Health Affairs

Moving AHRQ Into The NIH: New Beginning Or Beginning Of The End?

On March 16, President Trump released his administration’s blueprint for the discretionary portion of the 2018 federal budget . This document is the administration’s signal of its priorities to Congress which is responsible for passing a budget for the...

Published Mon, Mar 27 2017 7:45 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, AHRQ, NIH, health services research, 2018 budget

‘I’m Willing To Try Anything’: Compassionate Use Access To Experimental Drugs And The Misguided Mission Of Right-To-Try Laws

Some patients facing death take drastic, or even desperate measures in order to prolong their lives. Such actions often include taking unapproved, investigational drugs. In the U.S., a program known as Compassionate Use, or Expanded Access, allows terminally...

Published Mon, Mar 27 2017 6:48 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Drugs and Medical Technology, FDA, Compassionate Use, Drugs and Medical Innovation, right-to-try laws, End of Life & Serious Illness, pharmaceutical companies, expanded access

Reaching Beyond Delivery System Walls To Improve Colorectal Cancer Screening

Payers are increasingly using value-based payment to push delivery systems to redefine their product and place . Much has been written about what the new “product” should be, from a hospital stay plus 30 days post-admission, to all the care required by...

Published Fri, Mar 24 2017 7:53 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Innovations in Care Delivery, Population Health, Health Policy Lab, Organization and Delivery, Kaiser Permanente, value-based payment, Colorectal Cancer Screening, electronic health record, patient outreach, Healthcare Effectiveness Data and Information Set, capitated payment model, fecal immunochemical test

House Republicans Tweak AHCA Again; CBO Scores Earlier Changes

It is now reported that the full House will vote on the American Health Care Act on Friday, March 24, 2017. Late on March 23, a further manager’s amendment was offered ( summary here ), apparently to pick up extra Republican votes. The bill would first...

Published Thu, Mar 23 2017 10:23 PM by Health Affairs BlogHealth Affairs Blog

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

Prescription Drug Regulation, Promotion, And Advocacy Has Gotten More Vexing In 2017

Editor’s note: This post is part of a series stemming from the Fifth Annual Health Law Year in P/Review event held at Harvard Law School on Monday, January 23, 2017. The conference brought together leading experts to review major developments in health...

Published Thu, Mar 23 2017 10:12 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, FDA, The Health Law Year in P/Review, Drugs and Medical Innovation, right-to-try laws

Essential Health Benefits: What Could Their Elimination Mean?

At almost midnight on March 22, 2017, the House Rules Committee adjourned for the night. It had been expected to adopt House leadership amendments to the American Health Care Act and then pass the entire AHCA on to the House for a floor vote on March...

Published Thu, Mar 23 2017 8:08 AM by Health Affairs BlogHealth Affairs Blog

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

The New Line On The HHS Blog; Suit For Federal Money Owed CO-OP Dismissed

For the past nearly seven years, the HHS blog has regularly highlighted the achievements of the Affordable Care Act. With the change in administrations, the change in the HHS blog has been dramatic. On March 14, 2017 it carried a post praising the proposed...

Published Wed, Mar 22 2017 10:14 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, open enrollment, CO-OPs, AHCA

What Can US Policymakers Learn About Essential Health Benefits From Israel?

In a February 14, 2017 article for Health Affairs Blog, Ian Spatz and Michael Kolber argue that the Affordable Care Act’s (ACA’s) essential health benefit (EHB) provisions “go to the heart of what it means to have health insurance and what health care...

Published Wed, Mar 22 2017 9:56 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Featured, Insurance and Coverage, Essential Health Benefits, Global Health Policy, isreal

The AHCA Gets It Wrong: Health Care Is Different

Congressman Ryan has now produced his fundamental health care reformation to support a “consumer-directed” vision in which services would be bought and sold like other goods and service in the economy . Indeed, responding to the Congressional Budget Office...

Published Wed, Mar 22 2017 8:22 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Following the ACA, Insurance and Coverage, ACA repeal and replace, American Health Care Act

The House Manager’s Medicaid Amendments: The State Block Grant Option

The 1995 Medicaid block grant provisions contained in the Balanced Budget Act of 1995 that was sent to (and vetoed by) President Clinton consumed 100 pages of dense legislative drafting. The block grant provisions of the American Health Care Act (AHCA...

Published Tue, Mar 21 2017 12:33 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Medicaid and CHIP, ACA repeal and replace, block grants, AHCA, Medicaid per capita cap, Medicaid block grants

Redesigning New Jersey’s Medicaid Program: Philanthropy Steps Up

In early March 2017, the New Jersey Health Care Quality Institute (NJHCQI) , a nonprofit quality improvement group, released Medicaid 2.0: Blueprint for the Future , a landmark plan to redesign and modernize New Jersey’s Medicaid program. A year in the...

Published Tue, Mar 21 2017 10:39 AM by Health Affairs BlogHealth Affairs Blog

Filed under: States, Quality, Medicaid, Health Philanthropy, GrantWatch, Health Care Delivery, Organization and Delivery, Medicaid and CHIP, New Jersey

What’s In The Manager’s Amendment To AHCA?

On March 20, 2017, the Republican House leadership released a manager’s amendment to the American Health Care Act. This amendment is intended to respond to critics of the original AHCA from the right and from the middle. It is less clear that it responds...

Published Tue, Mar 21 2017 9:19 AM by Health Affairs BlogHealth Affairs Blog

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

For Rare Disease Patients, A Pathway To Hundreds Of New Therapies

Many rare disease patients use drugs off-label based on limited data because they have no better options available. In fact, it is estimated that 95 percent of rare diseases do not yet have a single FDA-approved treatment . One of the authors of this...

Published Tue, Mar 21 2017 8:46 AM by Health Affairs BlogHealth Affairs Blog

Filed under: off-label drugs, Drugs and Medical Innovation, off-label promotion, open act, orphan drugs

Conservatives Are Using The American Health Care Act To Restrict Private Insurance From Covering Abortion

Earlier this month, House Republicans introduced their first draft of legislation to repeal and replace large portions of the Affordable Care Act (ACA). While they found themselves divided on a wide range of important issues, from the ACA’s Medicaid expansion...

Published Tue, Mar 21 2017 7:17 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Medicaid and CHIP, Women's Health, Abortion, abortion coverage, ACA repeal and replace

The Unfolding Medicaid Story: Congress, Governors, And The Trump Administration

Anyone who has had the chance to witness (or be part of) any of the epic health reform dramas that continually play out in Washington D.C. will agree: in the end, it always comes down to Medicaid. We have once again arrived at one of those moments. The...

Published Mon, Mar 20 2017 7:35 PM by Health Affairs BlogHealth Affairs Blog

Filed under: States, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, per capita caps, governors, block grants

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