Health Affairs

Implementing Health Reform: Verifying Income, Combating Discrimination, And More

We are in the very depths of summer and should all be at the beach. But with the exchanges set to open their doors in less than nine weeks time, there is little rest for federal and state agency staff charged with opening those doors. After three years...

Published Thu, Aug 01 2013 1:48 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Politics, Insurance, States, Employer-Sponsored Insurance, Spending, Coverage, Disparities

Physician Payment: Forget Carrots And Sticks, It’s Motivation

Motivation is the fuel that keeps any professional going, the fuel for our internal generator. Where we go, of course, depends on our morals and ethics, but that's a different issue. Our motivation is to achieve certain goals, and overwhelmingly,...

Published Wed, Aug 07 2013 5:06 AM by Health Affairs Blog

Filed under: All Categories, Policy, Payment, Physicians, Workforce

Is Observation Status Substituting For Hospital Readmission?

Since October 2012, the Medicare program has penalized hospitals when too many patients in traditional Medicare are re-hospitalized within a month of discharge. This policy appears to be having unintended consequences for patients in Medicare and in the...

Published Wed, Oct 28 2015 6:55 AM by Health Affairs Blog

Filed under: Medicare, Quality, Population Health, Featured, Organization and Delivery, Costs and Spending, readmissions, Veterans Hospitals, penalties

How Government Policy Promotes High Drug Prices

It is a bedrock principle of capitalism that as competition erodes profits on established products, enterprises will invest in innovation to earn higher profits from new products. US law governing prescription pharmaceutical markets abandons that principle...

Published Thu, Oct 29 2015 7:00 AM by Health Affairs Blog

Filed under: Quality, Comparative Effectiveness, Featured, Payment Policy, Costs and Spending, Drugs and Medical Technology, FDA, generic drugs, 21st Century Cures Act, Prescription Drugs, Big Pharma, Hatch-Waxman Act

Employer-Sponsored Family Health Premiums Rise A Modest 4 Percent In 2013

Annual premiums for employer-sponsored family health coverage reached $16,351 this year, up 4 percent from last year, with workers on average paying $4,565 toward the cost of their coverage, according to the Kaiser Family Foundation(KFF)/Health Research...

Published Tue, Aug 20 2013 8:01 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Prevention, Employer-Sponsored Insurance, Coverage

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

Health Affairs Vaccines Briefing Recap

On Tuesday, February 9, 2016, Health Affairs commemorated the release of its February issue, “ Vaccines ,” at a forum in Washington, DC that featured authors from the issue discussing the complex environment in which vaccines are discovered, produced...

Published Wed, Feb 10 2016 12:07 PM by Health Affairs Blog

Filed under: Public Health, Global Health, Elsewhere@ Health Affairs, Featured, Drugs and Medical Technology, vaccines, Health Affairs Briefing

Patients Are The Sun: The Imperative For Consumer Engagement In Transforming Health Care

On January 15, Community Catalyst , a national consumer health advocacy organization, launched its Center for Consumer Engagement in Health Innovation at the National Press Club, in Washington, D.C. The event drew more than 150 leaders in health care...

Published Thu, Feb 11 2016 2:17 PM by Health Affairs Blog

Filed under: Consumers, Health Care Costs, Medicare, Quality, Medicaid, Innovation, Aging, Health Philanthropy, GrantWatch, Health Care Delivery, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Equity and Disparities, health equity

Request For Abstracts: Health Affairs Issue On Oral Health

Health Affairs is planning a December 2016 theme issue on oral health. Among other topics, we are interested in work exploring coverage, access, and utilization; disparities and special populations; workforce, training, and scope of practice; prevention;...

Published Tue, Feb 16 2016 11:33 AM by Health Affairs Blog

Filed under: Oral Health, Elsewhere@ Health Affairs, Featured, request for abstracts, Health Affairs journal

CMS Releases Final List Of 19,000 Essential Community Providers

Implementing Health Reform. On February 17, 2016, the Centers for Medicare and Medicaid Services (CMS) released a final updated list of over 19,000 essential community providers (ECPs) to assist insurers in complying with the ECP requirements that apply...

Published Wed, Feb 17 2016 1:45 PM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, QHPs, essential community providers, National Provider Identifier, ECPs

HHS Must Remove Barriers To Coverage For Pregnant Women

The Affordable Care Act (ACA) has made strides towards improving access to health care by giving most women access to affordable coverage and requiring private health insurance plans to include maternity coverage and preventive services as part of essential...

Published Fri, Feb 19 2016 7:00 AM by Health Affairs Blog

Filed under: Public Health, Quality, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Women's Health, Maternal Health, special enrollment period, Healthy MOM Act, March of Dimes, prenatal care

Health Affairs Briefing: The Evolving Landscape Of Physician Practice

You are invited to join Health Affairs for our March 2016 issue briefing at which we will highlight a group of articles related to how physicians practice medicine. Specific topics include the cost to physician practices of tracking and reporting on quality...

Published Mon, Feb 22 2016 12:30 PM by Health Affairs Blog

Filed under: Physicians, Elsewhere@ Health Affairs, patient uses of evidence, physician perspective, events

Dubious Health Care Merger Justifications: The Sumo Wrestler And ‘Government Made Me Do It’ Defenses

Editor’s note: This post is part of a Health Affairs Blog symposium stemming from “ The New Health Care Industry : Integration, Consolidation, Competition in the Wake of the Affordable Care Act,” a conference held recently at Yale Law School’s Solomon...

Published Wed, Feb 24 2016 10:36 AM by Health Affairs Blog

Filed under: Medicare, Quality, Hospitals, Population Health, Payment Policy, Insurance and Coverage, Costs and Spending, Health Professionals, Supreme Court, insurance mergers, Yale Health Care Industry Symposium, market consolidation

CMS Announces New Requirements To Enroll In Special Enrollment Periods

Implementing Health Reform. The Affordable Care Act, of course, abolished health status underwriting in the individual market and required coverage of preexisting conditions. This, however, created a problem — if individuals could sign up for coverage...

Published Wed, Feb 24 2016 1:56 PM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, healthcare.gov, special enrollment periods

HHS, Labor, And Treasury Propose Revised Summary Of Benefits And Coverage Template

Implementing Health Reform. Section 2715 of the Affordable Care Act directs the Secretary of Health and Human Services to: develop standards for use by a group health plan and a health insurance issuer offering group or individual health insurance coverage...

Published Fri, Feb 26 2016 5:22 AM by Health Affairs Blog

Filed under: Featured, Payment Policy, Following the ACA, Insurance and Coverage

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