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Reaching Beyond Delivery System Walls To Improve Colorectal Cancer Screening

Many value-based payment arrangements hold delivery systems accountable for achieving population health goals, which can best be met by engaging people who may never enter a medical office. Kaiser Permanente learned to reach beyond its walls to engage healthy members in colorectal cancer screening.

House Republicans Tweak AHCA Again; CBO Scores Earlier Changes

It is now reported that the full House will vote on the American Health Care Act on Friday, March 24. Late on March 23, a further manager’s amendment was offered, apparently to pick up more Republican votes. CBO updated its score for AHCA, reflecting earlier changes but not the latest tweaks.

Prescription Drug Regulation, Promotion, And Advocacy Has Gotten More Vexing In 2017

Early 2017 has been one of the most interesting and challenging times for anyone concerned with medication regulation and evidence-based prescribing — as well as for the patients and health care professionals who will be so heavily impacted recent policy changes.

Essential Health Benefits: What Could Their Elimination Mean?

In the effort to pass the American Health Care Act, House Republicans are looking to eliminate the requirement that health insurers cover “essential health benefits” (EHB). What are EHB and what would be the consequences of removing this requirement?

The New Line On The HHS Blog; Suit For Federal Money Owed CO-OP Dismissed

For the past nearly seven years, the HHS blog has regularly highlighted the achievements of the Affordable Care Act. With the change in administrations, the change in the HHS blog has been dramatic. Additionally, a judge dismissed a suit for federal money allegedly due an ACA CO-OP.

What Can US Policymakers Learn About Essential Health Benefits From Israel?

The Israeli system rests on the concept of competing private health plans selling care in a market of empowered consumers. But one crucial difference is how Israel approaches the question of what it means to be covered.

The AHCA Gets It Wrong: Health Care Is Different

In many ways, the AHCA's reliance on consumers to fend for themselves in buying health care services represents a fundamental rejection of the prevailing policy viewpoint: Kenneth Arrow's argument that the economic problems in health care are related to uncertainty in both disease and in treatment.

The House Manager’s Medicaid Amendments: The State Block Grant Option

Titled “Flexible Block Grant Option for States,” the amendment adds a coda of sorts to the bill’s new Medicaid per capita cap payment system. It would virtually eliminate any coverage obligations.

March 21, 2017 | Following the ACA, Medicaid and CHIP

Redesigning New Jersey’s Medicaid Program: Philanthropy Steps Up

When state governments do not take the lead in fundamentally transforming their Medicaid programs, foundations can step up to support Medicaid modernization. A foundation in the Garden State saw an opening to provide the next governor's administration with a ready-to-roll, nonpartisan plan for...

What’s In The Manager’s Amendment To AHCA?

On March 20, 2017, the Republican House leadership released a manager’s amendment to the American Health Care Act. This amendment is intended to respond to critics of the original AHCA from the right and middle. It is less clear that it responds to concerns raised by the CBO report on AHCA.

March 21, 2017 | Following the ACA