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Total 186 results found since Jan 2013.

Finland to Break New Ground with Basic Income Experiment
Despite some of the breathless headlines, Finland is not adopting a national universal basic income. That is, Finland is not scrapping the existing welfare system and distributing the same cash benefit to every adult citizen without additional strings or eligibility criteria. Finland is moving forward with one of the most extensive and rigorous basic income experiments in decades, which could help answer some of the lingering questions surrounding the basic income. The failures of the current system are well documented, but there are concerns about costs and potential work disincentives with a basic income. Finland’s exp...
Source: Cato-at-liberty - December 9, 2015 Category: American Health Authors: Charles Hughes Source Type: blogs

Popular ACA Provision’s $1,200 per Year Pay Cut
Since the Affordable Care Act came into effect in September 2010, its dependent coverage provision has mandated that insurers allow children to remain on their parents’ plans until age twenty-six. According to some polls, it is the single most popular provision in the law, enjoying high levels of support from Independents, Democrats, and Republicans alike. This is a marked contrast to the law as a whole, which remains unpopular to this day.  The Obama administration has pointed to increasing insurance coverage among young adults as a sign of the provision’s success. A new working paper might dampen some of this fanfar...
Source: Cato-at-liberty - January 13, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs

Berniecare Outline Leaves Important Questions Unanswered and Would Add Trillions to the Debt Even After Massive Tax Increases
Just before last weekend’s Democratic debate, Bernie Sanders finally released the long-awaited plan for his health care proposal, which would fundamentally transform the health care sector by replacing all health insurance with a single program administered by the federal government. Michael Cannon has ably explained how Obamacare was really the big loser of the back and forth at the debate, but it’s worth looking further into Sanders’ outline of a plan. At just seven pages of text, it leaves most of the major questions unanswered. It does list a bevy of tax increases that it say will finance the needed $1.38 trillio...
Source: Cato-at-liberty - January 20, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs

More Losses Ahead for Obamacare’s Troubled CO-OPs
Twelve of the 23 Obamacare health cooperatives (CO-OPs) have shut down already. 627,000 people were enrolled in CO-OPs that ceased operations, and the federal government had disbursed more than $1.2 billion to these CO-OPs, and it might be difficult to ever recover any of these taxpayer funds. A GAO report released this week reveals that the CO-OP losses could be far from over. 4 of the 11 CO-OPs still operating in 2016 have not yet reached the benchmark of 25,000 enrollees, which CMS officials say is the minimum needed for a CO-OP to have financial solvency. More than 69,000 people were enrolled in these plans as of Janua...
Source: Cato-at-liberty - March 18, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs

Lessons From More Than A Decade In Patient Portals
Many of us look forward to a time when the experience of interacting with our health care providers will be as consumer-friendly and technology-enabled as, for example, using an ATM or Uber. The vision is health care at the touch of a finger — lab results, prescription refills, and communication with providers made easier and more convenient through technology. Not only do consumer expectations push the delivery system in that direction, but so too do federal requirements. As part of the federal Electronic Health Records (EHR) Incentive Program meaningful use requirements are updated to improve patients’ abilit...
Source: Health Affairs Blog - April 7, 2016 Category: Health Management Authors: Terhilda Garrido, Brian Raymond and Ben Wheatley Tags: Drugs and Medical Technology Featured Health IT Health Professionals Insurance and Coverage Organization and Delivery Quality chronic conditions EHRs electronic health records patient portals patient uses of evidence Physicians P Source Type: blogs

John Stossel Discovers Health Care Dysfunction, Blames it on "Socialists" - Like Maurice Greenberg (AIG), John Thain (Merrill Lynch), Sanford Weill (Citigroup), and David H Koch?
In conclusion, I am glad that some of the problems in the dysfunctional US health care system are getting more public attention.  However, now we need to calmly and rationally consider what is causing them and what to do about them without the blinders of ideology or vested interests.  IMHO, true US health care reform would put the operation of US health care organizations more in the hands of people who have knowledge and experience in health care, and are willing to be accountable to support health care professionals' values.  Furthermore, oversight and stewardship of these organizations should represent t...
Source: Health Care Renewal - April 24, 2016 Category: Health Management Tags: boards of trustees bureaucracy finance generic managers managerialism New York - Presbyterian Hospital Source Type: blogs

Berniecare Would Increase Federal Expenditure by $32 Trillion Over Next Decade, Twice as Much as Campaign Claimed
Fresh off his resounding victory in the West Virginia primary, Senator Bernie Sanders has intimated that he has no intent of dropping out of the race any time soon, even though he trails his rival Hillary Clinton significantly in pledged delegates. One of the cornerstones of the Sanders campaign has been his health care plan, which would replace the entirety of the current health care system with a more generous version of Medicare. His campaign has claimed the plan would cost a little more than $13.8 trillion over the next decade, and he has proposed to fund these new expenditures with a clutch of tax increases, many of t...
Source: Cato-at-liberty - May 11, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs

