Health Affairs

Community Health Center Strategies For Pursuing Accountable Care

Accountable care strategies are spreading from Medicare and commercial insurance arenas to Medicaid programs, thus extending the benefits of payment and delivery reform to the safety net. Medicaid Accountable Care Organizations (ACOs) are now emerging...

Published Wed, Sep 02 2015 9:07 AM by Health Affairs Blog

Filed under: Medicare, Quality, Hospitals, Innovations in Care Delivery, Population Health, Community Health Centers, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Equity and Disparities, SDH, ACOs, Safety Net, CMS, Boston, Urban Health

Assuring Hospital Emergency Care Without Crippling Competition

Hospital emergency departments (EDs) occupy a critical position in the American health care system, bearing responsibility for the most urgent acute care cases, while serving as a provider of last resort for many without insurance coverage. Emergency...

Published Mon, Jul 06 2015 11:59 AM by Health Affairs Blog

Filed under: Quality, Hospitals, Medicaid, Emergency Medicine, Population Health, Featured, Payment Policy, Insurance and Coverage, Organization and Delivery, Costs and Spending, Equity and Disparities, ACA, Nonprofit, ED, EMTALA, Community Health, Uncompensated Care

Heading Off The Looming Diabetes-Tuberculosis Epidemic

Tuberculosis (TB) has recently made headlines in the U.S. And news of these cases remind us once again that TB is far from conquered. This disease infects about 8.6 million people every year and kills 1.5 million, more than any other infectious disease...

Published Wed, Aug 19 2015 6:27 AM by Health Affairs Blog

Filed under: Public Health, Global Health, Population Health, Featured, Organization and Delivery, Costs and Spending, Equity and Disparities, World Health Organization, Diabetes, HIV/AIDS, epidemics, World Diabetes Foundation, TB

Improving Outcomes for Justice-Involved Individuals With Lessons From Veterans Programs

Over 10 million individuals were incarcerated in the United States at some point in 2014 . Incarcerated individuals are disproportionately poor, black, and homeless , and suffer from higher rates of mental illness , substance use disorders , and chronic...

Published Thu, Oct 06 2016 8:55 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Veterans, Featured, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, ACOs, readmissions, criminal justice, Veterans Administration

To Fight Antimicrobial Resistance, Allow FDA To Approve New Drugs For Limited Populations

Over the past several months, microbiologists and public health experts around the world have been alarmed by the discovery of a gene conferring resistance to colistin, a so-called “last resort” antibiotic. The gene, MCR-1, was discovered in China last...

Published Tue, Apr 05 2016 10:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Global Health, Quality, Research, Population Health, Featured, Drugs and Medical Technology, FDA, Congress, 21st Century Cures Act, Antibiotic Resistance, Antibiotics, limited-population antibacterial drug, PATH Act, MCR-1

High Quality, Affordable Care: Making The Case For Smarter Networks

Narrow networks are one means health insurance plans have used to mitigate increases in health insurance premiums. These networks have become more prevalent since the expansion of coverage brought about by the Affordable Care Act (ACA). But these narrow...

Published Thu, Nov 13 2014 6:00 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Insurance, Coverage, Quality

How Institutional Review Boards Can Support Learning Health Systems While Providing Meaningful Oversight

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 Fri, Jun 05 2015 11:22 AM by Health Affairs Blog

Filed under: Comparative Effectiveness, Research, Population Health, Featured, Equity and Disparities, Health Professionals, HHS, SUPPORT study, IRBs, Institute of Medicine, OHRP

Health Affairs’ June Issue: Markets, Prices, And Incentives

The June issue of Health Affairs, a variety issue, includes a number of articles examining how health care markets function — and how the policies that set prices create incentives for behavior, both desirable and undesirable. Another featured article...

Published Mon, Jun 08 2015 1:05 PM by Health Affairs Blog

Filed under: Medicare, Global Health, Hospitals, Elsewhere@ Health Affairs, Featured, Payment Policy, Costs and Spending, Health Professionals, EHRs, PEPFAR, Teen Driving

Changing The Way Physicians Are Paid: Report Of The National Commission On Physician Payment Reform

The loud cries warning that rising health care costs are going to destroy the nation’s economy have been shouted so often that the will to move firmly in any one direction has almost halted. We’ve all heard them: health care costs are unsustainable, excessive...

Published Mon, Mar 04 2013 5:02 AM by Health Affairs Blog

Filed under: All Categories, Prevention, Payment, Physicians, Primary Care, Chronic Care, Health Care Costs, Spending, Medicare, Competition, Quality, Hospitals

An Ounce Of Prevention For The ACA’s Second Open Enrollment

Note: In addition to Jon Kingsdale, this post is coauthored by Julia Lerche. Since recovering from its flawed rollout, the ACA has enjoyed a string of successes. By April, some eight million Americans managed to enroll; for 2015, some reluctant insurers...

Published Mon, Aug 04 2014 9:43 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, Payment, States, Cost

Measuring Patient Satisfaction: A Bridge Between Patient And Physician Perceptions Of Care

Patient satisfaction is at the core of patient centered medicine. Improved patient satisfaction not only leads to an enhanced patient experience—something every sick or injured patient deserves—it is also associated with improved treatment outcomes. In...

Published Fri, May 09 2014 9:38 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Physicians, Quality, Hospitals, Effectiveness

Managed Competition 2014: Rescued By The Private Sector?

Managed Competition (MC) among health care financing and delivery systems was first conceived as a proposed public policy to drive delivery system change in the private sector by assuring consumers that they have choices, as well as rewards for choosing...

Published Mon, May 12 2014 10:44 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Politics, Insurance, Payment, Employer-Sponsored Insurance, Medicare, Competition, Health Care Delivery

A Look Forward To Health Care In 2017: Top Five Trends

The new year is already underway and we expect both a new Republican-dominated Congress and President Donald Trump to bring ambitious policy changes to health care. With significant pent up energy among the Republicans and a limited 18-month window for...

Published Wed, Feb 01 2017 7:30 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Population Health, Featured, Payment Policy, Insurance and Coverage, Organization and Delivery, Costs and Spending, MACRA, Alternative Payment Models, biosimilar

Even For Large Employers, The Future Of Delivery System Reform And Publicly Financed Coverage Matters

Which elements of the current health policy debate are most relevant to America’s large employers? Most people, including members of Congress currently debating the law’s future, would probably point to the excise tax on high-cost health plans, the employer...

Published Tue, Jan 31 2017 7:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Employer-Sponsored Insurance, Quality, Payment Policy, Insurance and Coverage, employer-sponsored coverage, value-based payment

ACA Round-Up: CMS Acts To Aid Hurricane Victims; Oklahoma Withdraws 1332 Wavier Application; And More

On September 29, 2017, the Centers for Medicare and Medicaid announced several measures that it is taking with respect to federal health care programs to aid people affected by hurricanes Harvey, Irma, and Maria. Several of these measures that will affect...

Published Fri, Sep 29 2017 10:07 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, 1332 waivers, special enrollment periods, state marketplaces, Hurricane Irma, Hurricane Maria, Hurricane Harvey

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