Health Affairs

Private Employers Should Demand And Share Evidence From Payment Reforms

Employers want to know whether payment reforms are an effective strategy for containing costs and increasing the value of the health care they purchase. There is a dearth of evidence on the impact of payment reforms within employer health plans , and...

Published Fri, Sep 15 2017 5:33 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Employer-Sponsored Insurance, Featured, Payment Policy, Costs and Spending, employer-sponsored coverage

Have Employer Coverage? GOP Proposals Will Affect You Too (Part 2)

As Senate Republican leaders continue to craft their bill to repeal and replace the Affordable Care Act (ACA), most attention has been focused on the number of individuals who would lose coverage if the legislation is enacted. To be sure, the ACA coverage...

Published Thu, Jul 06 2017 8:35 AM by Health Affairs BlogHealth Affairs Blog

Filed under: Employer-Sponsored Insurance, Following the ACA, Insurance and Coverage, Essential Health Benefits, employer-sponsored coverage, ACA repeal and replace

New Health Care Symposium: States’ Critical Role Overseeing Vertical Health Care Integration

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 Thu, Mar 03 2016 9:40 AM by Health Affairs Blog

Filed under: Medicare, Quality, Hospitals, Population Health, Payment Policy, Organization and Delivery, Costs and Spending, Health Professionals, ACOs, Supreme Court, antitrust, Medicare Shared Savings Program, Yale Health Care Industry Symposium, FTC, ERISA, All-Payer Claims Databases

Health Affairs Web First: In Kentucky, Sharp Low-Income Uninsurance Declines Under ACA

In 2013 Kentucky was one of two southern states to expand Medicaid under the Affordable Care Act (ACA). Recently, newly elected Kentucky Governor Matt Bevin (R) announced that he would discontinue the expansion. A new study , which was completed before...

Published Wed, Feb 17 2016 1:06 PM by Health Affairs Blog

Filed under: Elsewhere@ Health Affairs, Insurance and Coverage, Medicaid and CHIP, Web First, Kentucky

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

Pioneer ACOs’ Disappointing First Year

On July 16, the CMS Innovation Center reported the first year results for the Pioneer ACO program : 13 Pioneers, or about 40 percent of the participants, earned bonuses. The program saved the Medicare program a gross $87.6 million before bonus distributions...

Published Thu, Aug 15 2013 11:32 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Policy, Payment, Health Care Costs, Spending, Medicare, Pharma, Quality, Hospitals, Innovation

Health Affairs Briefing: Health Information Technology Adoption And Use

On Tuesday, July 9 , Health Affairs will host a briefing to report latest trends in health information technology adoption among US health care providers and hospitals. The event will feature remarks from Farzad Mostashari, the National Coordinator for...

Published Tue, Jun 25 2013 12:49 PM by Health Affairs Blog

Filed under: All Categories, Policy, Payment, Physicians, Health IT, Health Care Costs, Quality, Hospitals

The 21st Century Cures Act and Drug Company Promotion of Real-World Data

A new discussion draft of the 21 st Century Cures Act, the bipartisan initiative to accelerate development of new medical treatments, includes a section entitled “Facilitating Dissemination of Health Care Economic Information.” A previous version of the...

Published Fri, May 15 2015 6:35 AM by Health Affairs Blog

Filed under: Public Health, Pharma, Health Policy Lab, Costs and Spending, Drugs and Medical Technology, FDA, Food and Drug Modernization Act, health economics, energy and commerce, 21st Century Cures Act

Paul Ryan’s Health Care Fantasy

Wisconsin Republican Paul Ryan is frequently hailed for his fiscal responsibility and political courage. After all, the Congressman has now put forward not one but two budget plans that offer “a blueprint for safeguarding America from the perils of debt...

Published Thu, Mar 22 2012 10:52 AM by Health Affairs Blog

Filed under: All Categories, Policy, Politics, States, Spending, Medicare, Coverage, Medicaid, Children

The Insurance Exchange In Health Reform: Essential Characteristics

Insurance exchanges, or “Gateways” as they are called in the Senate HELP bill, are a key element in all of the congressional health reform proposals, as well as the proposal outlined by President Obama in his speech to Congress. The exchange is not some...

Published Wed, Oct 14 2009 7:46 AM by Health Affairs Blog

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

A Health Reform Framework: Breaking Out Of The Medicaid Model

Editor's note: This post is coauthored by Joseph Antos and James Capretta. A primary aim of the Patient Protection and Affordable Care Act (ACA) is to expand insurance coverage, especially among households with lower incomes. The Congressional Budget...

Published Thu, Jul 10 2014 9:54 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Politics, Public Opinion, Primary Care, Health Care Costs, States, Access, Quality, Medicaid

The $500 Billion Medicare Slowdown: A Story About Part D

A great deal of analysis has been published on the causes of the health care spending slowdown system-wide -- including in the pages of Health Affairs . Much attention in particular has focused on the remarkable slowdown in Medicare spending over the...

Published Tue, Oct 21 2014 11:14 AM by Health Affairs Blog

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

The Puzzle Of Antibiotic Innovation

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 Tue, Feb 03 2015 9:00 AM by Health Affairs Blog

Filed under: All Categories, Policy, Health Care Costs, Access, Pharma, Global Health, Innovation, Science and Health, Research

More from the Grantmakers In Health Annual Conference: Diane Meier on Palliative Care; a Film on Elder Care

This past week, I gave you a brief glimpse of the 2015 GIH Annual Conference in Austin, Texas. Here are two more vignettes from the conference, held in March. Its theme was Pathways to Health. Diane Meier Director of the Center to Advance Palliative Care...

Published Thu, Apr 23 2015 3:15 PM by Health Affairs Blog

Filed under: Physicians, Workforce, Quality, Hospitals, Aging, Health Philanthropy, GrantWatch, Health Care Delivery, Palliative Care, Costs and Spending, Health Professionals, Long-term Services and Supports, Home Health

Reinventing Home Health

Accountable care is finally coming to home health. The Centers for Medicare and Medicaid Services (CMS) is launching a value-based reimbursement (VBR) pilot program for Medicare home health care agencies. The model is part of the 2016 Home Health Prospective...

Published Tue, Aug 11 2015 10:29 AM by Health Affairs Blog

Filed under: Medicare, Population Health, Payment Policy, Costs and Spending, Health Professionals, Long-term Services and Supports, ACOs, triple aim, CMS, home healthcare, BAYADA, value-based reimbursement

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