Health Affairs

Foundation Reactions To The 2016 Presidential Election: Round-Up

Here are some snippets from blog posts and commentaries across the country. This is just a sampling and is not meant to be comprehensive. California Health Care Foundation: “The Future of Health Care in California,” by Sandra R. Hernández, president and...

Published Tue, Nov 22 2016 8:51 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, GrantWatch, Featured, Insurance and Coverage, Costs and Spending, Long-term Services and Supports, 2016 election

House Seeks Pause In Cost-Sharing Reduction Litigation

On November 21, the House of Representatives filed a motion to “Hold Briefing in Abeyance or, in the Alternative, to Extend the Briefing Schedule” in House v. Burwell . To recap briefly, House v. Burwell is a lawsuit brought by the House of Representatives...

Published Tue, Nov 22 2016 8:01 AM by Health Affairs BlogHealth Affairs Blog

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

The All-Payer Accountable Care Organization Model: An Opportunity For Vermont And An Exemplar For The Nation

The first of its kind in the nation, the all-payer accountable care organization (ACO) model allows Vermont the opportunity to create a transformative payment model that moves all payers (Medicare, Medicaid, and commercial) towards a prospective, value...

Published Tue, Nov 22 2016 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: States, Population Health, Featured, Payment Policy, Organization and Delivery, ACOs, Vermont, Green Mountain Care Board, Accountable Care Organization

Public Health 3.0: A Blueprint For The Future Of Public Health

The average lifespan in the United States has extended by 10 years since the 1950s, an achievement made through progress in healthier behaviors, cleaner air, food and water, and breakthroughs in disease diagnosis and treatment. Over the last several years...

Published Mon, Nov 21 2016 9:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Social Determinants of Health, Population Health, Featured, Costs and Spending

Divorcing Reimbursement From Real-World Prices: Medicare Still Uses 2003 AWPs For Some Drugs

Average wholesale prices (AWPs) have long been recognized as a flawed payment benchmark because they are list prices that do not reflect the real-world prices available in the marketplace. For that reason, a common joke in the drug pricing world panned...

Published Mon, Nov 21 2016 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Payment Policy, Costs and Spending, Drugs and Medical Technology, Medicare Part B, Office of Inspector General, durable medical equipment, Average wholesale prices

A Portfolio Strategy For Affordable Coverage: Disaggregating Problems, Aggregating Solutions

America has entered into a renewed debate about health care policy, and already that debate has become fractious, highly charged, and analytically messy. But behind the rhetoric are serious problems in our health care sector that need to be addressed...

Published Fri, Nov 18 2016 8:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Employer-Sponsored Insurance, Insurance and Coverage, Costs and Spending

Defining The Health Care System’s Role In Addressing Social Determinants And Population Health

Editor’s note : This is part of a periodic series of Health Affairs Blog posts discussing the Culture of Health . In 2014 the Robert Wood Johnson Foundation announced its Culture of Health initiative, which promotes health, well-being, and equity. These...

Published Thu, Nov 17 2016 9:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Hospitals, Social Determinants of Health, Population Health, Featured, Organization and Delivery, Health Professionals, culture of health

US Adults Trail 11 Other Countries For Affordable, Accessible Health Care

A Web First study released by Health Affairs found that 28 percent of US adults reported having at least two chronic health conditions, a higher percentage than in any other country (see exhibit). Poor Adult Health Authors Robin Osborn, David Squires...

Published Wed, Nov 16 2016 1:00 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Elsewhere@ Health Affairs, Population Health, Featured, Web First, Global Health Policy

Higher Marketplace Benchmark Plan Premiums Could Reduce Post-Subsidy Premiums For Many

Monthly premiums for Benchmark Silver plans in the Affordable Care Act’s (ACA) Federally Facilitated Marketplaces (FFM) for individual health plans will increase by an average of 25 percent from 2016 to 2017. The magnitude of these increases has raised...

Published Wed, Nov 16 2016 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending, cost-sharing reduction subsidies, silver plan

Health Technology And Human Touch Need Not Be At Odds

In the October issue of Health Affairs , Abraham Verghese had a wonderful essay about the practice of medicine entitled “ The Importance of Being ,” in which he straightforwardly states: “I want to teach the art of being present.” He aptly points out...

Published Tue, Nov 15 2016 8:01 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Physicians, Health IT, Narrative Matters, Drugs and Medical Technology, Health Professionals, physicians perspective

Insurer’s Risk Corridor Payment Claims Dismissed; New ACA Reg From OSHA

While politicians, the media, and the public actively debate the future of the Affordable Care Act, litigation over the ACA and implementation of the law go on. On November 10, Judge Charles Lettow of the United States Court of Claims dismissed all claims...

Published Mon, Nov 14 2016 2:05 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, risk corridor payments, retaliation

CMS’ Hospital Quality Star Ratings Fail To Pass The Common Sense Test

In July of 2016, the Centers for Medicare and Medicaid Services (CMS) implemented a new overall star rating system on the Hospital Compare website. Almost all hospitals are now rated between one and five stars (higher is better) depending on performance...

Published Mon, Nov 14 2016 9:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, Hospitals, Medicaid and CHIP, CMS, Star ratings, Star Rating System

Unpacking The 2018 Draft Letter To Federally Facilitated Marketplace Issuers

On November 10, the Centers for Medicare and Medicaid Services (CMS) at the Department of Health and Human Services (HHS) released its Draft 2018 Letter to Issuers in the Federally Facilitated Marketplace (FFM). CMS releases a letter each year to insurers...

Published Fri, Nov 11 2016 3:13 PM by Health Affairs BlogHealth Affairs Blog

Filed under: States, Payment Policy, Following the ACA, Insurance and Coverage, qualified health plans, Small Business Health Options Program, network adequacy, standardized plans, prescription drug formularies, individual insurance market, rate review, standalone dental plans

Are Public–Private Partnerships The Future Of Serving Veterans?

Despite hearing far too often only about the problems our veterans face, the majority of transitioning veterans return home safely—free of mental health problems—and quickly reintegrate into the communities where they will continue to serve. Unfortunately...

Published Thu, Nov 10 2016 11:12 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Hospitals, GrantWatch, Featured, Organization and Delivery

Health Affairs Issue: A Culture Of Health

The November issue of Health Affairs explores where action is most needed to successfully build a Culture of Health and identifies how we might start. This month’s DataGraphic provides a pictorial view of key facts about how population well-being affects...

Published Wed, Nov 09 2016 1:00 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, Featured, culture of health

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