Health Affairs

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

Accountable Health Communities And Expanding Our Definition Of Health Care

In 1965, Dr. Jack Geiger founded one of the first two community health centers in the U.S. in a desperately poor area of the Mississippi Delta. So many of his patients presented with malnutrition that he began writing prescriptions for food — patients...

Published Wed, Mar 02 2016 9:00 AM by Health Affairs Blog

Filed under: Public Health, Quality, Hospitals, Social Determinants of Health, Population Health, Featured, Equity and Disparities, Health Professionals, Community Health, Food and Health, Accountable Health Communities, safety-net organizations

Health Care Consumerism: Can The Tail Wag The Dog?

In September 2012, The Los Angeles Times ran a story suggesting that the Affordable Care Act (ACA) would usher in a new age of health care consumerism powered by on-line tools, cost calculators, and armies of engaged consumers. In the intervening years...

Published Wed, Mar 02 2016 7:00 AM by Health Affairs Blog

Filed under: Quality, Featured, Insurance and Coverage, Costs and Spending, Florida, Consumers Union, price variation, shoppable services, HCCI

The 2017 Benefit And Payment Parameters Final Rule: Drilling Down (Part 1)

Implementing Health Reform. On February 29, 2016, the Department of Health and Human Services finalized its 2017 Benefit and Payment Parameters (BPP) Rule . The rule finalizes the notice of proposed rulemaking (NPRM) released by HHS on December 2, 2017...

Published Wed, Mar 02 2016 5:22 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

Patients Must Be Part Of Defining Quality And Increasing Value

We’re all frustrated by the high cost of US health care and a system that’s challenging for patients to navigate and does not consider patients’ goals and wishes. Both the public and private sectors are working hard to discover ways to transform the system...

Published Tue, Mar 01 2016 11:42 AM by Health Affairs Blog

Filed under: Consumers, Physicians, Quality, Innovation, Health Philanthropy, GrantWatch, patients, quality of life, patient satisfaction, patient experience, outcomes data, clinical research

New Health Care Symposium: Physicians And The New Health Care Industry—Benefits Of Generational Change

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 Tue, Mar 01 2016 10:27 AM by Health Affairs Blog

Filed under: Physicians, Quality, Social Determinants of Health, Population Health, Organization and Delivery, Costs and Spending, Health Professionals, triple aim, Graduate medical education, patient-centered care, Yale Health Care Industry Symposium

New Health Care Symposium: High Prices And Payment Reform—Let’s Get Practical

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 Tue, Mar 01 2016 10:20 AM by Health Affairs Blog

Filed under: Medicare, Hospitals, Population Health, Payment Policy, Organization and Delivery, Costs and Spending, ACOs, value-based payment, Yale Health Care Industry Symposium, market consolidation, health insurance mergers

New Health Care Symposium: Consolidation And Competition In US Health Care

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 Tue, Mar 01 2016 10:14 AM by Health Affairs Blog

Filed under: Quality, Hospitals, Population Health, Payment Policy, Insurance and Coverage, Organization and Delivery, Costs and Spending, insurer consolidation, Yale Health Care Industry Symposium, market consolidation, consolidation

Whole Woman’s Health v. Hellerstedt: Quantifying The Case’s Potential Impact On Abortion

Editor’s note: The post below discusses Whole Woman’s Health v. Hellerstedt , which will be argued before the Supreme Court tomorrow. The Court today decided another important health-related case, holding in Gobeille v. Liberty Mutual Insurance...

Published Tue, Mar 01 2016 8:35 AM by Health Affairs Blog

Filed under: Public Health, Hospitals, Population Health, Featured, Health Professionals, Supreme Court, Women's Health, Reproductive Health, Texas, Abortion, HB2, Whole Woman’s Health v. Hellerstedt

CMS Issues 2017 Benefit And Payment Parameters Rule And Letter To Issuers In The Federally Facilitated Marketplaces

Implementing Health Reform. On February 29, 2016, the Department of Health and Human Services released its final 2017 Benefit and Payment Parameters Rule (with fact sheet ) and final 2017 Letter to Issuers in the Federally Facilitated Marketplaces (FFMs...

Published Mon, Feb 29 2016 6:13 PM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage

Affordability: The Most Urgent Health Reform Issue For Ordinary Americans

The most serious health care problem faced by most Americans is affordability. A December Reuters/Ipsos poll found that 62 percent of Americans surveyed, including 62 percent of Republicans and 67 percent of Democrats, were concerned about the position...

Published Mon, Feb 29 2016 9:00 AM by Health Affairs Blog

Filed under: Medicare, Health Policy Lab, Costs and Spending, Medicaid and CHIP, APTC, Cadillac tax, ACA replacement, culture of health, single payer, affordable coverage

New Section 1332 Guidance A Mixed Bag For States

In December, the Department of Health and Human Services (HHS) and the Department of the Treasury released new guidance on how the agencies will evaluate state applications for the ACA’s Section 1332 State Innovation Waivers. Prior to this release, the...

Published Mon, Feb 29 2016 7:30 AM by Health Affairs Blog

Filed under: States, Featured, Payment Policy, Insurance and Coverage, Costs and Spending, healthcare.gov, Section 1332 waivers, Hawaii, Minnesota, Massachusetts, culture of health, Vermont, SHOP marketplace

Moops?: A Roadmap To MIPS

After a seemingly endless stream of stop-gap “doc fixes,” President Obama on April 14, 2015, signed into law a permanent repeal and replacement of Medicare’s Sustainable Growth Rate formula. The 2015 law, known as the Medicare Access and CHIP Reauthorization...

Published Fri, Feb 26 2016 8:00 AM by Health Affairs Blog

Filed under: Physicians, Medicare, Featured, Payment Policy, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Congress, MACRA, Merit-Based Incentive Payment System

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

Health Policy Brief: Nonprofit Hospitals’ Community Benefit

A new policy brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) looks at new community benefit provisions in the Affordable Care Act (ACA), which apply to some 78 percent of this country’s community hospitals. For some time...

Published Thu, Feb 25 2016 11:00 AM by Health Affairs Blog

Filed under: Hospitals, Elsewhere@ Health Affairs, Population Health, Organization and Delivery, Costs and Spending, Equity and Disparities, IRS, Health Policy Brief, nonprofit hospitals, community benefit

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

Accountable Health Communities And Expanding Our Definition Of Health Care

Health Care Consumerism: Can The Tail Wag The Dog?

The 2017 Benefit And Payment Parameters Final Rule: Drilling Down (Part 1)

Patients Must Be Part Of Defining Quality And Increasing Value

New Health Care Symposium: Physicians And The New Health Care Industry—Benefits Of Generational Change

New Health Care Symposium: High Prices And Payment Reform—Let’s Get Practical

New Health Care Symposium: Consolidation And Competition In US Health Care

Whole Woman’s Health v. Hellerstedt: Quantifying The Case’s Potential Impact On Abortion

CMS Issues 2017 Benefit And Payment Parameters Rule And Letter To Issuers In The Federally Facilitated Marketplaces

Affordability: The Most Urgent Health Reform Issue For Ordinary Americans

New Section 1332 Guidance A Mixed Bag For States

Moops?: A Roadmap To MIPS

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

Health Policy Brief: Nonprofit Hospitals’ Community Benefit