California launched an ambitious effort to collect and report key data on the pathways to publicly subsidized health care coverage. The systematic understanding that the state is building about the flow of enrollment lays the groundwork for fully understanding the challenges of connecting...
In some fundamental way, the mental health community hasn't even been asking the right questions, a foundation leader says.
Recent CMS actions implementing the ACA include the release of further details on the use of a quality rating system for qualified health plans in connection with the 2017 open enrollment period, the announcement of an employer coverage verification study, and more.
A Controversial New Demonstration In Medicare: Potential Implications For Physician-Administered Drugs
Some of the most expensive drugs are covered under Medicare’s medical benefit, Part B, because they are administered by a physician. The high growth rate of Part B drug spending is a concern, especially as expensive breakthrough cancer drugs enter the market.
The May issue of Health Affairs, a variety issue, covers a broad range of topics: hospital profitability; prescription drug costs and value in the United States and worldwide; the results of state investment in population health; and other topics.
May 2, 2016 | Elsewhere@ Health Affairs
“Narrative Matters: On Our Reading List” is a monthly roundup where we share some of the most compelling health care narratives driving the news and conversation in recent weeks. This month covers topics on end-of-life care, treating drug addiction, and more.
On April 29, 2016, the Centers for Medicare and Medicaid Services posted in the Federal Register and at its Paperwork Reduction Act (PRA) website its final proposal for Transparency in Coverage Reporting for Qualified Health Plans
The mother ship has landed. On Wednesday, April 27, CMS released the highly-anticipated proposed rule that would establish key parameters for the new Quality Payment Program. This post briefly outlines the key elements of the proposed rule.
Medicaid Managed Care Final Rule: Examining The Alignment With Qualified Health Plan Requirements (Updated)
In the final Medicaid Managed Care (MMC) rule, CMS indicated a desire to align MMC requirements with those governing qualified health plans in the marketplaces. However, the regulations for the two programs vary in some cases, recognizing their differences.
While the ACA contains several tools designed to control health care costs, the current political environment makes it unlikely that reforms will be achieved at the federal level in the near future. States, however, are well-positioned to take the lead on implementing cost control and quality...