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Medicare Physician Payment Reform: An Analysis Of The New Congressional Proposal

On October 31, 2013 the House Ways & Means and Senate Finance Committees unveiled a bicameral and bipartisan press release and Discussion Draft of a proposal to repeal the SGR (sustainable growth rate) update to professional fees and replace it with...

Published Fri, Nov 08 2013 9:47 AM by Health Affairs Blog

Filed under: All Categories, Policy, Payment, Physicians, Health IT, Health Care Costs, Spending, Medicare, Workforce, Quality
Until Next Year

It’s been our great pleasure to collaborate with the Health Affairs Blog on this series stemming from the Third Annual Health Law Year in P/Review symposium at Harvard Law School. This annual event takes a look back over the prior year and previews the...

Published Wed, Jun 24 2015 6:00 AM by Health Affairs Blog

Filed under: Public Health, Population Health, Featured, Insurance and Coverage, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Ebola, ACA, Hobby Lobby, Harvard Law, FDA, right to try, MassHealth, Common Rule, Brittany Maynard, SCOTUS, Petrie-Flom Center, Antibiotics, The Health Law Year in P/Review
Post-King: Moving Forward In A New Normal

Despite its monumental achievement, the Affordable Care Act (ACA), like any landmark piece of legislation, was only the beginning. Its aim was grand, but even putting aside the wild circumstances of its enactment , it was evident that effective implementation...

Published Tue, Jun 30 2015 5:36 AM by Health Affairs Blog

Filed under: Medicare, Population Health, Featured, Payment Policy, CHIP, Following the ACA, Insurance and Coverage, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Equity and Disparities, ACA, King v. Burwell, NFIB v. Sebelius, coverage gap
Lessons From Early Medicaid Expansions Under The Affordable Care Act

The Affordable Care Act (ACA) will dramatically expand Medicaid in a number of states starting in January 2014. In this month’s issue of Health Affairs , new research from DeLeire and colleagues on Wisconsin’s 2009 BadgerCare expansion and from Price...

Published Fri, Jun 14 2013 9:05 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Policy, Politics, States, Spending, Coverage, Access, Medicaid, Mental Health, Substance Abuse
A Tale Of Two Deliveries, Or An Out-Of-Network Problem

As co-workers and first-time moms-to-be, we shared much of the pregnancy journey together — including the same employer-sponsored health insurance plan. We even delivered within weeks of each other at the same hospital. For both of us, the key to...

Published Tue, Nov 03 2015 8:30 AM by Health Affairs Blog

Filed under: Employer-Sponsored Insurance, Featured, Payment Policy, Insurance and Coverage, Costs and Spending, Equity and Disparities, Affordable Care Act, pregnancy, anesthesiology, out-of-network billing
Health Policy Brief: Per Capita Caps In Medicaid

A new Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation discusses per capita caps, a proposed reform to Medicaid that would limit the amount of federal spending per beneficiary. The proposal's supporters contend that it...

Published Fri, Apr 19 2013 8:36 AM by Health Affairs Blog

Filed under: All Categories, Policy, States, Spending, Medicaid
The Making Of Nepal’s Immunization Law

Financial independence for Nepal’s immunization program is now within reach for the first time in history. On January 26, 2016, President Bidya Devi Bhandari of Nepal signed into law a long-awaited immunization bill. This law will improve oversight of...

Published Mon, Mar 07 2016 9:00 AM by Health Affairs Blog

Filed under: Global Health, Population Health, Featured, Costs and Spending, vaccines, Nepal, Kathmandu Declaration, Gavi, Sustainable Immunization Financing Program
Do Americans Understand Long-Term Care?

Results from a new national telephone survey found that “Americans continue to misperceive [the] cost and risk of needing long-term care,” said the SCAN Foundation , funder of the survey, in a July 9 e-alert. The Associated Press (AP)-NORC Center for...

Published Thu, Jul 16 2015 7:41 PM by Health Affairs Blog

Filed under: Consumers, Medicare, Access, Aging, Long-Term Care, Health Philanthropy, GrantWatch, Costs and Spending, Long-term Services and Supports, California
Health Affairs Briefing: Biomedical Innovation

Biomedical innovation lengthens and enriches our lives through breakthroughs in medications and care, but it is has also been the leading source of health care cost growth over the past few decades. The upcoming February 2015 thematic issue of Health...

