Health Affairs

Debunking The Pharmaceutical Research ‘Free Rider’ Myth: A response To Yu, Helms, And Bach

Policy researchers at the Memorial Sloan Kettering Center for Health Policy and Outcomes have published a recent, valuable Health Affairs Blog post . The post shows that major pharmaceutical companies that manufacture some of the top-selling drugs “charge...

Published Fri, Jun 02 2017 7:41 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Costs and Spending, Research and Development, Big Pharma, drug pricing, drug innovation, Drugs and Medical Innovation, free-rider myth

For Patients With Multiple Chronic Conditions, Improving Care Will Be A Bipartisan Effort

Editor’s Note: This is the third in a five-part Health Affairs Blog series, produced in conjunction with the Bipartisan Policy Center, examining current issues and care models in the delivery system reform effort. Each post will be jointly authored by...

Published Thu, Jun 01 2017 9:04 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Chronic Care, Medicare, Social Determinants of Health, Payment Policy, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Long-term Services and Supports, Alternative Payment Models, Bipartisan Policy Center, bipartisan delivery system reform, integrated models of care, CHRONIC Care Act

ACA Round-Up: Litigation Over Cost-Sharing Reductions And Reinsurance Fees, Tax Filings, And More

On May 30 the House of Representatives filed its response to the motion of attorneys general from 15 states and the District of Columbia asking that the stay in House v. Price be lifted and that they be allowed to intervene in the appeal. The federal...

Published Thu, Jun 01 2017 2:09 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, risk corridor payments, house v. price

CMS To Expand Direct Enrollment On HealthCare.gov

On May 17, 2017, the Centers for Medicare and Medicaid Services released a guidance outlining a new “ proxy direct enrollment pathway ” that will be available for the 2018 individual market open enrollment period. The press release accompanying the guidance...

Published Wed, May 17 2017 2:12 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

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

ACA Round-Up: Risk Corridor Suit Dismissed As Premature; Supreme Court Ends Challenge To ‘Administrative Fix’

On April 18, 2017, federal court of claims judge Lydia Griggsby dismissed a risk corridor lawsuit brought by Blue Cross and Blue Shield of North Carolina (BCBSNC). The case was one of approximately two dozen lawsuits now pending in the federal court of...

Published Wed, Apr 19 2017 11:40 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, risk corridors, West Virginia v. the Department of Health and Human Services

Health Affairs Web First: Medical Marijuana Laws Reduced The Number Of Medicaid Prescriptions

In the past twenty years, twenty-eight states and the District of Columbia have passed some form of medical marijuana law. A new study , released today by Health Affairs as a Web First, studied nine clinical areas to find out if Medicaid enrollees in...

Published Wed, Apr 19 2017 1:08 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Web First, medical marijuana

Examining The Final Market Stabilization Rule: What’s There, What’s Not, And How Might It Work?

On April 13, 2017 the Department of Health and Human Services released its final marketplace stabilization rule . The rule finalizes a proposed rule released on February 10, 2017. It was accompanied by a press release , final list of key dates for 2017...

Published Fri, Apr 14 2017 6:09 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

WellPoint: Supporting Meaningful Use Through Incentive Alignment And Hospital Financing

Editor’s Note: Charles Kennedy of WellPoint, Inc. (photo and bio above), is a participant in today’s National Press Club briefing on meaningful use of health IT, cosponsored by Health Affairs and the Health Industry Forum at Brandeis University...

Published Thu, Aug 05 2010 9:04 AM by Health Affairs Blog

Filed under: All Categories, Insurance, Physicians, Health IT, Hospitals

Health Wonk Review: The Airline Edition

Want the latest and greatest in health policy blogging? Then check out the Disease Management Care Blog, where Jaan Sidorov hosts the most recent edition of the Health Wonk Review. Despite his “airline” theme for this week’s Wonk Review...

Published Thu, Aug 05 2010 7:14 AM by Health Affairs Blog

Filed under: All Categories, Blog

In Senate Health Care Bill, A Few Hidden Surprises

A low-income person, eligible for Medicaid but not enrolled, is hit by a car or a bullet. Gravely injured, she arrives at the hospital unconscious. Thanks to expert, intensive care that lasts for days or weeks, she gradually recovers. Eventually, her...

Published Thu, Jul 13 2017 12:35 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Following the ACA, Insurance and Coverage, Medicaid and CHIP, The Better Care Reconciliation Act, Senate health bill

Health Affairs Web First: New ACA Coverage Enrollees Increased Prescription Use And Lowered Spending

While there is evidence that the Affordable Care Act’s (ACA’s) coverage expansion provisions have increased the number of Americans covered by health insurance, less information exists about how new enrollees, particularly those with chronic health conditions...

Published Wed, Aug 17 2016 1:35 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Web First, chronic conditions, Health Affairs journal

Labor, IRS Propose New Health Plan Reporting Requirements; CMS Makes Its Case On Cost Sharing

Most of the regulations and guidance analyzed in the “Following the ACA” Health Affairs Blog series are issued by the Centers for Medicare and Medicaid Services of the Department of Health and Human Services. HHS shares jurisdiction over the implementation...

Published Tue, Jul 12 2016 2:43 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

Health Affairs Web First: Healthy Lifestyle Prolongs Americans’ Life Expectancy

Nearly 80 percent of Americans reach their fifties having smoked cigarettes, been obese, or both . If you are among those that have avoided cigarettes and maintained a healthy body weight, how long will you live, and how healthy will you be? A new study...

Published Wed, Jul 19 2017 1:13 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Web First

Insurers Seeking Risk Corridor Payments Get First Courtroom Win; IRS Updates Q&As

One of the most litigated questions under the Affordable Care Act (ACA) is whether the United States government owes health insurers that offered qualified health plans (QHPs) through the ACA’s marketplaces the full amount that would be due them under...

Published Fri, Feb 10 2017 9:13 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

Syndication

Recent Posts

Tags

Archives

Debunking The Pharmaceutical Research ‘Free Rider’ Myth: A response To Yu, Helms, And Bach

For Patients With Multiple Chronic Conditions, Improving Care Will Be A Bipartisan Effort

ACA Round-Up: Litigation Over Cost-Sharing Reductions And Reinsurance Fees, Tax Filings, And More

CMS To Expand Direct Enrollment On HealthCare.gov

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

ACA Round-Up: Risk Corridor Suit Dismissed As Premature; Supreme Court Ends Challenge To ‘Administrative Fix’

Health Affairs Web First: Medical Marijuana Laws Reduced The Number Of Medicaid Prescriptions

Examining The Final Market Stabilization Rule: What’s There, What’s Not, And How Might It Work?

WellPoint: Supporting Meaningful Use Through Incentive Alignment And Hospital Financing

Health Wonk Review: The Airline Edition

In Senate Health Care Bill, A Few Hidden Surprises

Health Affairs Web First: New ACA Coverage Enrollees Increased Prescription Use And Lowered Spending

Labor, IRS Propose New Health Plan Reporting Requirements; CMS Makes Its Case On Cost Sharing

Health Affairs Web First: Healthy Lifestyle Prolongs Americans’ Life Expectancy

Insurers Seeking Risk Corridor Payments Get First Courtroom Win; IRS Updates Q&As