Health Affairs

The Tangled Hospital-Physician Relationship

Together, hospital and physician services account for more than half of national health spending. In its 2014 National Health Expenditures estimates, the Centers for Medicare and Medicaid Services’ actuaries make the hospital (nearly $1 trillion) and...

Published Mon, May 09 2016 8:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Physicians, Medicare, Quality, Hospitals, Population Health, Featured, Payment Policy, Costs and Spending, Health Professionals, ACOs, EMTALA, MACRA, Medicare Part B, Bundled Payments

Federal Support For Working-Age People With Disabilities: We Can Do Better

The federal government is spending a lot to support working-age people with disabilities. Federal outlays in fiscal year 2008 for this population totaled $357 billion – representing 12 percent of all federal spending. By way of comparison, the federal...

Published Thu, Oct 06 2011 1:12 PM by Health Affairs Blog

Filed under: All Categories, Policy, Spending, Workforce, Disabilities

Reconnecting Mouth And Body: ACA Fails To Meet Dental Care Needs But States Can Pick Up Slack

Editor's note: Watch for research in the upcoming September issue of Health Affairs by these authors, Marko Vujicic and Kamyar Nasseh, on dental care utilization among poor adults after health reform in Massachusetts. As the Surgeon General and the...

Published Mon, Aug 26 2013 11:10 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Policy, Payment, Health Care Costs, States, Spending, Access, Medicaid, Dental Care

The OIG Report Analyzing Healthcare.gov’s Launch: What’s There And What’s Not

Implementing Health Reform. On February 23, 2016, the Office of Inspector General (OIG) of the Department of Health and Human Services released a lengthy overview report analyzing the implementation of the Affordable Care Act (ACA) federal marketplace...

Published Wed, Feb 24 2016 8:14 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, healthcare.gov, open enrollment, OIG, federal marketplace

The 2017 Benefit And Payment Parameters Final Rule: Drilling Down (Part 2)

Implementing Health Reform. This is my third post on the 2017 Benefit and Payment Parameters final rule . The first post summarized the highlights of the rule and the final 2017 Letter to Issuers in the Federally Facilitated Marketplace. The second post...

Published Wed, Mar 02 2016 10:13 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

A New Understanding Of Health System Performance For Older Adults

The number of people age 65 and older in the U.S. will almost double between 2012 and 2050, increasing from 43.1 million in 2012 (one in seven Americans) to 83.7 million (one in five Americans). At the same time this large demographic shift is occurring...

Published Mon, Mar 14 2016 9:06 AM by Health Affairs Blog

Filed under: Medicare, Quality, End-of-Life Care, Aging, Population Health, Featured, Health Professionals, Long-term Services and Supports, Cancer, patient-centered care, specialty care, Dartmouth Atlas, readmisisons

Price Transparency Tools: The Good News, The Challenges, And The Way Forward

With health care costs continuing to rise and employees taking on an ever-growing share of costs, it’s no wonder the market for price transparency and consumer-oriented tools and solutions continued to grow in 2013. Well over a dozen independent vendors...

Published Wed, Nov 20 2013 11:44 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Politics, Payment, Health Care Costs, States, Competition, Quality

Robert Wood Johnson Foundation Young Leader Awards: Call For Nominations

As part of the Robert Wood Johnson Foundation’s commemorative activities to honor its 40 years of grant-making, the foundation has established the Young Leader Awards: Recognizing Leadership for a Healthier America. This program will recognize up to 10...

Published Wed, Jun 27 2012 4:49 AM by Health Affairs Blog

Filed under: All Categories, Coverage, Access, Quality, Innovation

A Tribute To Surgeon General C. Everett Koop

A frequent statement of mine is, "We need public health leadership that cares enough, knows enough, is willing to do enough, and will be persistent." Surgeon General C. Everett Koop was just such a leader, for he was caring; he was competent;...

Published Fri, Mar 01 2013 9:48 AM by Health Affairs Blog

Filed under: All Categories, Public Health, Policy, Politics, Physicians, AIDS, Children, Substance Abuse

Creating A Workforce For The New Health Care World

Recently, the Institute of Medicine and the National Research Council reported that Americans die earlier and live in poorer health than people in other industrialized countries. This is the latest evidence of the urgent need for health reform, as embodied...

Published Thu, Mar 07 2013 12:37 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Prevention, Policy, Physicians, Primary Care, Health Care Costs, Medicare, Workforce, Quality, Hospitals, Nurses

The Future of Consumer-Directed Health Care

Over the next decade I believe we are going to see a major transformation of American medicine. It won’t be the kind of transformation that is normally discussed at health care conferences and at inside-the-Beltway briefings. Nor will it be the...

Published Fri, Feb 18 2011 8:51 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, Primary Care, Spending, Workforce, Access

What Happens When A Retail Pharmacy Decides To Stop Selling Cigarettes?

Editor’s note: This post is part of a series stemming from the Third Annual Health Law Year in P/Review event held at Harvard Law School on Friday, January 30, 2015. The conference brought together leading experts to review major developments in health...

Published Thu, Feb 26 2015 6:00 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Public Health, Consumers, Prevention, Policy, Health Care Costs, Business of Health Care

Transforming Rural Health Care: High-Quality, Sustainable Access To Specialty Care

Editor's note: This post is also authored by Kate Samuels, a project manager at Brookings. It is informed by a case study, the fourth in a series made possible through the Merkin Initiative on Physician Payment Reform and Clinical Leadership , a special...

Published Fri, Dec 05 2014 10:09 AM by Health Affairs Blog

Filed under: All Categories, Policy, Payment, Physicians, Health IT, Primary Care, Workforce, Quality, Disparities, Health Care Delivery, Connected Health

Teaching Health Centers: An Attainable, Near-Term Pathway To Expand Graduate Medical Education

Stakeholders in Graduate Medical Education (GME) and members of Congress eagerly anticipated the long delayed but recently released Institute of Medicine (IOM) GME report . While perceptively characterizing the defects in our GME system, recommendations...

Published Fri, Oct 17 2014 8:14 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Policy, Politics, Physicians, Primary Care, Health Care Costs, Medicare, Workforce, Hospitals, Disparities, Medicaid, Veterans

The Court’s Medicaid Ruling And The Imperative To Communicate The Facts About The ACA

Before yesterday’s remarkable Supreme Court decision on the Affordable Care Act (ACA), I expected Chief Justice Roberts would lead a majority in a constrained decision which would avoid all but the narrowest consideration of constitutional questions....

Published Fri, Jun 29 2012 12:33 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Policy, Politics, Public Opinion, States, Medicaid, Health Law, Innovation

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