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Breaking The Fee-For-Service Addiction: Let’s Move To A Comprehensive Primary Care Payment Model

Editor’s note: This article is part of a series of blog posts by leaders in health and health care who participated in Spotlight Health from June 25-28, the opening segment of the Aspen Ideas Festival . This year’s theme was Smart Solutions to the World...

Published Mon, Aug 17 2015 9:08 AM by Health Affairs Blog

Filed under: Medicare, Quality, Hospitals, Population Health, Featured, Payment Policy, Organization and Delivery, Costs and Spending, Equity and Disparities, Health Professionals, Long-term Services and Supports, ACOs, value based care, fee-for-service, Spotlight Health, Iora Health, Grameen America, primary care payment model, Rushika Fernandopulle
Implementing Health Reform: Establishment Clause ACA Challenge Rejected

On August 14, 2015, yet another federal appellate court tossed yet another Affordable Care Act challenge . Jeffrey Cutler sued the Department of Health and Human Services. He claimed that the religious conscience exception to the individual mandate violated...

Published Sun, Aug 16 2015 10:14 AM by Health Affairs Blog

Filed under: Following the ACA, Insurance and Coverage
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
New Narrative Matters: A Failing Heart And The Downside Of Life-Prolonging Technology

In Health Affairs’ August Narrative Matters essay, for a man with end-stage heart failure, a left ventricular assist device prolongs life but brings dire complications. Kristin Kostick and Jennifer Blumenthal-Barby’s article is freely available...

Published Thu, Aug 13 2015 1:38 PM by Health Affairs Blog

Filed under: Bioethics, Quality, Narrative Matters, Elsewhere@ Health Affairs, Featured, W.K. Kellogg Foundation, end-stage heart failure, cardiac failure, quality of life
Lean: A Comprehensive Approach To The Transformation Our Health Care System Needs

Many approaches to improving value in our health system focus on specific issues involving care delivery models such as optimizing primary care, coordinating care transitions, facilitating the care of the high need/high use patients, or reducing unnecessary...

Published Thu, Aug 13 2015 5:42 AM by Health Affairs Blog

Filed under: Quality, Hospitals, Health Care Delivery, Innovations in Care Delivery, Organization and Delivery, Costs and Spending, Health Professionals, ACOs, CMS, Patient Engagement, Toyota, Lean
Breaking The Graduate Medical Education Policy Logjam

The content and effectiveness of Graduate Medical Education (GME) is an important determinant of the quality and cost of our health care system. Location of GME affects the size and geographic distribution of our physician workforce, thereby influencing...

Published Wed, Aug 12 2015 11:12 AM by Health Affairs Blog

Filed under: Primary Care, Medicare, Quality, Population Health, Featured, Health Policy Lab, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Health Professionals, HHS, GME, Rural Training Track, IOM report, COGME, MACRA, House Energy and Commerce committee
Building A Successful Farm To School Movement: One Person, One Plot, One Policy At A Time

What does it take for a school district to be able to offer fresh, local, unprocessed food to its students? Chaffee County, Colorado found that the key ingredients are supportive school district administration, a strong school wellness policy, a food...

Published Wed, Aug 12 2015 6:50 AM by Health Affairs Blog

Filed under: Public Health, Children, Innovations in Care Delivery, Population Health, Community Health, Colorado, Kaiser Permanente, sustainability, USDA, LiveWell Chaffee County, farm to school, school lunches
Advancing Integrated Behavioral Health Care In Texas And Maine: Lessons From The Field

“We don’t even speak the same language,” a primary care provider explained during an Integrated Behavioral Health/Primary Care team meeting. “So, it’s not surprising it took us a lot longer to learn how to work together than we anticipated.” A substantial...

Published Tue, Aug 11 2015 4:58 PM by Health Affairs Blog

Filed under: Primary Care, Workforce, Health Philanthropy, GrantWatch, Mental Health, Health Care Delivery, Organization and Delivery, Health Professionals, Maine, Texas, Behavioral Health, integrated care
Implementing Health Reform: OIG Reports On 2014 FFM Performance; Risk Corridor Data Delayed

On August 10, 2015 yet another report was released evaluating the performance of the federally facilitated marketplace (FFM), this one from the Department of Health and Human Services Office of Inspector General (OIG). The evaluation concerns the system...