Published Tue, Jan 20 2015 1:15 PM by Health Affairs Blog

Filed under: All Categories, Policy, Health Care Costs, Pharma, Innovation, Technology, Biotech, Science and Health, Research
Arkansas Payment Improvement Initiative: Expanding Episodes To Other Clinical Areas

Editor’s note: This post is part of a periodic Health Affairs Blog series, looking at payment and delivery reforms in Arkansas and Oregon. The posts are based on evaluations of these reforms performed with the support of the Robert Wood Johnson Foundation...

Published Tue, May 19 2015 7:39 AM by Health Affairs Blog

Filed under: States, Medicaid, Innovations in Care Delivery, Payment Policy, Medicaid and CHIP, Payment Reform, CMMI, PCMH, CMS, Arkansas Payment Improvement Initiative, APII, SIM Testing Award
Court Blocks Aetna-Humana Deal: The Mega-Mergers Meet The Trump Administration Next?

Big Insurance was dealt a significant blow on Monday, January 23. A federal judge in Washington D.C. ruled in favor of the Department of Justice (DoJ) and blocked the proposed $37 billion merger of Aetna and Humana because it would have anti-competitive...

Published Mon, Jan 30 2017 6:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Health Law, Insurance and Coverage, Medicare Advantage, Aetna, Humana, mega-merger, Department of Justice
Measuring The Outcomes Of Health Reform: Opportunities For Federal And State Policymakers

With the debut of the Affordable Care Act’s (ACA) Health Insurance Marketplaces on October 1 st , Americans are starting to use to these new online markets to shop for and purchase affordable insurance coverage. As these Marketplaces begin operating at...

Published Mon, Oct 28 2013 12:34 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, Health IT, States, Employer-Sponsored Insurance, Coverage, Medicaid, Children
2014 National Health Spending: The Great Moderation Likely Is Not Over

Two weeks ago, the Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS) released their 2014 US health spending estimate showing the highest national health spending growth rate since 2008 — 5.3 percent. The question on everyone...

Published Mon, Dec 14 2015 10:36 AM by Health Affairs Blog

Filed under: Medicare, Featured, Payment Policy, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Drugs and Medical Technology, Accountable Care Organizations, ACA, ACOs, hepatitis C, CMS, Sovaldi, national health spending
CBO Provides A Roadmap For Improving AHCA

The future of the American Health Care Act (AHCA), the GOP-drafted plan to repeal and replace the Affordable Care Act (ACA), is unclear after the bill was pulled before the House of Representatives could vote on it. But the debate over the ACA and proposals...

Published Tue, Apr 04 2017 7:16 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Medicaid and CHIP, CBO, ACA repeal and replace, AHCA
Prescription Drug Regulation, Promotion, And Advocacy Has Gotten More Vexing In 2017

Editor’s note: This post is part of a series stemming from the Fifth Annual Health Law Year in P/Review event held at Harvard Law School on Monday, January 23, 2017. The conference brought together leading experts to review major developments in health...

Published Thu, Mar 23 2017 10:12 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, FDA, The Health Law Year in P/Review, Drugs and Medical Innovation, right-to-try laws

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Medicare Physician Payment Reform: An Analysis Of The New Congressional Proposal

Until Next Year

Post-King: Moving Forward In A New Normal

Lessons From Early Medicaid Expansions Under The Affordable Care Act

A Tale Of Two Deliveries, Or An Out-Of-Network Problem

Health Policy Brief: Per Capita Caps In Medicaid

The Making Of Nepal’s Immunization Law

Do Americans Understand Long-Term Care?

Health Affairs Briefing: Biomedical Innovation

Arkansas Payment Improvement Initiative: Expanding Episodes To Other Clinical Areas

Court Blocks Aetna-Humana Deal: The Mega-Mergers Meet The Trump Administration Next?

Measuring The Outcomes Of Health Reform: Opportunities For Federal And State Policymakers

2014 National Health Spending: The Great Moderation Likely Is Not Over

CBO Provides A Roadmap For Improving AHCA

Prescription Drug Regulation, Promotion, And Advocacy Has Gotten More Vexing In 2017