Health Affairs

The State Of Medicaid In New York: Progress And The Road To Value-Based Payments

As states throughout the nation work to change how health care is delivered and paid for, New York is undertaking its largest effort yet to transform the state’s Medicaid health care delivery and payment system through the Delivery System Reform Incentive...

Published Mon, Oct 19 2015 7:14 PM by Health Affairs Blog

Filed under: Policy, Payment, Health Care Costs, States, Medicaid, Health Philanthropy, GrantWatch, Health Care Delivery, Payment Policy, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Delivery System Reform Incentive Payment (DSRIP) program, New York State

Judge Rejects Early Appeal In House Challenge To Reimbursement Of ACA Cost-Sharing Reduction Payments

Implementing Health Reform. On October 19, 2015, Judge Rosemary Collyer of the federal district court for the District of Columbia denied the government’s request for an expedited appeal in House v. Burwell . This means that Judge Collyer is going to...

Published Mon, Oct 19 2015 12:18 PM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, House v. Burwell, cost-sharing reduction payments, Court of Appeals, risk corridor payments, premium tax credit

Getting Enrolled Isn’t Enough: The Importance Of Teaching Consumers How To Use Health Insurance

Numerous articles have highlighted progress made by the Affordable Care Act (ACA), especially regarding access to health insurance for those who were either previously uninsured or underinsured. But as we enter the third Marketplace open enrollment period...

Published Mon, Oct 19 2015 8:05 AM by Health Affairs Blog

Filed under: Public Health, Quality, Population Health, Featured, Insurance and Coverage, Costs and Spending, Equity and Disparities, Health Professionals, open enrollment, Uninsured, Affordable Care Act, preventative care, Minorities, out of pocket costs, hard to reach populations

Who Makes This Drug? Disclosing The Identity Of Generic Drug Manufacturers

Counting and identifying manufacturers able to supply the U.S. with generic drugs or their base ingredients is critical for promoting the following public health goals: Forecasting national spending on generic drugs; Planning patient treatments when supply...

Published Fri, Oct 16 2015 8:46 AM by Health Affairs Blog

Filed under: Public Health, Quality, Featured, Costs and Spending, Drugs and Medical Technology, Health Professionals, FDA, generic drugs, Big Pharma, Waxman-Hatch Act, drug manufacturers

Narrative Matters: Poems On The Cancer Experience

Editor’s note: This spring, Health Affairs held its first ever poetry contest. Three winning poems were published in the journal . We’re also featuring some of our other favorites on the Blog throughout the month of October. Medicine Sundays after church...

Published Thu, Oct 15 2015 1:18 PM by Health Affairs Blog

Filed under: Elsewhere@ Health Affairs, Featured, narrative medicine, Cancer, Narrative Matters poetry, patient experience

HHS Offers Its Expectations For 2016 Open Enrollment

Implementing Health Reform. On October 15, 2015, the Health and Human Services Assistant Secretary for Planning and Evaluation (ASPE) released two issue briefs. The first addresses How Many Individuals Might have Marketplace Coverage at the End of 2016...

Published Thu, Oct 15 2015 1:15 PM by Health Affairs Blog

Filed under: Featured, Following the ACA, Insurance and Coverage, open enrollment, Implementing Health Reform, enrollment projections, characteristics of the uninsured

How Safety Concerns About Essure Reveal A Path To Better Device Tracking

On September 24, the Food and Drug Administration (FDA) convened a public advisory committee meeting to discuss safety concerns about the Essure — a permanent birth control device that is implanted in the Fallopian tubes in order to create a tissue...

Published Thu, Oct 15 2015 12:34 PM by Health Affairs Blog

Filed under: Public Health, Quality, Population Health, Featured, Drugs and Medical Technology, Long-term Services and Supports, FDA, contraceptives, medical device safety, Geisinger Health System, Essure, Obstetrics and Gynecology Devices Panel

The Payment Reform Landscape: Which Quality Measures Matter?

Over the past 15 years there have been major changes in the measures we have at our disposal to assess the quality of care. We have gone from decentralized disorganization to measures that have been “standardized” through various multi-stakeholder consensus...

