Valuing Value-Based Payment
By ANISH KOKA, MD
The idea that payment should be linked to the value lies at the heart of most of the transactions we participate in on a daily basis. Yet, value based payment in healthcare has seemingly run into very rocky waters as of late. It is at this precarious time that stakeholders representing large employers and other purchasers of health care’ took to the Harvard Business Review to write in defense of value based payment reform. The authors pepper their article with cherry picked ‘successes’ of the value movement and urge the country to forge ahead on the current path. The picture that c...
Source: The Health Care Blog - October 16, 2017 Category: Consumer Health News Authors: anish_koka Tags: Uncategorized Value-Based Payment Source Type: blogs
The CHRONIC Care Act Passes Senate, Obstacles Remain
Late last Tuesday night, only hours after Republican leaders announced they were pulling the Graham-Cassidy repeal and replace bill from Senate consideration, the body unanimously passed the Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act of 2017 (the Act).
Aiming to improve care for seniors with chronic conditions, the Act first passed the Senate Finance Committee in May of this year. A Health Affairs blog post by former Senators Tom Daschle and Bill Frist, along with in-depth analysis from the Bipartisan Policy Committee, helpfully outline the need for a bipartisan effort to add...
Source: Health Affairs Blog - October 5, 2017 Category: Health Management Authors: Billy Wynne Tags: Costs and Spending Insurance and Coverage Medicaid and CHIP Medicare Organization and Delivery ACA ACO bipartisanship chronic CHRONIC Care Act dual eligibles Long-Term Care Medicare Advantage Telehealth Source Type: blogs
To Improve Health Care, How Do We Build Trust And Respect For Patients?
Over the past several years, there has been a proliferation of health insurance benefit designs and tremendous growth in new care delivery settings that have moved health care beyond the traditional brick-and-mortar physician offices to retail and even virtual settings. In the face of these rapid changes, consumers encounter many more choices when they are shopping for their health insurance and health care.
To better understand this evolving landscape, the Robert Wood Johnson Foundation (RWJF) awarded grants for eleven research studies in 2015, under a funding opportunity managed by AcademyHealth. These studies are conclu...
Source: Health Affairs Blog - September 26, 2017 Category: Health Management Authors: Megan Collado, Tara Oakman and Mona Shah Tags: Featured GrantWatch Insurance and Coverage Quality AcademyHealth Consumers cost-conscious behaviors doctor patient relationship Employer-Sponsored Insurance Health Philanthropy Mental Health patient perspective patient satisfaction Source Type: blogs
New Graham-Cassidy Draft: States With Hold-Out GOP Senators Favored, Potential Higher Costs Remain For Those With Preexisting Conditions
Late on the night of Sunday, September 25, 2017—only 72 hours before a final vote on the bill is expected–a new version of the Graham-Cassidy bill was released. Although much of the bill is the same as the draft released earlier, there are significant changes. On initial review, these seem to be aimed primarily at two purposes:
undergirding the argument of the bill’s sponsors that it does not exclude coverage for people with preexisting conditions and,
substantially increasing funding for states represented by some of the GOP Senators who have expressed concerns about the bill.
This post analyzes the non-Medica...
Source: Health Affairs Blog - September 25, 2017 Category: Health Management Authors: Timothy Jost Tags: Costs and Spending Featured Following the ACA Insurance and Coverage Source Type: blogs
Here ’s how a glucometer turned this doctor against Medicaid for all
In a recent Vox interview, Senator Brian Schatz (D-Hawaii) announced his plans to allow individuals without insurance to buy Medicaid coverage. As a family doctor caring for patients on Medicaid in Senator Schatz’s home state, I cannot support such a plan.
Medicare continues to be run by the federal government. In contrast, Medicaid programs are run by states. The trend in recent decades is for states to contract out Medicaid to private insurance corporations. Before 1994, Hawaii’s Medicaid was administered by HMSA, Hawaii’s Blue Cross/Blue Shield. During the Clinton era, the buzzword was “managed competition” am...
