Health Affairs

Accountable Care Growth In 2014: A Look Ahead

On December 23, 2014, the Centers for Medicare and Medicaid Services announced 123 new Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs). This represents the fourth round of MSSP participants, which, coupled with the Pioneer...

Published Wed, Jan 29 2014 8:59 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Politics, Payment, Physicians, Chronic Care, States, Medicare, Medicaid, Business of Health Care

Your Genome Belongs To You

Just four years ago, only two people in the world had their genome sequenced: James D. Watson (co-discoverer of the structure of DNA) and J. Craig Venter (former President of the firm that mounted a private-sector rival to the Human Genome Project). There...

Published Fri, Jun 08 2012 11:58 AM by Health Affairs Blog

Filed under: All Categories, Consumers, Uncategorized, Bioethics, Health Law, Innovation, Biotech

Health Policy Brief: Medicare Premium Support

A new Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation examines an approach for restructuring Medicare known as premium support. The concept means that the federal government would make a predetermined annual payment on behalf...

Published Fri, Mar 23 2012 12:04 PM by Health Affairs Blog

Filed under: All Categories, Consumers, Policy, Politics, Spending, Medicare, Competition

Mendelson: Senate GOP Reform Proposal Provides Welcome Flexibility In Benefit Design

A health reform proposal introduced by three Republican Senators is a positive development both substantively and politically, Dan Mendelson, CEO of Avalere Health, said in a recent interview. He said the greater flexibility in benefit design afforded...

Published Wed, Feb 26 2014 8:42 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Politics, Insurance, States, Medicare, Medicaid

What Ebola Teaches Us About Public Health In America

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 Mon, Feb 09 2015 12:00 PM by Health Affairs Blog

Filed under: All Categories, Public Health, Policy, Workforce, Access, Global Health, Health Care Delivery

Implementing Health Reform: A Closer Look At Direct Enrollment By Insurers

There has been a great deal of confusion in the media in recent days about “direct enrollment,” the process through which insurers can enroll applicants directly in a qualified health plan through the exchange. Media reports characterize this process...

Published Wed, Nov 20 2013 9:41 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance

New Health Policy Brief: Risk Corridors

The latest Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) describes the Affordable Care Act’s premium stabilization programs that encourage insurers to participate in the exchanges by eliminating some unpredictability...

Published Thu, Jun 26 2014 10:52 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Insurance, Health Care Costs, Medicare, Medicaid, Health Law, Business of Health Care

The Big Shortage: Rethinking The Need For More Primary Care Doctors

Editor’s note: For more on ways that the traditional primary care model could be rethought, see the Health Affairs May 2010 thematic issue “Reinventing Primary Care.” Although primary care is regarded as the backbone of the healthcare...

Published Thu, Aug 02 2012 10:06 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Payment, Physicians, Primary Care, Workforce, Access, Nurses

New Health Policy Brief: The FDA’s Menu-Labeling Rule

A new policy brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) looks at a vigorously debated rule of the Food and Drug Administration (FDA), taking effect on December 1, 2015, requiring most food establishments in the United States...

Published Mon, Jun 29 2015 6:00 AM by Health Affairs Blog

Filed under: Public Health, Elsewhere@ Health Affairs, RWJF, FDA, Health Policy Brief, Affordable Care Act, Menu-Labeling, nutritional information

The Section 1557 Regulation: What’s Missing, And How We Can Include It

Kristin Agar , a 63-year-old social worker, was diagnosed with lupus in 2008, a rare disease in which the body’s own immune system can cause serious damage to the kidneys, brain, skin, and joints. Unfortunately, despite having insurance coverage, Kristin...

Published Mon, Sep 21 2015 8:49 AM by Health Affairs Blog

Filed under: Public Health, Population Health, Payment Policy, Following the ACA, Insurance and Coverage, Costs and Spending, Equity and Disparities, Drugs and Medical Technology, Americans With Disabilities Act, ACA, Long-term Services and Supports, chronic disease, Timothy Jost, Lupus, discrimination

Reducing Practice Variation At Crystal Run Healthcare

Research has shown wide variation in per capita spending among different states and among different counties within the same state. Some of this variation can be explained by the health status of the population, local pricing, patient cultural and demographic...

Published Thu, Jul 23 2015 12:27 PM by Health Affairs Blog

Filed under: Physicians, Medicare, Quality, Innovations in Care Delivery, Population Health, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Equity and Disparities, Health Professionals, ACOs, NCQA, chronic conditions, Scott Hines, Crystal Run Healthcare, Practice Variation

Brave New World: Medicare’s Advanced Payment Models

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established a new framework for Medicare physician payment. Under the law, beginning in 2019, health care professionals participating in the program will come to a crossroads on their path...

Published Mon, Apr 04 2016 9:00 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Medicare, Quality, Hospitals, Featured, Payment Policy, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Health Professionals, EHRs, MACRA, Alternative Payment Models, MedPAC, meaningful use requirements

Section 1341 And Financing The Reinsurance Program

Implementing Health Reform. Recognizing that it was likely that once health status underwriting was abolished and preexisting conditions exclusions were banned the individual market would likely disproportionately attract high-cost enrollees, Congress...

Published Tue, Mar 15 2016 6:49 AM by Health Affairs Blog

Filed under: Following the ACA, HHS, reinsurance, Section 1341, Congressional Research Service, Treasury

A Call For Physicians To Contribute To Solutions, Not Costs

It’s time for America’s physicians, particularly its highly paid procedural specialists, to make a choice. Are we primarily businessmen with a keen eye on the financial bottom line, or are we above all professionals, well versed in the healing arts and...

Published Fri, Jul 29 2011 7:11 AM by Health Affairs Blog

Filed under: All Categories, Policy, Payment, Physicians, Health Care Costs, States, Medicare, Medicaid

Transcending Obamacare? Analyzing Avik Roy’s ACA Replacement Plan

Avik Roy’s proposal, “ Transcending Obamacare ,” is the latest and most thoroughly developed conservative alternative for reforming the American health care system in the wake of the Affordable Care Act. It is a serious proposal, and it deserves to be...

Published Tue, Sep 02 2014 11:53 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Politics, Public Opinion, Health Care Costs, States, Employer-Sponsored Insurance, Spending, Medicare, Coverage, Access, Quality, Medicaid

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