The Journal of Ambulatory Care Management This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Can We Find a Path Between Medicare for All and Building on the ACA?
In this article, we explore the political and policy challenges involved in finding a path between incremental health reform and Medicare for All. We begin by clarifying our goals and move to examining the political barriers that any solution must contend with and overcome. Finally, we outline a path forward in which we must embrace the goals of Medicare for All, consider potential coalition dynamics before combining different goals into a single proposal, and acknowledge the important role states can play in advancing reform. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Moving Forward the Health Policy Agenda Source Type: research

Medicare for All's Political Reality: A Barista Planning to Marry a Movie Star
Attempting to enact Medicare for All in today's political climate is akin to a Starbucks barista saying he is torn between staying with his girlfriend and marrying Jennifer Lawrence: it is an unrealistic ideal. But if one also takes into account the genuine threat to the Affordable Care Act (ACA) from the Trump administration's decision to support a federal judge's controversial under-appeal ruling that the entire ACA is unconstitutional, the Medicare for All enthusiasm is even more alarming. It also ignores the unprecedented disruption to the lives of tens of millions of Americans such a massive change would create. (Sour...
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Moving Forward the Health Policy Agenda Source Type: research

An American Path to Universal Coverage
The politics of health care policy create opportunities driven by public demands for lowering costs and providing health security, constrained by fear of loss of what people have now, fears that will be inflamed by opponents. The best course toward reform will provide people a choice of improved public coverage and the ability to keep improved employer coverage. There are a variety of ways to design these proposals, some of which can be characterized as Medicare for All. Inclusion of a Medicare/public plan in the Affordable Care Act marketplaces is a policy option but one of relatively low significance. (Source: The Journa...
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Moving Forward the Health Policy Agenda Source Type: research

Confronting the Post—ACA American Health Crisis: Designing Health Care for Value and Equity
The United States is in the midst of a health crisis marked by unprecedented 3-year declines in life expectancy. Addressing this national crisis requires alignment of public policies, public health policies, and health care policies, with the overarching aim of improving national health and health equity. Aligning national polices to support human needs provides a foundation for implementing post–Affordable Care Act national health care reform. Reform should start with the twin goals of improving health care value and equity. A focus on value, that is, outcomes and processes desired by patients, is critical to ensuring t...
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Moving Forward the Health Policy Agenda Source Type: research

From the ACA to Even Better Reform
Because health policy decision makers have different economic and political interests as well as different ideological persuasions, those committed to fairer and more comprehensive reform must be prepared to compromise in order to make progress toward their goals. The primary purpose of this essay is to describe a more nearly ideal health care system and identify factors that affect how patients and providers make utilization decisions. Having a clear vision of the ultimate goals to achieve will help participants in the political process to make compromises that advance the effort and to avoid those which undermine it. (So...
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Moving Forward the Health Policy Agenda Source Type: research

A Middle-Ground Proposal for Making Health Care Premiums More Affordable
Passage of any health care reform that addresses the rising cost of health care in the United States will be a difficult political challenge unless a middle-ground compromise between government control of health care insurance and free market approaches can be found. On the basis of the competitive market for Medicare supplemental insurance, a Medicare Adherence Policy insurance option is proposed that would leverage Medicare's authority to set prices to create a practical middle-ground reform that can strike a balance between the role of government and the free market. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Moving Forward the Health Policy Agenda Source Type: research

Focusing on Health and Not Simply Health Care
As Americans consider the future of health coverage, there is one continually undervalued area worthy of attention, namely prevention. The article reviews the significant gains from the Affordable Care Act as well as the remaining needs to promote health and well-being and not solely focus on the treatment of illness and injury. It identifies changes in policies that would broaden future goals beyond the receipt of clinical care to the creation of a health system committed to also recognizing and addressing the social determinants of health and meaningfully incorporating consumers, particularly those with elevated risk of ...
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Moving Forward the Health Policy Agenda Source Type: research

Getting to the End Zone With Medicare for All
Incremental reform is an option put forward to bridge the gap between the advances made by the Affordable Care Act and Medicare for All. Starting with the premise that the barriers to enactment of Medicare for All are less than they appear, this article discusses some specific concerns about Medicare for All and how a well-implemented plan can overcome them. Regarding the bills in Congress as blueprints on which to build a foundation for a well-implemented plan, concerns about utilization, costs, funding, workforce changes, and political objections are all found to be manageable. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Moving Forward the Health Policy Agenda Source Type: research

Improve Markets, Not Government Controls, for Real Health Reform
Proposals to replace the existing mix of public and private health financing with a fully nationalized government system (“Medicare for All”) fail to address fundamental problems of high cost, overutilization, and inefficiency. Those proposals are a reaction to the Affordable Care Act, which provided new insurance subsidies but did little to solve the cost problem. Stabilizing the individual insurance market is not the goal. Reform should focus on making the entire insurance market and the health delivery system more efficient and more equitable by promoting consumer choice, market competition, private initiative, and ...
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Moving Forward the Health Policy Agenda Source Type: research

How States Can Lead the Way to Health Reform, Again
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Appreciations Source Type: research

A Brief Remembrance of Rob Restuccia
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Appreciations Source Type: research

Ten Things I Learned From Rob During a Lifetime of Health Care Advocacy
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Appreciations Source Type: research

A Tribute to Rob Restuccia and Thoughts About How We Continue to Move Forward Toward the Promise of Universal Entitlement
Rob Restuccia defined how health care justice and equity is advanced through his pioneering work that led to the passage of the Affordable Care Act (ACA). The evolution of the ACA is unfinished but the roadmap is clear. Next steps include a public option, the unshackling of government's ability to purchase pharmaceuticals and expansion to the entire nation. Through his life's work, Rob Restuccia has taught us how we will get there. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Appreciations Source Type: research

Individuals Matter in Health Care Reform
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Appreciations Source Type: research

Reflections on Rob Restuccia and His Impact: Threading the Needle Between the ACA and Medicare for All
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - May 29, 2019 Category: Emergency Medicine Tags: Appreciations Source Type: research