Source: Kevin, M.D. - Medical Weblog - September 22, 2017 Category: General Medicine Authors: < a href="http://www.kevinmd.com/blog/post-author/seiji-yamada" rel="tag" > Seiji Yamada, MD, MPH < /a > Tags: Policy Diabetes Public Health & Washington Watch Source Type: blogs
Non-Emergency Medical Transportation: Will Reshaping Medicaid Sacrifice An Important Benefit?
Medicaid delivers care to 74.5 million individuals for less money than any other large-scale health financing mechanism. A 2016 Henry J. Kaiser Family Foundation study noted that “spending per enrollee is lower for Medicaid compared to private insurance after controlling for differences in sociodemographic and health characteristics between the two groups.” One reason might be that Medicaid covers certain inexpensive, non-medical services that, when delivered early in the progression of chronic diseases, can check or slow the diseases, thereby improving beneficiaries’ health and saving money. One non-medical service&...
Source: Health Affairs Blog - September 20, 2017 Category: Health Management Authors: Mike Adelberg and Marsha Simon Tags: Medicaid and CHIP Population Health Quality non-emergency medical transportation Section 1115 waiver Source Type: blogs
Health Wonk Review Archives: 2006-2017
October 26, 2017 - David Williams at Health Business Blog
October 12, 2017 - Hank Stern - InsureBlog
September 28, 2017 - Brad Wright - Wright on Health
September 14, 2017 - Louise Norris - Colorado Health Insurance Insider
August 17, 2017 - Peggy Salvatore - Health System Ed Blog
July 21, 2017 - Steve Anderson - healthinsurance.org
June 23, 2017 - Joe Paduda - Managed Care Matters
June 1, 2017 - Andrew Sprung - xpostfactoid
May 18, 2017 - Jason Shafrin - Healthcare Economist
May 4, 2017 - Julie Ferguson - Workers Comp Insider
April 20, 2017 - Brad Wright - Wright on Health
April 6, 2017 - Hank Stern - Insur...
Source: Health Wonk Review - September 16, 2017 Category: Health Management Source Type: blogs
Private Employers Should Demand And Share Evidence From Payment Reforms
This article is part of a project funded by the Laura and John Arnold Foundation. The article is an independent work product and the views expressed are those of the authors and not necessarily those of the funder. We would also like to thank the Evidence Hub expert working group for its guidance throughout this project as well as Rob Saunders, Matthew Harker, and Mark Japinga from the Duke-Margolis Center for their assistance in drafting. (Source: Health Affairs Blog)
Source: Health Affairs Blog - September 15, 2017 Category: Health Management Authors: Suzanne Delbanco, Andrew Olson and Mark McClellan Tags: Costs and Spending Payment Policy employer-sponsored coverage Employer-Sponsored Insurance Source Type: blogs
Medicaid Waivers Should Backstop The Exchanges
During the summer of 2017, there were 82 counties at risk of not being covered for the 2018 policy year. State regulators managed to attract at least one insurer in those counties, but a recent market exit in Virginia leaves more counties at risk. The recent Health Affairs Blog post by Anderson, Hacker, and Starr, which advocates for a persistent Medicare-derived public option that is triggered by insufficient competition on the Affordable Care Act (ACA) exchanges, is an interesting example of harnessing the power of Medicare and repurposing it to compete in the private market. Bare counties and the lack of meaningful cho...
Source: Health Affairs Blog - September 14, 2017 Category: Health Management Authors: David Anderson Tags: Following the ACA Medicaid and CHIP bare counties 1332 waivers Section 1115 Waivers Source Type: blogs
Rise in Hospital Employment of Physicians: What ’s Good is Bad, What’s Bad is Good
We've Moved! Update your Reader Now. This feed has moved to: http://feeds.healthblawg.com/healthblawg Update your reader now with this changed subscription address to get your latest updates from us. http://feeds.healthblawg.com/healthblawg (Source: HealthBlawg :: David Harlow's Health Care Law Blog)
Source: HealthBlawg :: David Harlow's Health Care Law Blog - September 11, 2017 Category: Medical Law Authors: David Harlow David Harlow Tags: Accountable Care Organization Health care policy Health Insurance Health Law Health Reform Hospitals Managed Care Pay for performance Physicians Value Based Purchasing Source Type: blogs
