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The $879 Billion Footnote — And The Financing Path To ACA Repeal

The November 3 election of Matt Bevin as governor of Kentucky will provide an important indication of the seriousness of Republican intentions to undermine and repeal the health insurance expansions of the Affordable Care Act (ACA). Early in Bevin’s campaign...

Published Fri, Dec 04 2015 7:30 AM by Health Affairs Blog

Filed under: Medicare, Hospitals, Payment Policy, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Republicans, Matt Bevin, Kentucky, Obamacare
Loan Fund Helps Safety-Net Providers Grow And Innovate

During a period of increasing concern about widening economic inequality, the community development finance sector has grown to channel nearly $3 billion of capital to high-need communities in the United States. Health care in low-income communities is...

Published Thu, Dec 03 2015 12:39 PM by Health Affairs Blog

Filed under: Public Health, Health Care Costs, Workforce, Hospitals, Health Philanthropy, GrantWatch, Health Care Delivery, Organization and Delivery, Costs and Spending, Health Professionals, Safety Net, Federally Qualified Health Center, poverty, health sector jobs, frontline health care workers
Taking Stock Of Choosing Wisely

Since its launch in 2012, the ABIM Foundation’s Choosing Wisely campaign has helped create conversations among clinicians and patients—both in the U.S. and abroad—about unnecessary care, particularly where significant risks of a test or treatment...

Published Thu, Dec 03 2015 9:23 AM by Health Affairs Blog

Filed under: Quality, Featured, Payment Policy, Costs and Spending, Equity and Disparities, ACOs, Choosing Wisely, unnecessary tests, medical waste
Interpreting New Data On Health Care Spending Growth

Health care spending growth is an important issue, especially since health care spending accounted for 17.5 percent of GDP in 2014. Health care spending growth slowed significantly during, and immediately following, the recession years. Between 2009 and...

Published Wed, Dec 02 2015 1:19 PM by Health Affairs Blog

Filed under: Featured, Payment Policy, Insurance and Coverage, Costs and Spending, spending trends, national spending, payment models, long term spending
Health Affairs Web First: National Health Spending Growth Accelerates In 2014

A new analysis from the Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS) estimates that in 2014, health care spending in the United States grew at a rate of 5.3 percent to $3.0 trillion, or $9,523 per person. The previous...

Published Wed, Dec 02 2015 1:16 PM by Health Affairs Blog

Filed under: Medicare, Hospitals, Elsewhere@ Health Affairs, Featured, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Drugs and Medical Technology, ACA, Web First, national health spending
CMS Finds Exchange Plans Don’t Measure Up To CHIP And Other ACA Developments

Implementing Health Reform. The Affordable Care Act (ACA) required the Centers for Medicare and Medicaid Services (CMS) by April 1, 2015 to review the benefits and cost-sharing in qualified health plans (QHPs) and certify that those plans offer benefits...

Published Tue, Dec 01 2015 2:11 PM by Health Affairs Blog

Filed under: States, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, qualified health plans, cost sharing, benefits packages
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
Independence—It’s What Older People Want

We already know what older people want. A study from the National Conference of State Legislatures and AARP , as well as other studies, confirm, time and again, that the vast majority of us want to live in our homes and communities as we age, and, if...

Published Mon, Nov 30 2015 10:15 AM by Health Affairs Blog

Filed under: Policy, Chronic Care, Health Care Costs, Quality, Aging, Health Philanthropy, GrantWatch, Health Care Delivery, Featured, Payment Policy, Organization and Delivery, Long-term Services and Supports
Clinician-Led Stewardship To Curb Medical Excess

In a recent New England Journal of Medicine (NEJM) perspective, Durand and colleagues propose “medical-imaging stewardship.” They believe that imaging can be more appropriately used through “provider-led imaging stewardship,” based on the model of antimicrobial...

Published Mon, Nov 30 2015 8:00 AM by Health Affairs Blog

Filed under: Physicians, Medicare, Quality, Hospitals, Patient Safety, Innovations in Care Delivery, Costs and Spending, Health Professionals, Choosing Wisely, patient uses of evidence, antimicrobials
Narrative Matters: Bearing Fruit: The Fight For The FDA’s Food Safety Reforms

A food safety advocate recounts one long road to the passage of the FDA Food Safety Modernization Act of 2011. Shelley A. Hearne’s article is freely available to all readers, or you can listen to the podcast . Don’t forget to visit the free Narrative...