Published Thu, Oct 15 2015 7:47 AM by Health Affairs Blog

Filed under: Quality, Featured, Payment Policy, Insurance and Coverage, Organization and Delivery, Costs and Spending, employers, Vital Signs, National Quality Forum, IOM report, AHIP Core Measures Collaborative, Payment Reform Landscape, quality measures, Suzanne Delbanco

We’d Be In The Dark Without AHRQ

Here at Health Affairs we take the policy relevance of our work very seriously. As the leading health policy journal in the country, with the highest impact factor in our field, we work assiduously to find, edit, and publish the best scholarship that...

Published Thu, Oct 15 2015 7:22 AM by Health Affairs Blog

Filed under: Quality, Once In A Weil, Health Professionals, Alan Weil, AHRQ, health policy research, Surveys, policymakers

Spanish-Language Mobile App Helps To Extend Health Coverage Safety Net

Sweeping reforms to the US health care system now require consumers to understand complex health plans, become more aware of the costs of their care, and make related decisions independently. This presents a challenge for all health care consumers; the...

Published Wed, Oct 14 2015 4:24 PM by Health Affairs Blog

Filed under: Consumers, Health IT, Health Care Costs, Coverage, Access, Disparities, Technology, Health Philanthropy, GrantWatch, Insurance and Coverage, Equity and Disparities, Hispanics, Spanish language, Latino, New York City

The FDA Could Earn Over $60 Million A Day From Enforcing The Law

Many clinical trials on medicines and devices are subject to a 2007 federal law that requires the results to be publicly disclosed on a federally sponsored website within a year after the clinical trial is over. The reason for this requirement is simple...

Published Wed, Oct 14 2015 10:27 AM by Health Affairs Blog

Filed under: Hospitals, Featured, Costs and Spending, Drugs and Medical Technology, Health Professionals, Long-term Services and Supports, FDA, reporting compliance, trial results, clinical trials

Overcoming Contractual Barriers To EHR Research

Recently, so-called “gag clauses” in electronic health record (EHR) vendor contracts have made the news. The impression, really the misimpression, left by a recent Politico article is that physicians are “barred” by EHR contract terms from complaining...

Published Wed, Oct 14 2015 7:22 AM by Health Affairs Blog

Filed under: Health IT, Hospitals, Research, Featured, Organization and Delivery, Health Professionals, EHRs, electronic health records, health IT safety, intellectual property

The New Era Of Narrow Networks: Do They Come At The Cost Of Quality?

As we approach another period of Open Enrollment under the Affordable Care Act (ACA), it is a good time to revisit whether plan offerings reflect consumer preferences. Are exchange participants getting a good value? In a recent survey, when asked to rank...

Published Tue, Oct 13 2015 11:24 AM by Health Affairs Blog

Filed under: Quality, Hospitals, Population Health, Featured, Following the ACA, Insurance and Coverage, Costs and Spending, California, Covered California, narrow networks, health care networks

Legislative Efforts To Repeal Key Provisions Of The Affordable Care Act

Implementing Health Reform. On October 9, 2015 the House of Representatives Budget Committee approved budget reconciliation legislation intended to repeal key provisions of the Affordable Care Act (ACA). As is well known, budget reconciliation is an expedited...

Published Tue, Oct 13 2015 8:53 AM by Health Affairs Blog

Filed under: Public Health, Featured, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, ACA, Affordable Care Act, health care law, House, Senate

What Health Policy Analysts Can Learn From Development Economics

Have you ever wondered why some countries seem completely dysfunctional — enjoying no economic growth or even negative growth and serving as home to millions of people who live on the income equivalent of one or two dollars a day? In 1993, a group...

Published Tue, Oct 13 2015 7:45 AM by Health Affairs Blog

Filed under: Public Health, Medicare, Quality, Population Health, Featured, Payment Policy, Insurance and Coverage, Costs and Spending, Long-term Services and Supports, CalPERS, Telemedicine, productive activities, rent-seeking, walk-in clinics, John Goodman, Minute Clinic

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