Health Affairs

A Valentine To Shared Decision Making

Shared decision making is hot right now. Research. Surveys. Tools. Training. Conferences. Policies. The current model of shared decision making consists of providing patients with evidence that allows them to compare the risks and side effects of different...

Published Mon, Feb 14 2011 8:38 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Physicians, Personal Experience, Comparative Effectiveness

Implementing Health Reform: A Summary Health Insurance Marketplace Enrollment Report

On May 1, 2014, the Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation (ASPE) released a summary enrollment report for the federal and state marketplaces (exchanges) for the entire 2014 open enrollment...

Published Thu, May 01 2014 3:15 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Policy, Politics, Insurance, States, Coverage, Medicaid, Children

Health Affairs October Issue: Specialty Drugs — Cost, Impact, And Value

The October issue of Health Affairs , released today, includes a number of studies looking at the high costs associated with today’s increasingly prevalent specialty drugs. Other subjects covered in the issue: an assessment of whether some hospitals may...

Published Mon, Oct 06 2014 1:02 PM by Health Affairs Blog

Filed under: All Categories, Consumers, Physicians, Health Care Costs, Pharma, Hospitals, Biotech

Funding For Key Health Reform Provisions: Less Endangered Than You Might Think

With the shift in Washington’s political order, there’s been increasing talk about dismantling Federal health care reform. Outright repeal is highly unlikely. First, it would face opposition from the Democratic majority in the Senate. Even more critically...

Published Tue, Jan 04 2011 10:16 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Politics, Spending, Health Law

Improving Care For The ‘Dual Eligibles’

There are nearly nine million people in the United States who receive both Medicare and Medicaid benefits. Recent cost estimates show that this group, known as dual eligibles, accounts for a disproportionate share of spending in both programs. Although...

Published Mon, Apr 23 2012 9:54 AM by Health Affairs Blog

Filed under: Spending, Medicare, Quality, Medicaid

A Brief History Of Health Spending Since 1965

Since last March when we began tracking national health expenditures (NHE) on a monthly basis, we have been wondering when the health spending share of GDP would hit the 18 percent threshold. The recent downward revision of historical GDP estimates has...

Published Mon, Sep 19 2011 7:39 AM by Health Affairs Blog

Filed under: All Categories, Physicians, Spending, Medicare, Pharma, Hospitals

Implementing Health Reform: Enrollment And Reenrollment For 2015

The December 15, 2014 deadline for reenrolling in qualified health plan (QHP) coverage to assure continuous coverage as of January 1, 2015 has come and gone. Individuals who were enrolled through the federally facilitated marketplace (FFM) for 2014 but...

Published Tue, Dec 16 2014 7:49 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Payment, States, Coverage, Medicaid

Today’s Health Wonk Review

At the Colorado Health Insurance Insider, Louise Norris presents a “Football Is Here” edition of the Health Wonk Review. Louise offers a great collection of health policy blogging, including Mark Smith’s Health Affairs Blog post advocating...

Published Thu, Sep 13 2012 12:55 PM by Health Affairs Blog

Filed under: All Categories, Blog, Payment, Physicians

Drug Discount Analysis Misses The Mark

Rena Conti and Peter Bach’s analysis of disproportionate share (DSH) hospitals in the 340B drug discount program -- published in the October issue of Health Affairs -- neglects an essential point: compared to non-340B DSH hospitals, 340B DSH hospitals...

Published Wed, Oct 08 2014 12:55 PM by Health Affairs Blog

Filed under: All Categories, Policy, Payment, Physicians, Pharma, Hospitals, Disparities

A Milestone Is Reached As CMS Moves Beyond Voluntary Participation

The announcement last month from the Centers for Medicare and Medicaid Services (CMS) of the Comprehensive Care for Joint Replacement Model is a significant milestone on the road to payment reform. For the first time, the agency is using its waiver authority...

Published Fri, Aug 14 2015 7:51 AM by Health Affairs Blog

Filed under: Medicare, Hospitals, Costs and Spending, Health Professionals, HHS, ACOs, CMS, Comprehensive Care for Joint Replacement model, Innovation Center, Bundled Payment for Care Improvement demo

Implementing Health Reform: New Effectuated Enrollment Data And Contraceptive Mandate Update

On September 8, 2015, the Centers for Medicare and Medicaid Services (CMS) released its second quarter 2015 effectuated enrollment data for the federal and state marketplaces. As of June 30, 2015, 9.9 million had effectuated marketplace coverage, 7.2...

Published Tue, Sep 08 2015 2:21 PM by Health Affairs Blog

Filed under: Coverage, Population Health, Payment Policy, Following the ACA, premium tax credits, contraceptive mandate, Enrollment, Religious Freedom Restoration Act

The Impact Of New Hepatitis C Drugs On National Health Spending

Those who follow Altarum Institute’s monthly health sector briefs and trend reports are well aware that the five-year run of record low growth rates in national health spending (from 2009 through 2013) has come to an end, or at least been interrupted...

Published Mon, Dec 07 2015 8:13 AM by Health Affairs Blog

Filed under: Medicare, Quality, Featured, Costs and Spending, Drugs and Medical Technology, hepatitis C, Prescription Drugs, Sovaldi, Harvoni, spending growth

How Might Proposed Payer Mergers Impact State Insurance Markets?

With recent news of the proposed Aetna/Humana , Anthem/Cigna , and Centene/Health Net mergers, a number of stakeholders have raised questions about consolidation’s impact on the competitiveness of health care markets. For these proposed deals, we estimated...

Published Tue, Dec 01 2015 9:26 AM by Health Affairs Blog

Filed under: States, Medicare, Quality, Featured, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Health Professionals, insurers, mergers, concentrated markets

Look Carefully: Medicare’s Provenge National Coverage Decision

Editor’s Note: The authors of the post below, Dan Mendelson and Tanisha Carino, also wrote an earlier post on the initial decision of the Centers for Medicare and Medicaid Services to undertake a national coverage review of the cancer drug Provenge...

Published Mon, Apr 04 2011 9:48 AM by Health Affairs Blog

Filed under: All Categories, Policy, Spending, Medicare, Coverage, Pharma, Technology, Effectiveness

New Health Affairs: The Good, The Bad And The Possible For The US Safety Net

Research and analysis in the August issue of Health Affairs, released today, focuses on the state of the safety net for uninsured and low-income Americans in the context of key provisions in the Affordable Care Act. The authors examine a range of issues...

Published Mon, Aug 06 2012 1:23 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, States, Access, Quality, Hospitals, Disparities, Medicaid

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