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How To Qualify For Advance Premium Tax Credits For 2016

Implementing Health Reform. In order to qualify for advance premium tax credits (APTC) for 2016, enrollees who received APTC during 2014 must file income taxes for 2014 and reconcile the APTC they received in 2014 with the premium tax credits to which...

Published Fri, Oct 09 2015 2:17 PM by Health Affairs Blog

Filed under: Consumers, Following the ACA, Insurance and Coverage, IRS, premium tax credits, Implementing Health Reform, marketplace, taxes
CMS Releases Technical Guidance For QRS And QHP Enrollee Experience Surveys

Implementing Health Reform. In late September 2015, the Centers for Medicare and Medicaid Services (CMS) released its Quality Rating System (QRS) and Quality Health Plan (QHP) Enrollee Experience Survey: Technical Guidance for 2016 as well as its 2016...

Published Fri, Oct 09 2015 11:10 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, open enrollment period, Implementing Health Reform, CMS rule, quality health plans, quality rating system, enrollee satisfaction
Time To Implement IOM Health IT Recommendations For Improving Diagnosis

One year ago, we highlighted missed opportunities in diagnosis of a patient who presented with Ebola in Dallas, Texas; a harmful misdiagnosis with substantial public health implications. Acknowledging human errors were also made, we emphasized specific...

Published Fri, Oct 09 2015 9:55 AM by Health Affairs Blog

Filed under: Public Health, Health IT, Quality, Hospitals, Featured, Ebola, ONC, Institute of Medicine, diagnostic error, diagnosis, EHR user experience
Palliative Care: Continued Progress But Gaps Remain

The field of palliative care is a relatively recent entrant to the U.S. health care landscape. For those who may not know, palliative care is a new team-based medical specialty that focuses on relief of the pain, symptoms, and stresses of a serious illness...

Published Fri, Oct 09 2015 7:15 AM by Health Affairs Blog

Filed under: Medicare, Access, Quality, Research, Palliative Care, Population Health, Featured, Costs and Spending, Center to Advance Palliative Care, regulations
An Underutilized Tool For Foundations—Policy Change

In philanthropy, we are driven by the causes that matter to us and bolstered by the opportunity to generate meaningful change. But how do we actually achieve that change? For years, when I was out in the community or talking with my colleagues about the...

Published Thu, Oct 08 2015 3:10 PM by Health Affairs Blog

Filed under: Health Reform, Policy, Insurance, States, Coverage, Medicaid, Health Philanthropy, GrantWatch, Insurance and Coverage, Medicaid and CHIP, California, Safety Net, Blue Shield of California Foundation, Violence Prevention, domestic violence
Narrative Matters: Poems On The Patient Experience And The Practice Of Medicine

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. Operating Room Report (or...

Published Thu, Oct 08 2015 11:53 AM by Health Affairs Blog

Filed under: Narrative Matters, Elsewhere@ Health Affairs, Featured, patients, Narrative Matters poetry, Cindy Potts, Micaela Mascialino, medicine
The New Congressional Effort To Undermine The Affordable Care Act

For the 61st time since 2011, Congressional Republicans are moving legislation to undermine and dismantle key elements of the Affordable Care Act (ACA). This time, though, will be different. First, this will be the first time Republicans will use the...

Published Thu, Oct 08 2015 10:14 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage, Costs and Spending, Planned Parenthood, ACA repeal, Republicans, Ways and Means, reconcilliation, Paul Ryan
Narrative Matters: Poetry Meets Health Care

This month you might notice something a little different about the Narrative Matters section of Health Affairs . For October, instead of the personal stories about health care that readers typically find in the section, we’re featuring three thought-provoking...

Published Thu, Oct 08 2015 7:30 AM by Health Affairs Blog

Filed under: Narrative Matters, Elsewhere@ Health Affairs, Featured, Health Professionals, poetry, narrative medicine, patients, Narrative Matters poetry
How To Build Healthy Places Through Cross-Sector Collaboration

Kentucky state legislator Susan Westrom summed up her experience at the Foundation for a Healthy Kentucky’s recent Bost Health Policy Forum in the following tweet: “This Foundation is pushing the envelope to improve lives of Kentuckians by building healthy...

Published Wed, Oct 07 2015 2:53 PM by Health Affairs Blog

Filed under: Nonmedical Determinants, Public Health, Prevention, Disparities, Health Philanthropy, GrantWatch, Health Promotion and Disease PreventionGW, Equity and Disparities, Workplace Wellness, Food and Health, education, tran, Housing
Trouble Ahead For High Deductible Health Plans?

