Health Affairs

The Problems With ‘Repeal And Delay’

Republican leaders in Congress and the incoming Trump administration have said that they plan to move quickly to repeal the Affordable Care Act (ACA) in the early weeks of 2017, with a delay in the date of when key aspects of the repeal would become effective...

Published Tue, Jan 03 2017 9:29 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Congress, CBO, Republicans, ACA repeal and replace, H.R. 3762

Project ECHO: Enthusiasm Overtakes Evidence

Project ECHO (Extension for Community Healthcare Outcomes) is a popular model for improving patient outcomes through provider education, which has grown rapidly since its initial success in the treatment of Hepatitis C. Recently, the U.S. Senate passed...

Published Tue, Jan 03 2017 9:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Physicians, Primary Care, Health Professionals, hepatitis C, Project ECHO

ACA Pregnancy Termination, Gender Identity Protections Blocked; Wellness Program Incentives Survive

Yesterday, January 1, 2017, several Affordable Care Act (ACA) rules were scheduled to go into effect. On December 31, however, a judge granted a preliminary injunction blocking parts of a nondiscrimination rule issued under ACA section 1557. On December...

Published Mon, Jan 02 2017 7:15 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, employee wellness incentives, Abortion, HIPAA, religious accommodation, Religious Freedom Restoration Act, transgender discrimination, Genetic Information Nondiscrimination Act

Five Most-Read GrantWatch Posts Of 2016 On Health Affairs Blog

During 2016, these were the most-read posts from Health Affairs Blog’s GrantWatch section on health philanthropy. Perhaps you missed reading a couple of these? Why not check them out over the holiday weekend? 1. “ Integrating Medical And Social Services...

Published Thu, Dec 29 2016 12:01 PM by Health Affairs BlogHealth Affairs Blog

Filed under: GrantWatch, Featured, Organization and Delivery

Germany’s Model For Drug Price Regulation Could Work In The US

Donald Trump and Hillary Clinton agreed on almost nothing during the 2016 presidential campaign — but they did agree that the U.S. needs to address unaffordable prescription drug prices. And the public also supports this idea. A survey released...

Published Thu, Dec 29 2016 9:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Costs and Spending, Germany, Drugs and Medical Innovation, AMNOG, IQWiG

Rapid Developments In House v. Burwell

On December 28, 2016, two shots were filed in quick succession in the battle over the cost-sharing reduction (CSR) payments, followed on January 29 by an order from the court. The House of Representatives has challenged the CSR payments (which reimburse...

Published Thu, Dec 29 2016 8:29 AM by Health Affairs BlogHealth Affairs Blog

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

The Most-Shared Health Affairs Articles of 2016

Last week we shared the 10 most-read Health Affairs articles of 2016. Today, we have a new list — the 10 Health Affairs articles that received the most attention this past year. These articles were widely shared on Twitter and Facebook and promoted...

Published Wed, Dec 28 2016 3:29 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Health Affairs journal

CMS Releases Manual For Cost-Sharing Reduction Reconciliations

On December 27, 2016 CMS released its Final Manual for Reconciliation of the Cost-Sharing Reduction (CSR) Component of Advance Payments for Benefit Year 2016. Each month qualified health plan (QHP) insurers receive advance payments reimbursing them for...

Published Wed, Dec 28 2016 9:12 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Essential Health Benefits, cost-sharing reduction payments

CMS Contractors’ Survey Research Illustrates Four Health Care Transparency Paradoxes

In August 2006, Health and Human Services (HHS) Secretary Mike Leavitt announced a Value-driven Health Care Initiative based on “ four cornerstones ,” two of which involved transparency: reporting of price information and reporting of quality information...

Published Wed, Dec 28 2016 8:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Payment Policy, Costs and Spending, HHS, CMS, Price Transparency, shoppable services

The Anthem/Cigna Merger Trial: Sifting Through The Evidence

With the first phase of the trial in the government’s challenge to the merger of Anthem and Cigna wrapping up last Tuesday, several things seem to be coming into focus. The government has put on a strong case that the merger will produce significant market...

Published Wed, Dec 28 2016 7:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Insurance and Coverage, mergers, Litigation, Anthem-Cigna merger, courts

The Demise of the Part B Demo: Doom For Value-Based Payment?

Last week, the administration announced that it would not finalize the demonstration project designed to test payment changes to drugs in Medicare Part B. Part B covers outpatient drugs, those that are administered in a doctor’s office or a hospital....

Published Tue, Dec 27 2016 9:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Payment Policy, Organization and Delivery, CMMI, Medicare Part B, value-based payment, Drugs and Medical Innovation

Global Health Policy: A Health Affairs Resource Hub

While many readers are familiar with Health Affairs’ content focused on the many facets of health and health care in the United States, we also publish extensively on global health policy. Global Health Policy In any given year, Health Affairs publishes...

Published Fri, Dec 23 2016 7:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Global Health Policy

Education, Health, And Behavioral Health: New Policy Priorities For Their Integration Emerge For 2017

In late August 2016, we reported on an initiative by the National Collaborative on Education and Health and Mental Health America (MHA) , with support from the W.K. Kellogg Foundation (WKKF) , aimed at promoting mental health in schools, child care, and...

Published Fri, Dec 23 2016 6:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: GrantWatch, Featured, Payment Policy, Organization and Delivery, Medicaid and CHIP, Health Professionals

ACA Round-Up: Robust Marketplace Enrollment, CBO On Defining Health Insurance, And More

As of December 19, 2016, the extended deadline for enrolling in coverage for January 1, 2017, 6,356,488 consumers were covered by plans selected on HealthCare.gov , the Department of Health and Human Services announced on December 21. This was over 400...

Published Thu, Dec 22 2016 9:15 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

What’s Confusing Us About Mental Health Parity

The Mental Health Parity and Addiction Equity Act (MHPAEA) has been law since 2008. MHPAEA provided that health plans could not limit mental health or substance use disorder benefits in a way that was more restrictive than how most medical/surgical benefits...

Published Thu, Dec 22 2016 9:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Quality, Mental Health, Featured, Payment Policy, Behavioral Health, substance use

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