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Taking On The Inequities Of Rural Life: Is Life In Rural America Good For Your Health?

Is rural living good for your health? If you’re one of a quarter billion Americans who live in metro areas , you may be conjuring up an idyll of burbling streams and fresh air. But rural Americans are more likely than city dwellers to live in poverty...

Published Thu, Jul 30 2015 10:02 AM by Health Affairs Blog

Filed under: Access, Disparities, Children, Aging, Health Philanthropy, GrantWatch, Rural Health Care, Equity and Disparities, Hunger
Worth The Money? Paying To Ensure A Representative Cohort In The Precision Medicine Initiative

In his January 2015 State of the Union address, President Obama announced the $215 million Precision Medicine Initiative . Moving beyond a “one-size-fits-all” approach to medical care, the initiative is intended to produce the knowledge that physicians...

Published Thu, Jul 30 2015 6:27 AM by Health Affairs Blog

Filed under: Research, Population Health, Featured, Costs and Spending, Equity and Disparities, Health Professionals, Precision Medicine, Personal Genome Project, Lisa Kearns, Arthur Caplan, Carolyn Plunkett, Ethics
Nudging Toward A Smoother Tax Season

At the core of the Affordable Care Act (ACA) is the notion that health insurance should be accessible and affordable. In pursuit of that goal, the legislation includes premium tax credits to provide financial assistance to individuals whose income falls...

Published Wed, Jul 29 2015 9:12 AM by Health Affairs Blog

Filed under: Population Health, Payment Policy, Following the ACA, Insurance and Coverage, Costs and Spending, ACA, APTC, premium tax credits, galen benshoof, earned income tax credit, DC Health Link, DC Health Benefit Exchange Authority
Fifty Years Later: Why Medicaid Still Matters

This year, as we celebrate the 50th anniversary of the establishment of Medicaid and Medicare, it is worth reflecting on the performance and value of these critical programs. Since their inception much has been written on the evolution and roles of both...

Published Wed, Jul 29 2015 6:49 AM by Health Affairs Blog

Filed under: Public Health, Medicare, Health Care Delivery, Population Health, Featured, Following the ACA, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Equity and Disparities, Long-term Services and Supports, Health Policy, CMS, Patricia Gabow, Thomas Daschle, Medicaid anniversary
A Perfect Combination: The Cleveland Neighborhood Model For Urban Health Care Education

I grew up in inner-city Cleveland, Ohio, and graduated high school at the top of my class with high aspirations. I was going to change the world and make my family proud. I was going to be a doctor. There was always enthusiasm whenever I shared that I...

Published Tue, Jul 28 2015 1:14 PM by Health Affairs Blog

Filed under: Nonmedical Determinants, Physicians, Primary Care, Chronic Care, Workforce, Access, Quality, Disparities, Health Philanthropy, GrantWatch, Equity and Disparities, Health Professionals, Minority Health
Spending Growth Trends: Keeping An Eye On Spending Per Person

New health spending data for 2014 and spending projections over the next decade from the Centers for Medicare and Medicaid Services (CMS) Office of the Actuary were just published in Health Affairs . They show that total growth in health spending picked...

Published Tue, Jul 28 2015 1:06 PM by Health Affairs Blog

Filed under: Consumers, Health IT, Medicare, Hospitals, Featured, Insurance and Coverage, Costs and Spending, Medicaid and CHIP, Drugs and Medical Technology, Health Professionals, transparency, CMS Office of the Actuary, Melinda Buntin, Altarum symposium
Health Affairs Web First: Health Spending Growth To Remain Moderate Compared To Pre-Recession Highs

New estimates released today from the Office of the Actuary at the Centers for Medicare and Medicaid Services (CMS) project a 5.5 percent rate of health spending growth for 2014, consistent with previous predictions. The average rate of longer-term projected...

Published Tue, Jul 28 2015 1:00 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, Health Professionals, CMS, Web First, Office of the Actuary, Sean Keehan, aging population, spending projections
Dynamic Vision Is A Cornerstone Of State Payment Reform Initiatives

Faced with rising health care costs, states are designing and implementing payment reforms that fundamentally transform how the health care market provides and pays for services. Two states in particular, Ohio and Oregon, have developed an overarching...

Published Tue, Jul 28 2015 7:43 AM by Health Affairs Blog

Filed under: Primary Care, Medicare, Health Care Delivery, Population Health, Featured, Payment Policy, Insurance and Coverage, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Oregon, Payment Reform, Health Professionals, Health Policy, triple aim, Ohio
Most States Lag On Delivering Valuable, Preventive Dental Care To Low-Income Children

As our health system moves to pay for value, highly-effective but low-cost preventive medicine becomes increasingly vital. Dental sealants provide a low-cost intervention to prevent tooth decay, a health condition with serious consequences. A $48 sealant...