Lessons from NYC’s Randomized Conditional Cash Transfer Program
The research organization MDRC recently released its comprehensive evaluation of Opportunity NYC- Family Rewards, a conditional cash transfer (CCT) pilot program with the goal of helping families break free of the cycle of poverty. This program is particularly notable because it is the first comprehensive CCT program in a developed country, and it was a large-scale randomized control trial. CCTs offer cash assistance, but only if certain conditions are met, in this case these conditions are concentrated in the three spheres of children’s education, preventive health care utilization and parents’ employment. There was n...
Source: Cato-at-liberty - June 2, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs

Obama’s Misguided Reversal On Social Security Expansion
In a speech this week, President Obama called for an expansion of Social Security, saying “it’s time we finally made Social Security more generous, and increased its benefits.” Obama was undoubtedly influenced  to some degree by the developments in the Democratic primary, where both Bernie Sanders and Hillary Clinton have expressed support for some form of expansion.  This represents a reversal in part for Obama. While he had always supported increasing payroll taxes on higher-earning Americans, he had also previously supported a change in the way benefits were adjusted each year that would have reduced the growth ...
Source: Cato-at-liberty - June 3, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs

The Federal Government’s Improper Payment Problem: Another Year, Another Record High
Waste, fraud, and abuse are a common target on the campaign trail. Politicians from both parties point promise that eliminating this problem is a cure-all for whatever mathematical problems their tax and spending proposals might face. Eliminating waste, fraud, and abuse is not controversial, and allows them to avoid naming any actual programs they would phase out or reduce. As my Cato colleagues have pointed out, even completely eliminating all improper payments (which are somewhat related but not quite the same thing) won’t magically make next year’s budget deficit disappear and would do nothing to address the country...
Source: Cato-at-liberty - June 7, 2016 Category: American Health Authors: Charles Hughes Source Type: blogs

Foundation Blogs Round-Up: Orlando, Flint, High-Deductible Health Plans, and More
Orlando Tragedy: Writings from some foundation leaders “Sunday Mourning,” by Judy Belk, president and CEO of the California Wellness Foundation (CalWellness), June 14, on the foundation’s For Wellness’ Sake blog. CalWellness has been funding in the area of violence prevention for many years. Belk reminds us of its work “to prevent gun violence and promote safety as a critical factor in the health and wellness of communities—especially for underserved populations such as people of color and members of the LGBTQ community—who are too often marginalized and disproportionately victimized by violence.” She offer...
Source: Health Affairs Blog - June 16, 2016 Category: Health Management Authors: Lee-Lee Prina Tags: Costs and Spending Global Health GrantWatch Health IT Insurance and Coverage Africa Community Health Centers consumer-directed health plans Consumers Environmental Health Health Care Delivery Health Philanthropy high-deductible pla Source Type: blogs

Health Spending Growth: Still Facing A Triangle Of Painful Choices
The rate of growth in health spending increased in 2014 and 2015 but has recently trended downward, perhaps toward the record low levels experienced from 2009 through 2013. That’s the good news. The bad news is that even these record low levels are not sustainable in the long run without sacrifices that will cause extreme pain across the political-economic spectrum. The Current Path of National Health Spending In the four years immediately following the recession (2010 through 2013), health spending grew at a historically low average annual rate of 3.6 percent, about the same as gross domestic product (GDP). This era was...
Source: Health Affairs Blog - June 23, 2016 Category: Health Management Authors: Charles Roehrig Tags: Costs and Spending Featured Medicaid and CHIP Medicare culture of health GDP national health spending Triangle of Painful Choices Source Type: blogs

Dynamic Debate: Health Affairs Forum Begins Value-Based Payment Discussion
“Continuous improvement is better than delayed perfection.” You can bet that Mark Twain wasn’t thinking about reforming health care payment systems when he spoke these words more than a century ago, but that doesn’t mean they aren’t relevant to the issue. In fact, “continuous improvement” was the overarching theme at a recent Health Affairs Forum entitled “Envisioning the Future of Value Based Payment.” Several recent laws have strengthened Medicare’s incentives for quality improvement and accountability, including MACRA, the Affordable Care Act, the IMPACT Act, and the HITECH Act. Congress passed t...
Source: Health Affairs Blog - July 13, 2016 Category: Health Management Authors: Charles Kahn Tags: Costs and Spending Featured Hospitals Insurance and Coverage Medicare Payment Policy Quality Health Affairs Event Hospital Readmission Reductions Program Hospital-Acquired Condition Reduction Program quality measurements value-based Source Type: blogs

Health Wonk Review Archives: 2006-2015
June 16, 2016 - Christopher Fleming at Health Affairs Blog June 2, 2016 - David Harlow - HealthBlawg May 19, 2016 - Tinker Ready - Boston Health News May 5, 2016 - Brad Wright - Wright on Health April 21, 2016 - Peggy Salvatore - Health System Ed Blog April 7, 2016 - Jaan Sidorov - The Population Health Blog March 24, 2016 - Charles Gaba at ACASignups.net March 10, 2016 - David Williams - Health Business Blog February 25, 2016 - Louise Norris -Colorado Health Insurance Insider February 11, 2016 - Steve Anderson at medicareresources.org blog January 29, 2016 - Joe Paduda at Managed Care Matters - 10 Year Annivers...
Source: Health Wonk Review - April 25, 2016 Category: Health Management Source Type: blogs