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Reexamining Chronic Fatigue Syndrome Research And Treatment Policy

In recent months, two developments have provided some degree of optimism to people with the illness variously called chronic fatigue syndrome, myalgic encephalomyelitis (“inflammation of the brain and central nervous system, with muscle pain”), CFS/ME...

Published Thu, Feb 04 2016 9:00 AM by Health Affairs Blog

Filed under: Public Health, Quality, Hospitals, Research, Featured, Equity and Disparities, Drugs and Medical Technology, NIH, PACE trial, chronic fatigue syndrome
The ACA And Its Employment Effects

Two studies published in the most recent Health Affairs journal raise questions about the contention that the Affordable Care Act (ACA) will reduce employment, wages, and hours worked by employees. The study by Gooptu and colleagues examined the effects...

Published Wed, Feb 03 2016 10:45 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Medicaid and CHIP, CBO, Health Affairs journal, economy, employment
Claims That The ACA Would Be A Job Killer Are Not Substantiated By Research

Opponents of the Affordable Care Act (ACA) have been claiming that the law would be a job killer since its passage, and the claims have not subsided with time. Some supporters of the ACA also worry about the possibility of unintended employment consequences...

Published Wed, Feb 03 2016 10:30 AM by Health Affairs Blog

Filed under: Featured, Following the ACA, Insurance and Coverage, Medicaid and CHIP, Medicaid expansion, culture of health, American Community Survey, employment, labor markets, part-time work
Politics And Policy: What To Expect After 2016

2016 is an important transition year for the debate over health reform in America. By the time a new president takes office in January 2017, it will have been nearly seven years since the enactment of the Affordable Care Act (ACA). What comes next—whether...

Published Tue, Feb 02 2016 8:30 AM by Health Affairs Blog

Filed under: Politics, Featured, Insurance and Coverage, Organization and Delivery, Costs and Spending, Congress, Republicans, Paul Ryan, Democrats
Using The Intensive Outpatient Care Program To Lower Costs And Improve Care For High-Cost Patients

Improving care for patients with chronic diseases has long been a priority for both public and private sector purchasers of health care. A robust body of literature demonstrates that a significant proportion of health expenditures are concentrated among...

Published Tue, Feb 02 2016 5:00 AM by Health Affairs Blog

Filed under: Public Health, Innovations in Care Delivery, Population Health, Insurance and Coverage, Costs and Spending, culture of health, out-patient care, High-Cost Patients
A Southern City Follows The Way To Wellville: A Five-Year Push To Move The Needle To A Healthier Community

Remaking a community beset by issues of generational poverty and poor health outcomes is messy work. Success depends not upon finding a magic wand or moon shot solution, but rather upon a number of different people and organizations coming together around...

Published Tue, Feb 02 2016 4:45 AM by Health Affairs Blog

Filed under: Access, Health Philanthropy, GrantWatch, Population Health, Health Promotion and Disease PreventionGW, Insurance and Coverage, Obesity Prevention, Uninsured, South Carolina, health outcomes, healthy food, health insurance benefits
New CMS Guidance Regarding CO-OPs And CLAS Data And Additional Enrollment Updates

Implementing Health Reform. On January 27, 2016, the Centers for Medicare and Medicaid Services (CMS) issued a couple of guidances affecting insurers issuing coverage under the Affordable Care Act (ACA). The first is a set of frequently asked questions...

Published Mon, Feb 01 2016 2:06 PM by Health Affairs Blog

Filed under: Medicare, Following the ACA, Insurance and Coverage, Medicaid and CHIP, open enrollment, CMS, Implementing Health Reform, CO-OP
How Would Government Negotiation of Medicare Part D Drug Prices Work?

Medicare Part D premiums have been flat in recent years but will increase by 13 percent from 2015 to 2016. For 2016, the average monthly premium across Part D plans (PDPs) is $41.46. PDPs are also increasingly placing high-cost drugs on specialty tiers...

Published Mon, Feb 01 2016 5:00 AM by Health Affairs Blog

Filed under: Medicare, Featured, Payment Policy, Insurance and Coverage, Costs and Spending, Drugs and Medical Technology, Medicare Part D, Big Pharma, drug pricing, prescription drug plans
Discovering New Medicines And New Ways To Pay For Them

While the rest of the health care system is moving toward paying for value, payments for drugs largely continue to be stuck in a 20th century construct that focuses on price, regardless of the health outcomes of each patient. This lack of payment innovation...

