidemic

Tuberculosis (TB) has recently made headlines in the U.S. And news of these cases remind us once again that TB is far from conquered. This disease infects about 8.6 million people every year and kills 1.5 million, more than any other infectious disease...

Published Wed, Aug 19 2015 6:27 AM by Health Affairs Blog

Filed under: Public Health, Global Health, Population Health, Featured, Organization and Delivery, Costs and Spending, Equity and Disparities, World Health Organization, Diabetes, HIV/AIDS, epidemics, World Diabetes Foundation, TB

Biopharmaceuticals: Pricing For Clinical Value And In-Market Risk

Prescription drug pricing has become a very hot topic in the last year. The public policy debate began in earnest with the market launch of Gilead’s Hepatitis C cure, Sovaldi, in 2014, sparking a Congressional investigation . Most recently, the price...

Published Thu, Aug 20 2015 1:39 PM by Health Affairs Blog

Filed under: Medicare, Featured, Payment Policy, Costs and Spending, Medicaid and CHIP, Drugs and Medical Technology, Gilead, Medicare Part D, 340B Drug Discount program, Biopharmaceuticals, Sovaldi, Big Pharma

Getting The WHO To Take The Reins In Global Pandemics

The World Health Organization (WHO) has a credibility problem, according to the recently released “ Report of the Ebola Interim Assessment Panel .” The Panel of outside independent experts describes an under-resourced organization that is ill prepared...

Published Mon, Aug 24 2015 7:38 AM by Health Affairs Blog

Filed under: Public Health, Global Health, Quality, Featured, Payment Policy, Organization and Delivery, Costs and Spending, Ebola, WHO, International, organizational culture, emergency funding

A Rapid-Learning Initiative For Cholesterol-Lowering Drugs

In late July, the Food and Drug Administration (FDA) approved selective use of Praluent, the first of a new class of cholesterol-lowering drugs (PCSK9 inhibitors). A similar drug, Repatha, is expected to be approved this month. The reported results so...

Published Tue, Aug 25 2015 10:19 AM by Health Affairs Blog

Filed under: Public Health, Quality, Population Health, Featured, Costs and Spending, Drugs and Medical Technology, regulation, FDA, genetic conditions, cholesterol-lowering drugs, rapid learning, Praluent, Repatha

Implementing Health Reform: New Guidance On Reenrollment Of 2015 Enrollees

On August 25, 2015, the Centers for Medicare and Medicaid Services (CMS) released on its REGTAP website a guidance for insurers on reenrollment of 2015 enrollees through the federally facilitated marketplace (FFM) for 2016. The guidance is quite technical...

Published Wed, Aug 26 2015 9:25 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, CMS, insurers, QHPs, REGTAP, reenrollment, passive enrollment

What Should Public Health Officials Be Doing About E-Cigarettes?

Are electronic cigarettes a safer alternative to combustible cigarettes, or are they a new gateway to a lifetime of nicotine addiction? In the past month, the editors of The New York Times noted the opposite conclusions from the British agency Public...

Published Thu, Aug 27 2015 11:15 AM by Health Affairs Blog

Filed under: Public Health, Prevention, Global Health, Children, Population Health, Featured, Costs and Spending, Drugs and Medical Technology, FDA, FAA, tobacco, e-cigarettes, vaping, Smoking

Rising Cost Of Drugs: Where Do We Go From Here?

The trends are clear: patients and institutions across the nation are concerned about skyrocketing drug prices. This post offers some information about drug pricing, explores the notion of market intervention, and proposes a series of responses to high...

Published Mon, Aug 31 2015 9:44 AM by Health Affairs Blog

Filed under: Public Health, Featured, Payment Policy, Costs and Spending, Medicaid and CHIP, Drugs and Medical Technology, FDA, hepatitis C, CMS, Big Pharma, Gilead Sciences, Pricewaterhouse Coopers

The Effect Of Physicians’ Electronic Access To Tests: A Response To Farzad Mostashari

Our recent Health Affairs article linking increased test ordering to electronic access to results has elicited heated responses, including a blog post by Farzad Mostashari, National Coordinator for Health IT. Some of the assertions in his blog post are...

Published Mon, Mar 12 2012 1:20 PM by Health Affairs Blog

Filed under: All Categories, Health IT, Health Care Costs, Spending, Comparative Effectiveness, Technology

Meaningful Use Of Health IT Stage 2: The Broader Meaning

On February 24, the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) issued the proposed “stage 2” rules for the meaningful use of electronic health records. Stage 2 unequivocally...

Published Thu, Mar 15 2012 11:24 AM by Health Affairs Blog

Filed under: All Categories, Payment, Health IT, Quality, Innovation, Technology

Implementing Health Reform: Contraception And Student Health Plans

On March 16, 2012, the Department of Health and Human Services published a final rule regarding student health plans, an advanced notice of proposed rulemaking explaining how it intends to handle coverage of contraception services, and a notice regarding...

Published Sat, Mar 17 2012 5:50 AM by Health Affairs Blog

Filed under: All Categories, Prevention, Insurance, Health Law, Children

Eleven-Country Survey Finds US Insurance Most Complex

TweetAccording to a November 13 Health Affairs Web First survey of eleven different countries’ health care, US adults are significantly more likely than their counterparts in other countries to forgo care because of cost, to have difficulty paying for...

Published Mon, Nov 18 2013 1:25 PM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Insurance, Public Opinion, Health Care Costs, Spending, Access, Europe

Get A Grippe: Lessons Learned From The Controversy Over Publication Of Pandemic Flu Research

If one were to try and identify what issue has most roiled the biomedical community in the past few months it is surely the effort to censor two papers describing genetic modifications of the H5N1 flu virus. Background. Last December, the U.S. National...

Published Tue, May 08 2012 8:54 AM by Health Affairs Blog

Filed under: All Categories, Public Health, Prevention, Policy, Bioethics, Biotech, Science and Health, Research

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