Health Affairs

CBO Scoring: The Issue Is Not How It’s Done, But How It’s Used

At a House Budget Committee hearing last fall on the Center for Medicare and Medicaid Innovation (CMMI), members of the majority expressed strong criticism of how the Congressional Budget Office (CBO) scores Medicare demonstration projects , continuing...

Published Thu, Jan 19 2017 10:29 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Featured, Insurance and Coverage, Costs and Spending, CMMI, CBO, spending projections

Bridging The Dental Divide: Overcoming Barriers To Integrating Oral Health And Primary Care

American systems of oral and systemic health—training, licensure, service delivery, and insurance— continue to operate in parallel . It is a fracture rooted in sociologic, political, and market forces rather than underlying physiology. Although...

Published Thu, Jan 19 2017 7:57 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Primary Care, Quality, Oral Health, Dental Care, Population Health, Costs and Spending, Health Professionals, Federally Qualified Health Centers

Health Affairs Web First: US Six-Month Drug Market Exclusivity Extensions Could Yield Nearly $100 Million

For the past few years, US lawmakers have considered legislation that would grant six additional months of market exclusivity for previously approved drugs that have been successfully tested and subsequently approved by the Food and Drug Administration...

Published Wed, Jan 18 2017 1:03 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, webfirst

Interstate Insurance Sales: Wishful thinking, Or A Viable Policy Option?

Anyone who followed the recent election cycle knows that President-elect Donald Trump made “repeal and replace” a cornerstone of his campaign — referring, of course, to the Affordable Care Act (ACA). He, like Mitt Romney and John McCain did in their...

Published Wed, Jan 18 2017 9:15 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Featured, Insurance and Coverage, Costs and Spending, interstate insurance, section 1333

How We Can Repeal The ACA And Still Insure The Uninsured

The two major political parties are in a contentious battle over the Affordable Care Act (ACA). Republicans would like to repeal and replace it. Democrats are doggedly defending it. But even if the ACA stays in place, there will still be almost 30 million...

Published Wed, Jan 18 2017 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Employer-Sponsored Insurance, Following the ACA, Insurance and Coverage, Medicaid and CHIP, Congress, ACA repeal and replace, health reimbursement arrangement

CBO Releases Report On Effects Of ACA Repeal

On January 17, 2017, the Congressional Budget Office—Congress’ nonpartisan scorekeeper—released a report on how the enactment of reconciliation legislation to repeal the Affordable Care Act (ACA) similar to that adopted by Congress in 2015 (and vetoed...

Published Tue, Jan 17 2017 10:41 AM by Health Affairs BlogHealth Affairs Blog

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

First, Do No Harm: A Physician Secretary Of HHS And The Reach Of Hippocrates

If the U.S. Senate confirms the nomination of Representative Tom Price to serve as the 23rd U.S. Secretary of Health and Human Services (HHS) he will be only the third physician to lead that department since its formation in 1953. The first was Otis Bowen...

Published Tue, Jan 17 2017 8:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Physicians, Featured, Following the ACA, physicians perspective, Hippocratic Oath

Building The Value-Based Health Care System Of The Future Depends On Meeting Clinicians’ Data Needs

Data is the lifeblood of the value-based payment environment. Every time a doctor takes care of a patient, we have an opportunity to use information in ways that help patients get better care. The goal is to use the information from each patient encounter...

Published Tue, Jan 17 2017 7:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health IT, Big Data, Featured, ONC, value based care, EHRs

Court Denies Cost-Sharing Reduction Payment Recipients Right To Join Litigation

On December 20, 2016, two beneficiaries of reduced cost sharing under the Affordable Care Act (ACA) asked the D.C. Circuit court of appeals to allow them to intervene in House v. Burwell . The lower court had ruled in this case brought by the House of...

Published Fri, Jan 13 2017 8:15 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, House v. Burwell, cost-sharing reduction payments

Obamacare, Trumpcare, And Your Mouth

In December, Health Affairs published a thematic issue on oral health , a first for the journal. With the timing of that issue and the presidential inauguration upon us, it is the perfect time to discuss Obamacare, Trumpcare, and your mouth. The Mouth...

Published Fri, Jan 13 2017 6:41 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Quality, Oral Health, Dental Care, Following the ACA, Medicaid and CHIP, Medicaid expansion, Essential Health Benefits, dental health, ACA repeal and replace

Project ECHO: The Evidence Is Catching Up With The Enthusiasm

Enthusiasm can be a double-edged sword, as Christopher Langston notes in his recent critique of Project ECHO. He describes the model’s success as a case of enthusiasm overtaking evidence. It’s true that the spread of ECHO has outpaced the publication...

Published Fri, Jan 13 2017 6:17 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Primary Care, Quality, Population Health, Organization and Delivery, Health Professionals, Project ECHO

What Could President Trump Do Through Executive Order To Dismantle The ACA?

The Republican House and Senate have begun the process of repealing the Affordable Care Act (ACA) through the budget reconciliation process. Enacting a budget reconciliation bill is likely to take weeks, however, and at this point it seems likely that...

Published Thu, Jan 12 2017 12:00 PM by Health Affairs BlogHealth Affairs Blog

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

Time To Focus On The ACA’s Sometimes Unheralded Virtue: Value-Based Care

Lost amidst the coverage of President-Elect Donald Trump’s transition and cabinet appointments is a chilling fact: the lives of Americans are getting shorter . Despite spending more for health care than other high-income countries did in 2013, life expectancy...

Published Thu, Jan 12 2017 10:42 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, GrantWatch, Featured, Payment Policy, Costs and Spending

The Framework Convention On Global Health: A Call For Leadership From The Global Health Trio

In the current issue of Health Affairs , we explore a pivotal moment of opportunity and peril in global health , while identifying the leadership challenges of “the global health trio” — the World Health Organization, the United Nations, and the...

Published Thu, Jan 12 2017 7:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Ebola, Global Health Policy, antimicrobial resistance

ACA Round-Up: Enrollment Report, Repeal Efforts, And More

On January 10, 2016, the Centers for Medicare and Medicaid Services (CMS) released its fourth marketplace open enrollment report for HealthCare.gov and the state marketplaces, covering the period of November 1 to December 24, 2016. Enrollment remains...

Published Wed, Jan 11 2017 10:52 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, open enrollment, risk corridor payments, advance premium tax credits

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