Health Affairs

Why Medicaid Is The Platform Best Suited For Addressing Both Health Care And Social Needs

The debate about if and how to amend, repeal, or replace the Affordable Care Act has drawn attention to the central role that the Medicaid program plays in providing coverage and access to health care for millions of Americans. This central role positions...

Published Thu, Sep 07 2017 6:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Public Health, Social Determinants of Health, Population Health, Medicaid and CHIP, health equity

Calendar’s Turn Brings New Congressional Approach To Health Reform

As congressional Republicans tried to adopt one bill after another all summer long by narrow partisan margins, they kept hearing the same message from Democrats and others: Why not try bipartisanship? Why not hold hearings, as the Democrats did in the...

Published Wed, Sep 06 2017 11:01 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

Should Value Frameworks Take A ‘Societal Perspective’?

Editor’s note: One of the authors of this post, Peter Neumann, will be discussing issues related to the post at a Health Affairs September 13 event, “ Understanding The Value of Innovations In Medicine .” In 1996, the U.S. Panel on Cost-Effectiveness...

Published Wed, Sep 06 2017 5:39 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Costs and Spending, cost-effectiveness, Drugs and Medical Innovation, 2nd Panel on Cost-Effectiveness in Health and Medicine

Getting Risk Adjustment Right Is Key Under Any Individual Market Scenario

The affordability and stability of premiums in the individual health insurance market figure prominently in the recent and ongoing debates over national health policy. Often overlooked in these debates is the role of risk adjustment and other risk-mitigation...

Published Wed, Sep 06 2017 5:05 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending, risk adjustment, Urban Institute, individual market, American Action Forum, Center for Consumer Information and Insurance Oversight

Health Affairs New Issue: Market Concentration

The September issue of Health Affairs includes a group of studies examining different aspects of health care markets: market concentration, preserving competition, and provider networks. Other September studies provide updates on Affordable Care Act Read...

Published Tue, Sep 05 2017 1:03 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Elsewhere@ Health Affairs, journal

The Anthem-Cigna Merger: A Post Mortem

Editor’s Note: Watch Health Affairs for the new issue release with a special focus on market concentration at 4 pm. On May 12, 2017, Anthem Inc. announced that it would no longer seek to acquire Cigna Corporation, putting an end to a two-year saga...

Published Tue, Sep 05 2017 5:39 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Innovation, Featured, Insurance and Coverage, Cigna, Anthem, Collaborative Accountable Care

ACA Round-Up: Governors Offer Individual Market Stabilization Proposals And More

On August 30, 2017, governors John Kasich of Ohio, John Hickenlooper of Colorado, and six other Republican, Democratic, and Independent governors sent a letter to the Republican and Democratic leaders of the House and Senate asking them to take immediate...

Published Fri, Sep 01 2017 12:07 PM by Health Affairs BlogHealth Affairs Blog

Filed under: States, Following the ACA, Insurance and Coverage, budget reconciliation, out-of-network billing, governors, John Hickenlooper, John Kasich

Forgotten Heroes: Remembering Dr. Alvin Blount, Who Helped Integrate America’s Hospitals

Mortar rounds shook the bunker. The 8225th Mobile Army Surgical Hospital (MASH) was crammed with casualties—civilians, Americans, and KATUSAs (Korean Augmentation to US Army). The four surgical tables under the direction of its acting chief surgeon...

Published Fri, Sep 01 2017 8:17 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health Reform, Medicare, Hospitals, Medicaid and CHIP, health equity, Simkins v. Cone, hospital segregation, George Simkins, Alvin G. Blount, health disparity

Insurance Commissioners And The Feds: Time For Some Relationship Counseling?

The Affordable Care Act (ACA) effectively created a shotgun marriage between state insurance regulators and the US Department of Health and Human Services who then had to provide oversight of their baby — the individual insurance market. The relationship...

Published Fri, Sep 01 2017 6:50 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, individual market

CMS Cuts ACA Advertising By 90 Percent Amid Other Cuts To Enrollment Outreach

On August 31, 2017, the Centers for Medicare and Medicaid Services (CMS) announced that it intends to cut Affordable Care Act advertising from the $100 million spent by the Obama administration in 2016 for the 2017 open enrollment period by 90 percent...

Published Thu, Aug 31 2017 6:41 PM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

Data-Driven Policy Making In An Age Of Anecdotes: What Happens When A Foundation Creates A Policy Center?

Why would a health foundation create a public policy research center? The Healing Trust , in Nashville, Tennessee, has funded a wide variety of health-related service and advocacy organizations in Middle Tennessee. But in 2014, we asked them what additional...

Published Thu, Aug 31 2017 9:46 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Health Reform, Policy, Medicaid, Health Philanthropy, GrantWatch, Featured, Tennessee, nonpartisan, State Health Policy

ACA Round-Up: CDC Reports Long-Term Coverage Gains, Shorter-Term Stall; Risk Corridor Briefs Filed; And More

The Centers for Disease Control and Prevention (CDC) have released their Health Insurance Coverage: Early Release of Estimates from the National Health Interview Survey , January to March 2017. The survey shows that during the first three months of 2017...

Published Thu, Aug 31 2017 9:18 AM by Health Affairs BlogHealth Affairs Blog

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

Are Short-Term Limited Duration Plans Bad For The Individual Market?

With the impasse in the congressional GOP’s attempts to repeal and replace the Affordable Care Act (ACA), the Trump administration has sought regulatory reforms that could improve health care choices and reduce costs for consumers. Among their options...

Published Thu, Aug 31 2017 5:51 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, individual market, repeal and replace, short-term limited duration plans

Medicaid Coverage For Residential Substance Use Disorder Treatment: Addressing The Institution For Mental Disease Exclusion Policy

On August 10, 2017, President Donald Trump announced that the opioid crisis will be declared “a national emergency.” This announcement was in line with one of the nine recommendations made by the President’s Commission on Combating Drug Addiction and...

Published Thu, Aug 31 2017 5:33 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Population Health, Insurance and Coverage, Medicaid and CHIP, substance use disorder treatment, substance use disorder, Institution for Mental Disease exclusion policy, opioid crisis, Section 1115 waiver

What Medicaid Recipients And Other Low-Income Adults Think About Medicaid Work Requirements

To make the Affordable Care Act’s (ACA) Medicaid expansion more politically palatable, a number of conservative states have used 1115 Medicaid demonstration waivers to implement personal responsibility focused policies. These waivers have been used, for...

Published Wed, Aug 30 2017 5:36 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Quality, Following the ACA, Insurance and Coverage, Medicaid and CHIP, Section 1115 Waivers, Kentucky HEALTH, Medicaid work requirements

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