Health Affairs

GOP Removes AHCA Exemption Of Congress From State Coverage Limitations; Plaintiffs Seek End To Contraceptive Coverage Case Delay

On April 26, 2017, the House Rules Committee posted yet another proposed amendment to the American Health Care Act. This amendment would remove the provision in the MacArthur amendment , released on April 25, which would have exempted coverage for members...

Published Thu, Apr 27 2017 1:22 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

Health Philanthropy’s Role In Uncertain Times, NIH Funding, Oral Health: A Round-Up Of Foundation Blogs

Here are a few interesting items that recently came across my desk. Funding For NIH “An Open Letter to Congress,” Guy McKhann of the Zanvyl Krieger Mind/Brain Institute at Johns Hopkins University, in the Dana Foundation’s Brain in the News, April 2017...

Published Thu, Apr 27 2017 10:58 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health Reform, Chronic Care, Coverage, Medicaid, Aging, Health Philanthropy, GrantWatch, Oral Health, California, Medi-Cal, National Institutes of Health, Alzheimer's, Robert Wood Johnson Foundation, emergency response, 911 system

Value-Based Pricing For Pharmaceuticals In The Trump Administration

Everyone seems to agree: Drug prices are too damn high. Scandalous prices for new drugs and enormous price hikes on old drugs have focused public ire on the pharmaceutical industry. A bipartisan consensus has emerged that something must be done to tackle...

Published Thu, Apr 27 2017 10:15 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Payment Policy, Costs and Spending, Medicaid and CHIP, Centers for Medicare and Medicaid Services, drug pricing, Drugs and Medical Innovation, outcome-based pricing, valued-based pricing

Rethinking The United States’ Military Health System

During Operations Enduring Freedom and Iraqi Freedom (2001 – 2014), the United States’ military health system completely transformed its approach to casualty care, achieving the highest rate of survival from battlefield wounds in the history of...

Published Thu, Apr 27 2017 9:43 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Population Health, Featured, Organization and Delivery, Costs and Spending, TRICARE, military health care, Department of Veterans Affairs, National Defense Authorization Act, Jonathan Letterman, American College of Surgeons

Health Policy’s Gordian Knot: Rethinking Cost Control

Medical spending has resumed its long-term rise. After several years of deceptive stability in the last, deep recession’s wake, health spending rose by 3.7 percentage points more than general inflation in 2014 , then by 5.8 percentage points more in 2015...

Published Wed, Apr 26 2017 7:28 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health IT, Payment Policy, Insurance and Coverage, Costs and Spending, Drugs and Medical Technology, Research and Development, intellectual property, value-based payment, patents

The MacArthur Amendment Language, Race In The Federal Exchange, And Risk Adjustment Coefficients

For a number of days negotiations have apparently been underway with respect to an amendment to the Republican American Health Care Act (AHCA) that has been proposed by Congressman Tom MacArthur (R.N.J.) A summary of this amendment became available on...

Published Tue, Apr 25 2017 7:47 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

Correcting Misconceptions About Invisible Risk-Sharing

On April 6, the House of Representatives added an amendment from Rep. Gary Palmer (AL) and Rep. David Schweikert (AZ) to the American Health Care Act (AHCA) before their recess. The amendment was drawn, in part, from the proposal in our previous Health...

Published Tue, Apr 25 2017 8:11 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending, Maine, reinsurance, high-risk pools, AHCA, invisible high risk pools

Evidence on Payment Reform: Where Are The Gaps?

The US health care system is transforming how it pays for and delivers care. New payment models and benefit designs aim to promote and sustain improvements in health and care delivery, specifically focusing on better outcomes and lower costs. Supporting...

Published Tue, Apr 25 2017 7:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Insurance and Coverage, Costs and Spending, Accountable Care Organizations, Alternative Payment Models, Center for Medicare and Medicaid Innovation, health Care Payment Learning and Action Network, Laura and John Arnold Foundation

A Good Deal For Eliminating Hepatitis C: Saving Money And Lives

The conundrum of hepatitis C is well known. The virus kills more than 20,000 Americans each year, more, according to Centers for Disease Control and Prevention , than the other 60 infectious causes of death combined. A cure is in hand, but is out of reach...

Published Mon, Apr 24 2017 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Costs and Spending, Medicaid and CHIP, hepatitis C, Drugs and Medical Innovation

The Payment Reform Landscape: For Employers, Keep Pushing Ahead

With all the tumult in Washington, D.C. surrounding health care reform, it is hard to know which reforms will be prioritized at the federal level and whether provider payment reform will still be a central focus. But in some corners of the health care...

Published Fri, Apr 21 2017 10:45 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Payment Policy, Insurance and Coverage, Costs and Spending, Payment Reform, Behavioral Health, employer-sponsored health coverage, maternity care

As MACRA Implementation Proceeds, Changes Are Needed

The Medicare Access and Chip Reauthorization Act (MACRA) is the product of four years of work that included input from multiple stakeholders and was signed into law on April 16, 2015, following broad bipartisan support in Congress. Implementation of MACRA...

Published Fri, Apr 21 2017 9:20 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, Payment Policy, Costs and Spending, Medicaid and CHIP, Accountable Care Organizations, MACRA, Alternative Payment Models, Merit-Based Incentive Payment System, Physician-Focused Payment Model Technical Advisory Committee, Center for Medicare and Medicaid Innovation

Loathing And Loving As A Pathway To Meaningful Health Care Reform

The Republicans are having trouble reaching consensus on a plan to replace the Affordable Care Act (ACA), and the Democrats understandably are not inclined to help. Searching for areas of agreement at this point seems like a waste of legislators’ valuable...

Published Fri, Apr 21 2017 4:30 AM by Health Affairs BlogHealth Affairs Blog

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

A New Attempt Emerges To Bridge GOP Divisions On AHCA

On April 20, 2017, a one-page summary of amendments to the American Health Care Act proposed by Congressman Tom MacArthur (R.N.J.) surfaced. It is dated April 13, 2017 and has been presumably been under discussion for a week. It is reportedly a compromise...

Published Thu, Apr 20 2017 12:57 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending

GrantWatch: Call For Blog Submissions

GrantWatch, Health Affairs Blog’s section on health philanthropy, brings you news and views of what foundations are funding in health policy and health care. We seek blog posts from foundation staffers and grantees, as well as commentators on health philanthropy...

Published Thu, Apr 20 2017 9:52 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health Philanthropy, GrantWatch

The Future Of Delivery System Reform

Over the past several years, the federal government has put billions of dollars into a variety of programs aimed at improving the way health care is delivered. The Affordable Care Act (ACA) authorized a broad agenda of reform projects, including accountable...

Published Thu, Apr 20 2017 7:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Payment Policy, Insurance and Coverage, Costs and Spending, Accountable Care Organizations, ACOs, Medicare Advantage, Affordable Care Act, MACRA, HMOs, supplemental insurance reform

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