Health Affairs

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Health Affairs Briefing: Vaccines

As Seth Berkely, CEO of Gavi, the Vaccine Alliance, notes in an interview in the forthcoming issue of Health Affairs , “Vaccines do not deliver themselves.” They also don’t finance their own development or distribution, educate the public...

Published Mon, Jan 25 2016 12:38 PM by Health Affairs Blog

Filed under: Public Health, Global Health, Elsewhere@ Health Affairs, vaccines, Health Affairs events
Reducing Health Care Costs Through Early Intervention On Mental Illnesses

This month’s edition of Health Affairs features an article focusing on patients with high mental health costs — and how they incur 30 percent more costs than other high-cost patients. This research helps to make the increasingly compelling case...

Published Mon, Jan 25 2016 9:00 AM by Health Affairs Blog

Filed under: Public Health, Quality, Mental Health, Featured, Organization and Delivery, Costs and Spending, Equity and Disparities, Health Professionals, chronic disease, Congress
CMS Releases Final 2017 Actuarial Value Calculator And Methodology, 2016 Enrollment Updates

Late in the day on January 21, 2016, as the city of Washington prepared to shut down for a massive snowstorm, the Centers for Medicare and Medicaid Services (CMS) released the Final 2017 Actuarial Value Calculator and Methodology and the Department of...

Published Fri, Jan 22 2016 7:58 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending, open enrollment, ASPE, advance premium tax credits, Final 2017 Actuarial Value Calculator and Methodology
Mega Health Insurance Mergers: Is Bigger Really Better?

The health insurance industry has been rocked with the announcement of three large mergers: Aetna/Humana, Anthem/Cigna, and Centene/HealthNet. But many benefits of megamergers put forward by these companies will not materialize, and there will be few...

Published Fri, Jan 22 2016 7:45 AM by Health Affairs Blog

Filed under: States, Quality, Hospitals, Featured, Payment Policy, Insurance and Coverage, Costs and Spending, insurers, mergers, concentrated markets, insurer consolidation
Supplemental Benefits Under Medicare Advantage

Medicare Advantage has grown rapidly since the 2003 Medicare Modernization Act, and now covers 17 million or 33 percent of the 54 million Medicare beneficiaries — up from 13 percent a decade ago. This option allows seniors and the disabled to receive...

Published Thu, Jan 21 2016 10:00 AM by Health Affairs Blog

Filed under: Medicare, Payment Policy, Insurance and Coverage, Costs and Spending, CMS, fee-for-service, Medicare Advantage, Medicare Modernization Act
Using Travel As A Teaching Tool, And A Lever For Change

Foundations seeking to drive systems change in health care have a powerful method they can use to educate health system leaders. The Nicholson Foundation has found that sponsoring out-of-state, or even out-of-country, learning trips is an especially effective...

Published Thu, Jan 21 2016 7:09 AM by Health Affairs Blog

Filed under: Physicians, Primary Care, Chronic Care, Health Care Costs, Quality, Medicaid, Innovation, Health Philanthropy, GrantWatch, Effectiveness, Health Care Delivery, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Health Professionals, ACO, Telemedicine, Federally Qualified Health Center, New Jersey, Project ECHO
Health Affairs Web First: Wide Differences In Rural Health Information Technology Adoption

Over the past few years, health providers in the United States have been adopting health information technology. While prior national research has shown that rural providers have introduced health IT at the same, or greater, rates than their urban counterparts...

Published Wed, Jan 20 2016 1:07 PM by Health Affairs Blog

Filed under: Health IT, Elsewhere@ Health Affairs, EHRs, electronic health records, Web First, rural health
Four Key Issues In Health Law That Are As Relevant As Ever In 2016

Spring may be the season of renewal and growth, but each year, January offers a chance for reflection and hope, learning from the past and taking on new challenges. The same is true in the world of health policy. As we embark on the new year, it’s the...

Published Wed, Jan 20 2016 11:15 AM by Health Affairs Blog

Filed under: Public Health, Medicare, Quality, Costs and Spending, Medicaid and CHIP, FDA, 21st Century Cures Act, The Health Law Year in P/Review
After Insurer Complaints, Small Steps To Toughen Special Enrollment Period Eligibility

Implementing Health Reform. One of the central Affordable Care Act strategies for expanding access to health insurance (and thus to health care) has been to create a stable individual insurance market where individuals and families can find affordable...