Published Tue, Aug 11 2015 12:31 PM by Health Affairs Blog

Filed under: Payment Policy, Following the ACA, Costs and Spending, CSR, APTC, federally facilitated marketplaces, risk corridor data, HHS Office of Inspector General, QHPs
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
The Last Mile In Community Health: Reaching The Hardest To Serve

Editor’s note: This article is part of a series of blog posts by leaders in health and health care who participated in Spotlight Health from June 25-28, the opening segment of the Aspen Ideas Festival . This year’s theme was Smart Solutions to the World...

Published Tue, Aug 11 2015 6:57 AM by Health Affairs Blog

Filed under: Public Health, Global Health, Quality, Population Health, Organization and Delivery, Costs and Spending, Equity and Disparities, Ebola, Health Professionals, Spotlight Health, Aspen Ideas Festival, Community Health, Wendy Taylor, USAID
Improving Patient Safety Through The National Action Plan For Adverse Drug Event Prevention

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. Watch Health Affairs Blog for additional posts on topics raised at the ARM...

Published Mon, Aug 10 2015 1:03 PM by Health Affairs Blog

Filed under: Public Health, Featured, Drugs and Medical Technology, ADE Action Plan, opioids, ODPHP, Academy Health Annual Research Meeting, Healthy People 2020
Title X: The Lynchpin Of Publicly Funded Family Planning In The United States

The Title X national family planning program was created 45 years ago with broad bipartisan support. Today, Congress has Title X—still the only federal grant program dedicated entirely to family planning and related preventive health care—in...

Published Mon, Aug 10 2015 6:55 AM by Health Affairs Blog

Filed under: Public Health, Quality, Population Health, Featured, Costs and Spending, Equity and Disparities, ACA, Long-term Services and Supports, Women's Health, family planning, Title X, Planned Parenthood
Implementing Health Reform: Full Appeals Court Rejects Origination Clause Challenge To ACA

On August 7, 2015, the United States Court of Appeals for the District of Columbia Circuit rejected a petition for a rehearing en banc (by the entire court) in the case of Sissel v. Department of Health and Human Services. Mr. Sissel had sued, claiming...

Published Fri, Aug 07 2015 3:29 PM by Health Affairs Blog

Filed under: Following the ACA, ACA litigation, Origination clause
New Health Policy Brief: Medicare’s Hospital-Acquired Condition Reduction Program

A new policy brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) addresses Medicare’s Hospital-Acquired Condition Reduction Program. When a patient goes to the hospital to receive care for one condition but then develops another, the...

Published Fri, Aug 07 2015 9:11 AM by Health Affairs Blog

Filed under: Medicare, Quality, Elsewhere@ Health Affairs, Organization and Delivery, Costs and Spending, CMS, Health Policy Brief, Inpatient Quality Reporting, HAC Reduction Program, hospital-acquired condition

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Breaking The Fee-For-Service Addiction: Let’s Move To A Comprehensive Primary Care Payment Model

Implementing Health Reform: Establishment Clause ACA Challenge Rejected

A Milestone Is Reached As CMS Moves Beyond Voluntary Participation

New Narrative Matters: A Failing Heart And The Downside Of Life-Prolonging Technology

Lean: A Comprehensive Approach To The Transformation Our Health Care System Needs

Breaking The Graduate Medical Education Policy Logjam

Building A Successful Farm To School Movement: One Person, One Plot, One Policy At A Time

Advancing Integrated Behavioral Health Care In Texas And Maine: Lessons From The Field

Implementing Health Reform: OIG Reports On 2014 FFM Performance; Risk Corridor Data Delayed

Reinventing Home Health

The Last Mile In Community Health: Reaching The Hardest To Serve

Improving Patient Safety Through The National Action Plan For Adverse Drug Event Prevention

Title X: The Lynchpin Of Publicly Funded Family Planning In The United States

Implementing Health Reform: Full Appeals Court Rejects Origination Clause Challenge To ACA

New Health Policy Brief: Medicare’s Hospital-Acquired Condition Reduction Program