Published Mon, Jul 27 2015 8:35 AM by Health Affairs Blog

Filed under: Public Health, Prevention, Quality, Children, Oral Health, Dental Care, Emergency Medicine, Population Health, Featured, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Equity and Disparities, Health Professionals, Long-term Services and Supports, CDC, bob russell, Pew Charitable Trust
Measuring What Matters: Using Data To Drive Action

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 Fri, Jul 24 2015 10:36 AM by Health Affairs Blog

Filed under: Public Health, Prevention, Quality, Research, Population Health, Featured, Equity and Disparities, RWJF, WHO, culture of health, data, RAND Corporation, Alonzo Plough
Health Spending: The $2 Trillion Question—Or Questions

Editor’s note: This is one of several posts Health Affairs Blog will publish 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 Fri, Jul 24 2015 8:24 AM by Health Affairs Blog

Filed under: Medicare, Featured, Costs and Spending, Medicaid and CHIP, IOM, GDP, health spending, NHE, Academy Health, Stuart Guterman
New Narrative Matters: Across State Lines, A Family Navigates Medical Complexity And Medicaid Hurdles

In Health Affairs’ July Narrative Matters essay, a medically complex child and a military family navigate Medicaid coverage challenges as they travel from state to state. Anthony Putney’s article is freely available to all readers, or you can listen...

Published Fri, Jul 24 2015 6:25 AM by Health Affairs Blog

Filed under: States, Narrative Matters, Organization and Delivery, Medicaid and CHIP, Equity and Disparities, access to care, military families
Reducing Practice Variation At Crystal Run Healthcare

Research has shown wide variation in per capita spending among different states and among different counties within the same state. Some of this variation can be explained by the health status of the population, local pricing, patient cultural and demographic...

Published Thu, Jul 23 2015 12:27 PM by Health Affairs Blog

Filed under: Physicians, Medicare, Quality, Innovations in Care Delivery, Population Health, Organization and Delivery, Costs and Spending, Medicaid and CHIP, Equity and Disparities, Health Professionals, ACOs, NCQA, chronic conditions, Scott Hines, Crystal Run Healthcare, Practice Variation
Implementing Health Reform: State Innovation Wavers; Vermont’s Abortion Coverage Conundrum

Section 1332 of the Affordable Care Act (ACA) provides for “state innovation waivers.” The Senate bill that became the ACA recognized a central role for the states in health reform. It preserved state regulation of insurance and encouraged states to establish...

Published Thu, Jul 23 2015 10:20 AM by Health Affairs Blog

Filed under: Payment Policy, Following the ACA, Insurance and Coverage, Section 1332 waivers, state based exchanges, Tim Jost, Howe v. Burwell, abortion coverage, marketplace plans
Telemedicine: A Solution To Address The Problems Of Cost, Access, And Quality

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 Thu, Jul 23 2015 7:10 AM by Health Affairs Blog

Filed under: Public Health, Health IT, Chronic Care, Quality, Population Health, Featured, Insurance and Coverage, Organization and Delivery, Costs and Spending, Equity and Disparities, Drugs and Medical Technology, ACA, Health Professionals, Bill Frist, Cadillac tax, Telehealth, Spotlight Health, Aspen Ideas Festival, Telemedicine

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Taking On The Inequities Of Rural Life: Is Life In Rural America Good For Your Health?

Worth The Money? Paying To Ensure A Representative Cohort In The Precision Medicine Initiative

Nudging Toward A Smoother Tax Season

Fifty Years Later: Why Medicaid Still Matters

A Perfect Combination: The Cleveland Neighborhood Model For Urban Health Care Education

Spending Growth Trends: Keeping An Eye On Spending Per Person

Health Affairs Web First: Health Spending Growth To Remain Moderate Compared To Pre-Recession Highs

Dynamic Vision Is A Cornerstone Of State Payment Reform Initiatives

Most States Lag On Delivering Valuable, Preventive Dental Care To Low-Income Children

Measuring What Matters: Using Data To Drive Action

Health Spending: The $2 Trillion Question—Or Questions

New Narrative Matters: Across State Lines, A Family Navigates Medical Complexity And Medicaid Hurdles

Reducing Practice Variation At Crystal Run Healthcare

Implementing Health Reform: State Innovation Wavers; Vermont’s Abortion Coverage Conundrum

Telemedicine: A Solution To Address The Problems Of Cost, Access, And Quality