Published Thu, Jan 28 2016 10:00 PM by Health Affairs Blog

Filed under: Physicians, Featured, Health Policy Lab, Payment Policy, Costs and Spending, Drugs and Medical Technology, regulation, Research and Development, drug pricing, value-based payment
In The Marketplaces Some People May Not Be Able To Purchase The Second Lowest Cost Silver Plan

The Affordable Care Act’s (ACA’s) Marketplaces allow individuals and families to select and purchase health insurance, with premium subsidies available to qualified individuals to make coverage more affordable. Health insurance premiums vary considerably...

Published Thu, Jan 28 2016 6:17 AM by Health Affairs Blog

Filed under: States, Quality, Following the ACA, Insurance and Coverage, Costs and Spending, silver plan, rating area
Ten Most-Read GrantWatch Posts Of 2015

During 2015, these were the most-read posts from Health Affairs Blog’s GrantWatch section on health philanthropy. Perhaps you missed reading one of these? Why not check them out today? Note: Bloggers’ affiliations are as of the time they wrote the post...

Published Wed, Jan 27 2016 2:18 PM by Health Affairs Blog

Filed under: Physicians, Primary Care, Disparities, Medicaid, Innovation, Technology, Aging, Long-Term Care, Health Philanthropy, GrantWatch, Health Care Delivery, Social Determinants of Health, Organization and Delivery, Medicaid and CHIP, Equity and Disparities, Behavioral Health, New York, Robert Wood Johnson Foundation, culture of health, data, Aetna Foundation, safety net and value
A Payment Reform Conundrum: Reconciling Conflicting Policy Goals

In early 2015, the Secretary of the Department of Health and Human Services (HHS), Sylvia Burwell, announced goals for shifting Medicare payment from fee-for-service (FFS) to alternative payment models (APMs). Qualifying APMs include, among others, accountable...

Published Wed, Jan 27 2016 7:50 AM by Health Affairs Blog

Filed under: Medicare, Quality, Hospitals, Population Health, Featured, Payment Policy, Insurance and Coverage, Organization and Delivery, Costs and Spending, ACOs, Medicare Advantage, MACRA, Alternative Payment Models
Put The ‘Network’ In Measures Of Network Adequacy

According to the Urban Institute more than 11 million people were enrolled in Affordable Care Act (ACA) marketplace health plans in 2015. While enrollment numbers tell us how many people are covered, they do not necessarily tell us whether all 11 million...

Published Tue, Jan 26 2016 11:00 AM by Health Affairs Blog

Filed under: States, Quality, Population Health, Featured, Payment Policy, Insurance and Coverage, Equity and Disparities, Health Professionals, CMS, narrow networks, NPRM, network adequacy
Health Affairs In 2015: Editor’s Picks

As Health Affairs Editor-in-Chief, I have the pleasure of reading hundreds of articles — more, I’m sure, than most of our readers have time to read. I have selected my own “top ten” for 2015. The papers I chose go beyond our “most-read” articles...

Published Tue, Jan 26 2016 9:15 AM by Health Affairs Blog

Filed under: Once In A Weil, Health Affairs journal, most read articles
CBO Lowers Marketplace Enrollment Projections, Increases Medicaid Growth Projections

Implementing Health Reform. On January 25, 2016, the Congressional Budget Office (CBO) released The Budget and Economic Outlook, 2016 to 2026 . The report does not update completely the Affordable Care Act (ACA) estimates found in the CBO’s March 2015...

Published Tue, Jan 26 2016 8:12 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, open enrollment, CMS, advance premium tax credits

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Reexamining Chronic Fatigue Syndrome Research And Treatment Policy

The ACA And Its Employment Effects

Claims That The ACA Would Be A Job Killer Are Not Substantiated By Research

Politics And Policy: What To Expect After 2016

Using The Intensive Outpatient Care Program To Lower Costs And Improve Care For High-Cost Patients

A Southern City Follows The Way To Wellville: A Five-Year Push To Move The Needle To A Healthier Community

New CMS Guidance Regarding CO-OPs And CLAS Data And Additional Enrollment Updates

How Would Government Negotiation of Medicare Part D Drug Prices Work?

Discovering New Medicines And New Ways To Pay For Them

In The Marketplaces Some People May Not Be Able To Purchase The Second Lowest Cost Silver Plan

Ten Most-Read GrantWatch Posts Of 2015

A Payment Reform Conundrum: Reconciling Conflicting Policy Goals

Put The ‘Network’ In Measures Of Network Adequacy

Health Affairs In 2015: Editor’s Picks

CBO Lowers Marketplace Enrollment Projections, Increases Medicaid Growth Projections