Published Wed, Nov 25 2015 7:45 AM by Health Affairs Blog

Filed under: Public Health, Narrative Matters, Elsewhere@ Health Affairs, Featured, FDA, food safety
A Short Holiday Reading List: Latinos And Health Insurance, The Passing Of Rick Cohen, And More

GrantWatch knows that some of its readers may find themselves with a little downtime later this week, perhaps waiting for the turkey to roast or stuck at the airport. To pass the time, you might check out a few links to philanthropy content—including...

Published Tue, Nov 24 2015 3:55 PM by Health Affairs Blog

Filed under: Public Health, Health Care Costs, Coverage, Access, Global Health, Quality, Medicaid, Health Law, Children, Health Philanthropy, GrantWatch, Costs and Spending, Medicaid and CHIP, Equity and Disparities, vaccines, California, Bill & Melinda Gates Foundation, Kaiser Family Foundation, Latinos, rotavirus
Health Policy Brief: Bundled Payments For Care Improvement Initiative

A new policy brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) describes the Bundled Payment for Care Improvement (BPCI) initiative, four new payment models being tested by the Centers for Medicare and Medicaid Services (CMS), to...

Published Tue, Nov 24 2015 2:10 PM by Health Affairs Blog

Filed under: Medicare, Elsewhere@ Health Affairs, Featured, Payment Policy, Costs and Spending, RWJF, CMS, Health Policy Brief, payment model, BPCI initiative
Addressing Tobacco And Secondhand Smoke Exposure In Maternal And Child Survival Programs

Ending preventable child and maternal deaths (EPCMD) by 2035 is one of US Agency for International Development’s (USAID) three global health priorities, along with creating an AIDS-Free Generation and protecting communities from infectious diseases. In...

Published Tue, Nov 24 2015 11:00 AM by Health Affairs Blog

Filed under: Public Health, Global Health, Children, Environmental Health, Population Health, Featured, Equity and Disparities, Women's Health, CDC, USAID, tobacco, second hand smoke, cigarettes
From The Archives: Pharmaceutical Pricing

Welcome to “ From the Archives ,” a Health Affairs Blog series, where we take a timely topic and delve into the literature and history, from a Health Affairs angle, of course. Harvoni, Sovaldi , Repatha , Daraprim . Four drugs that have made news for...

Published Tue, Nov 24 2015 6:38 AM by Health Affairs Blog

Filed under: Pharma, Elsewhere@ Health Affairs, Featured, Payment Policy, Insurance and Coverage, Costs and Spending, Drugs and Medical Technology, Research and Development, value-based reimbursement, From the Archives, small molecule drugs, specialty drugs, biosimilars, biotechnology
‘Growth Clouds’ On The Horizon For Health Spending?

I was honored to work with the National Health Expenditures (NHE) Team in the CMS Office of the Actuary throughout 1995-2012, and I am honored again to have the opportunity to provide some thoughts on long-range spending trends in the U.S. Many health...

Published Mon, Nov 23 2015 10:43 AM by Health Affairs Blog

Filed under: Physicians, States, Medicare, Hospitals, Aging, Nurses, Featured, Payment Policy, Costs and Spending, Medicaid and CHIP, Drugs and Medical Technology, Health Professionals, Cadillac tax, physician assistants, PCORI

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The $879 Billion Footnote — And The Financing Path To ACA Repeal

Loan Fund Helps Safety-Net Providers Grow And Innovate

Taking Stock Of Choosing Wisely

Interpreting New Data On Health Care Spending Growth

Health Affairs Web First: National Health Spending Growth Accelerates In 2014

CMS Finds Exchange Plans Don’t Measure Up To CHIP And Other ACA Developments

How Might Proposed Payer Mergers Impact State Insurance Markets?

Independence—It’s What Older People Want

Clinician-Led Stewardship To Curb Medical Excess

Narrative Matters: Bearing Fruit: The Fight For The FDA’s Food Safety Reforms

A Short Holiday Reading List: Latinos And Health Insurance, The Passing Of Rick Cohen, And More

Health Policy Brief: Bundled Payments For Care Improvement Initiative

Addressing Tobacco And Secondhand Smoke Exposure In Maternal And Child Survival Programs

From The Archives: Pharmaceutical Pricing

‘Growth Clouds’ On The Horizon For Health Spending?