Health Affairs

Medicaid Work Requirements: Who’s At Risk?

While the American Health Care Act (AHCA) has collapsed, adding work requirements to Medicaid continues as a key theme in conservative health reform efforts. Department of Health and Human Services Secretary Tom Price and Centers for Medicare and Medicaid...

Published Wed, Apr 12 2017 8:39 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Medicaid and CHIP, Section 1115 Waivers, employment, tom price, American Health Care Act, health status, medicaid work requirement, Seema Verma, work requirements

Making Sense Of ‘Invisible Risk Sharing’

Before Congress recessed last week, the House of Representatives wanted to show some progress in reforming health care, so they left an early Easter surprise: an amendment to the pending American Health Care Act (AHCA) proposing an “Invisible Risk-Sharing...

Published Wed, Apr 12 2017 8:16 AM by Health Affairs BlogHealth Affairs Blog

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

Value Frameworks For Rare Diseases: Should They Be Different?

The US health care system is increasingly focusing on value as a basis for reimbursement of pharmacotherapies and devices, and as a result the use of “value frameworks” for measuring and comparing treatment value has grown in recent years. However, the...

Published Wed, Apr 12 2017 7:12 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Costs and Spending, Precision Medicine, Drugs and Medical Innovation, Orphan Drug Act, treatment value, rare disease treatment, value frameworks

Treasury Inspector General Assesses ACA-Related Tax Issues

On April 7 and April 10, the Treasury Inspector General for Tax Administration (TIGTA) released two reports on Affordable Care Act programs. Individual Tax Returns The April 7 report contains interim results on tax filings for the 2016 filing season through...

Published Tue, Apr 11 2017 2:28 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, ACA premium tax credits, employer mandate, individual mandate

Medicaid Responds To The Opioid Epidemic: Regulating Prescribing And Finding Ways To Expand Treatment Access

Medicaid programs are at the center of the opioid epidemic. Nearly 12 percent of adults covered by Medicaid have a substance use disorder, including opioid use disorder. Available data suggest that Medicaid beneficiaries are prescribed painkillers at...

Published Tue, Apr 11 2017 7:55 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Costs and Spending, Medicaid and CHIP, Section 1115 Waivers, prescription drug abuse, opioid epidemic, prescription drug monitoring programs, preferred drug lists, prior authorization requirements

ACA Round-Up: New Unified Rate Review Instructions, Redesigned QHP Website, And More

On April 6, 2017, Congress headed home for its spring recess having not achieved the Republican leadership’s goal of repealing, replacing, or repairing the Affordable Care Act. But even as these efforts go on, so does the life of the ACA. On April 7,...

Published Mon, Apr 10 2017 8:25 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, CMS, CMS Innovation Center

How Should The Trump Administration Handle Medicare’s New Bundled Payment Programs?

Secretary of Health and Human Services (HHS) Dr. Tom Price and Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma face significant decisions across a range of programs in the first half of 2017. Decisions regarding how the new...

Published Mon, Apr 10 2017 8:07 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, Featured, Costs and Spending, oncology care model, tom price, CMS Innovation Center, bundled payment, Bundled Payments for Care Improvement Initiative, Episode Payment Model, Seema Varma, Comprehensive Care for Joint Care Model

Scott Gottlieb’s FDA Commissioner Confirmation Hearing: Remarkably Unremarkable

On Wednesday morning, the United States Senate Committee on Health, Energy, Labor, and Pensions conducted the confirmation hearing for Dr. Scott Gottlieb , President Trump’s nominee to be the next Commissioner of the Food & Drug Administration (FDA...

Published Fri, Apr 07 2017 8:16 AM by Health Affairs BlogHealth Affairs Blog

Filed under: FDA, generic drugs, opioid epidemic, Drugs and Medical Innovation

A New Health Affairs Series: The Practice of Medicine

The April 2017 issue of Health Affairs features the first article in a new series on The Practice of Medicine. The series will explore many facets of the practice environment and how that environment affects physicians and other clinicians. It will cover...

Published Fri, Apr 07 2017 4:16 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Physicians, Elsewhere@ Health Affairs, Health Professionals, practice of medicine

How Dorothy Rice Helped Transform Health Care In America And Inspired A Generation of Researchers

Dorothy Rice—who passed away on February 25, 2017, at the age of 94—was a giant in the field of health services research, conducting groundbreaking studies and mentoring others who continue to contribute to the field. Her pioneering study...

Published Fri, Apr 07 2017 4:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, Aging, Insurance and Coverage, seniors, Social Security Administration, Dorothy Rice

House GOP Moves To Add ‘Invisible Risk Sharing Program’ To AHCA; Other ACA Developments

On April 6, 2017, as Congress headed out the door for its spring recess, a new amendment to the American Health Care Act was submitted to the House Rules Committee by congressmen Gary Palmer (R-AK) and David Schweikert (R-AZ). The amendment would create...

Published Thu, Apr 06 2017 11:01 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Maine, Alaska, high-risk pools, ACA repeal and replace, AHCA

Unusual Community Partnerships Offer New Mental Health Interventions

The landscape of health care innovation is complex and vast, and often leads to a global web of conversations that, very often, run parallel without ever intersecting to collaborate. That space where innovators are working at the fringe toward a similar...

Published Thu, Apr 06 2017 10:47 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health Care Costs, Access, Health Philanthropy, GrantWatch, Mental Health, Health Care Delivery, Organization and Delivery, Costs and Spending, Robert Wood Johnson Foundation, Police, youth mental health, Emergency departments, Prisons, Jails

A Race To Restore Confidence In The World Health Organization

Editor’s Note: This post reflects on a panel that Dr. Jha moderated this January in Washington, DC hosted by T he Center for Global Health Science and Security at Georgetown University Medical Center , the Harvard Global Health Institute , and Health...

Published Thu, Apr 06 2017 7:39 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Featured, Ebola, World Health Organization, infectious disease, Zika, Global Health Policy

A Strategy For Lowering Brand Drug Prices: Patent Buyouts And Licensing

Why does competition among brand drugs often fail to reduce prices? In this post, I address that question, which is obviously important in structuring efforts to reduce prescription drug costs. Based on the answer, I then propose a mechanism to increase...

Published Wed, Apr 05 2017 7:43 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Costs and Spending, Drugs and Medical Technology, intellectual property, drug manufacturers, Drugs and Medical Innovation, prescription drug prices, innovation incentives

ACA Round-Up: Negotiations To Revive AHCA, Alexander-Corker Bill, and Risk Adjustment

On the morning of April 4, 2017, rumors are flying regarding continuing Republican efforts to repeal and replace parts of the Affordable Care Act (ACA). It is reported that Vice President Pence is discussing a compromise with conservative Republican House...

Published Tue, Apr 04 2017 9:33 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Tennessee, risk adjustment program, ACA repeal and replace, AHCA, Bob Corker, Lamar Alexander, Health Care Options Act

Syndication

Recent Posts

Tags

Archives