Published Wed, Jan 20 2016 5:14 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, special enrollment periods, health insurance marketplaces
Post On Trends To Watch Leads The Health Affairs Blog Top-Ten List For 2015

As 2016 begins, Health Affairs Blog has tallied its ten most-read posts for 2015. Heading the list is Susan DeVore’s “Top 5 Health Care Trends To Watch In 2015.” Also included are posts on topics ranging from accountable care organizations...

Published Tue, Jan 19 2016 9:00 AM by Health Affairs Blog

Filed under: Elsewhere@ Health Affairs, Featured, most read articles
Integrating Specialty Care Into Accountable Care Organizations: Perspectives From The Field

Integrating specialty care can be key for high performance and financial success for ACOs, as the most complicated and costly patient care usually is managed by specialists. A large portion of the cost in our health care system is driven by specialists...

Published Tue, Jan 19 2016 6:14 AM by Health Affairs Blog

Filed under: Primary Care, Innovations in Care Delivery, Organization and Delivery, Costs and Spending, Accountable Care Organizations, Health Professionals, ACOs, healthcare leaders, specialty care
Health Policy Brief: Transparency In Clinical Research

A new policy brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) examines past and present initiatives to improve the use of clinical research for patients, providers, and health systems. According to one estimate, up to half of all...

Published Mon, Jan 18 2016 9:00 AM by Health Affairs Blog

Filed under: Elsewhere@ Health Affairs
Reconciliation Of Advance Payment Of Cost-Sharing Reductions

Implementing Health Reform. On January 15, 2016, the Centers for Medicare and Medicaid Services published at its REGTAP.info website (registration required) a Draft Manual for Reconciliation of Advance Payment of Cost-Sharing Reductions for Benefit Years...

Published Mon, Jan 18 2016 8:15 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, cost-sharing reduction payments
Medicare Part D’s Importance Extends Far Beyond The Drug Benefit It Provides

Editor’s note: To mark the 10 years since Medicare Part D enrollment began, Health Affairs invited Marsha Gold to reflect on the program and its impact. The Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA) expanded Medicare...

Published Fri, Jan 15 2016 11:33 AM by Health Affairs Blog

Filed under: Medicare, Featured, Payment Policy, Costs and Spending, Drugs and Medical Technology, Medicare Advantage, Medicare Part D, Medicare Prescription Drug Improvement and Modernization Act, low income subsidies
Making Sense Out Of Differences In Per-Capita Medicare And Private Insurance Costs Within Geographic Settings

For over 40 years, researchers at Dartmouth have conducted small area variation analyses of older fee-for-service Medicare beneficiaries ’ use of health care services to explore geographic variation in health care in the United States. Such studies have...

Published Fri, Jan 15 2016 9:51 AM by Health Affairs Blog

Filed under: Medicare, Population Health, Featured, Costs and Spending, Dartmouth, health care variation

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Health Affairs Briefing: Vaccines

Reducing Health Care Costs Through Early Intervention On Mental Illnesses

CMS Releases Final 2017 Actuarial Value Calculator And Methodology, 2016 Enrollment Updates

Mega Health Insurance Mergers: Is Bigger Really Better?

Supplemental Benefits Under Medicare Advantage

Using Travel As A Teaching Tool, And A Lever For Change

Health Affairs Web First: Wide Differences In Rural Health Information Technology Adoption

Four Key Issues In Health Law That Are As Relevant As Ever In 2016

After Insurer Complaints, Small Steps To Toughen Special Enrollment Period Eligibility

Post On Trends To Watch Leads The Health Affairs Blog Top-Ten List For 2015

Integrating Specialty Care Into Accountable Care Organizations: Perspectives From The Field

Health Policy Brief: Transparency In Clinical Research

Reconciliation Of Advance Payment Of Cost-Sharing Reductions

Medicare Part D’s Importance Extends Far Beyond The Drug Benefit It Provides

Making Sense Out Of Differences In Per-Capita Medicare And Private Insurance Costs Within Geographic Settings