Benefit plans with high cost-sharing do much more than simply shift costs from employers and health plans. Conventional wisdom suggests that they help lower overall medical expenses by making patients more selective and cost-conscious consumers. However...

Published Wed, Oct 07 2015 12:21 PM by Health Affairs Blog

Filed under: Quality, Emergency Medicine, Population Health, Featured, Insurance and Coverage, Costs and Spending, Long-term Services and Supports, out of pocket costs, ACA silver plan, high deductible health plans
A Glitch In The Road To Pay-For-Performance

Quality measurement, quality incentives, and pay for performance are tools designed to increase value in our health care delivery system. They are mechanisms that demonstrably drive up quality and drive down costs. Yet due to an unintended consequence...

Published Wed, Oct 07 2015 7:27 AM by Health Affairs Blog

Filed under: Medicare, Quality, Featured, Insurance and Coverage, Costs and Spending, Medicare Advantage, Geisinger Health Plan, benchmarks, quality measurements, Star Rating System
Measuring What Matters In Primary Care

Editor’s Note: This is one of several posts Health Affairs Blog is publishing stemming from sessions at the June 2015 AcademyHealth Annual Research Meeting (ARM) in Minneapolis. What Do We Mean By ‘Primary Care’ Numerous studies have confirmed the central...

Published Tue, Oct 06 2015 11:40 AM by Health Affairs Blog

Filed under: Primary Care, Medicare, Access, Quality, Hospitals, Population Health, Featured, Organization and Delivery, Costs and Spending, Health Professionals, fee-for-service, chronic conditions, Whole-Person Accountability, quality performance measures, primary care research, coordinated care, clinician productivity, comprehensive care, continuous care, AcademyHealth 2015 ARM
Health Affairs October Issue: ACA Progress, Health And Social Supports

The October issue of Health Affairs looks at aspects of the Affordable Care Act (ACA) as the United States gears up for the next open enrollment season on the health exchanges. Other studies examine health costs, and the complex interplay between health...

Published Mon, Oct 05 2015 1:05 PM by Health Affairs Blog

Filed under: Global Health, Quality, Hospitals, Europe, Elsewhere@ Health Affairs, Population Health, Featured, Insurance and Coverage, Costs and Spending, Equity and Disparities, Health Professionals, open enrollment, Affordable Care Act, out of pocket costs
What State Policies Best Foster Insurance Market Competition?

As the 2016 rates for Affordable Care Act (ACA) marketplace plans are finalized, there will be much interest in seeing to what extent premiums rise. It goes without saying that there is an overwhelming public interest in keeping these markets as competitive...

Published Mon, Oct 05 2015 11:06 AM by Health Affairs Blog

Filed under: Featured, Following the ACA, Insurance and Coverage, Costs and Spending, regulation, King v. Burwell, health insurance exchanges, premiums, Federally Facilitated Marketplace, out of pocket costs
Creating The Next Generation: The Payment Model We Need From Medicare

Four years of nation-wide testing by The Centers for Medicare and Medicaid Services (CMS) has now proven that the current shared savings payment models do not work effectively for low-cost Accountable Care Organizations (ACOs). High-cost ACOs have more...

Published Mon, Oct 05 2015 8:32 AM by Health Affairs Blog

Filed under: Quality, Hospitals, Population Health, Featured, Insurance and Coverage, Costs and Spending, Equity and Disparities, Long-term Services and Supports, ACOs, CMS, payment schemes, risk-adjusted payment, Bellin-Thedacare HealthPartners, global payment

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How To Qualify For Advance Premium Tax Credits For 2016

CMS Releases Technical Guidance For QRS And QHP Enrollee Experience Surveys

Time To Implement IOM Health IT Recommendations For Improving Diagnosis

Palliative Care: Continued Progress But Gaps Remain

An Underutilized Tool For Foundations—Policy Change

Narrative Matters: Poems On The Patient Experience And The Practice Of Medicine

The New Congressional Effort To Undermine The Affordable Care Act

Narrative Matters: Poetry Meets Health Care

How To Build Healthy Places Through Cross-Sector Collaboration

Trouble Ahead For High Deductible Health Plans?

A Glitch In The Road To Pay-For-Performance

Measuring What Matters In Primary Care

Health Affairs October Issue: ACA Progress, Health And Social Supports

What State Policies Best Foster Insurance Market Competition?

Creating The Next Generation: The Payment Model We Need From Medicare