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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 repres...
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
Compromise Prospects Recede In Contraceptive Mandate High Court Litigation (Update)
Implementing Health Reform (April 22 update). On April 21, the Centers for Medicare and Medicaid released drafts of six updated federal standard notices to be used by insurers in the individual market when they discontinue products or renew coverage at the end of a coverage year, or non-renew or terminate coverage because an enrollee has moved out of a product’s service area. CMS update notices released in 2014.
For policy years ending before December 31, 2017, insurers may use either the 2014 or updated notices, but for policy years ending on or after that date the updated notices will be required. CMS is requesting co...
Source: Health Affairs Blog - April 21, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Mental Health MHPAEA Substance Use Disorders Source Type: blogs
Compromise Prospects Recede In Contraceptive Mandate High Court Litigation
While briefs filed on April 12 by the petitioners and the government in Zubik v. Burwell, the Supreme Court contraceptive mandate case, suggested that there might be room for the Court to impose a compromise, reply briefs filed on April 20, indicated that the parties are still pretty far apart.
The petitioners insist that the only acceptable solution would be one in which they did not need to do anything (including self-certification) other than provide coverage to their employees excluding contraception. Insurers could in turn offer separate contraceptive coverage in which their employees would have to enroll independentl...
Source: Health Affairs Blog - April 21, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Mental Health MHPAEA Substance Use Disorders Source Type: blogs
Tracking The Impact Of The Affordable Care Act In Kentucky
The Affordable Care Act (ACA) presents states with an opportunity to tailor the implementation of key health policy approaches intended to increase health insurance coverage and access to timely, high-quality care in a way that fits their populations best.
Kentucky may well be one of the most interesting cases to watch and learn from as we seek to understand how the ACA can make us healthier while controlling costs and improving quality of care. The Foundation for a Healthy Kentucky has been tracking the impact of the ACA on coverage, access, costs, quality of care, and health outcomes through a multiyear contract with ...
Source: Health Affairs Blog - April 6, 2016 Category: Health Management Authors: M. Gabriela Alcalde Tags: Costs and Spending Featured GrantWatch Insurance and Coverage Medicaid and CHIP Quality Access Affordable Care Act Disparities Health Care Costs health outcomes Health Philanthropy Health Reform Kentucky Policy Source Type: blogs
To Fight Antimicrobial Resistance, Allow FDA To Approve New Drugs For Limited Populations
Over the past several months, microbiologists and public health experts around the world have been alarmed by the discovery of a gene conferring resistance to colistin, a so-called “last resort” antibiotic.
The gene, MCR-1, was discovered in China last year, and thereafter quickly identified in E. coli samples from six continents. Because this type of gene is highly transferable, it will, in all likelihood, spread to other hard-to-treat bacteria. What global health leaders have been warning of for years has now become reality.
Now, more than ever, there is an urgent need for action to spur the innovation of antibiotics...
Source: Health Affairs Blog - April 5, 2016 Category: Health Management Authors: Allan Coukell Tags: Drugs and Medical Technology Featured Global Health Population Health Public Health Quality 21st Century Cures Act Antibiotic Resistance Antibiotics Congress FDA limited-population antibacterial drug MCR-1 PATH Act Research Source Type: blogs
Don’t Let the Talking Points Fool You: It’s All About the Risk Pool
Most people are healthy most of the time, and as a consequence, health care expenditures are heavily concentrated in a small share of the population: about 50 percent of the health care spending in a given year by those below age 65 is attributable to just 5 percent of the nonelderly population. The lowest spending half of the population accounts for only about 3.5 percent of health care spending in a year.
Deciding how much of total health care expenditures should be shared across the population and how to share it is the fundamental conundrum of health care policy. There is more risk pooling the larger the share of healt...
Source: Health Affairs Blog - March 15, 2016 Category: Health Management Authors: Linda Blumberg and John Holahan Tags: Costs and Spending Equity and Disparities Featured Insurance and Coverage Medicaid and CHIP Medicare community rating Employer-Sponsored Insurance experience rating guaranteed issue and renewal health savings accounts high-risk pools Source Type: blogs
Health Wonk Review: Tales of the Trump
Had enough of Donald Trump by now? Well, you’d better do something about it unless you want to have to listen to him for another four years or more. I start this Health Wonk Review off with a couple Trumpy topics before moving on to the usual wonkery.
Trump may be the first major party candidate with fascist tendencies, but his healthcare proposals are just the usual Republican pap with a few pieces of Obamacare and socialism thrown in for good measure. NCPA’s Health Policy Blog gives us the rundown.
As Health Care Renewal tells it, many nutritional supplements are akin to the old snake oil remedies. Cons...
Source: Health Business Blog - March 10, 2016 Category: Health Management Authors: dewe67 Tags: Blogs Policy and politics Source Type: blogs
New Health Care Symposium: Health Care Consolidation And Social Justice—Unanswered Questions
Editor’s note: This post is part of a Health Affairs Blog symposium stemming from “The New Health Care Industry: Integration, Consolidation, Competition in the Wake of the Affordable Care Act,” a conference held recently at Yale Law School’s Solomon Center for Health Law and Policy. Links to all posts in the symposium will be added to Abbe Gluck’s introductory post as they appear, and you can access a full list of symposium pieces here or by clicking on the “Yale Health Care Industry Symposium” tag at the bottom of any symposium post.
How will health care consolidation affect health and health ca...
Source: Health Affairs Blog - March 7, 2016 Category: Health Management Authors: Michael Ulrich Tags: Equity and Disparities Medicaid and CHIP Population Health Public Health Baltimore clean water Flint insurer consolidation Lead poisoning medical legal partnerships Social Determinants of Health Yale Health Care Industry Symposium Source Type: blogs
CMS Releases Final 2017 Letter To Issuers In The Federally Facilitated Marketplaces (Updated)
Implementing Health Reform (March 3 update). On March 3, 2016, the Office of the HHS Assistant Secretary for Planning and Evaluation (ASPE) announced that the ACA has resulted in gains in health insurance coverage of 20 million adults through February 22, 2016. This includes 2.3 million young adults who gained coverage under the ACA provision allowing young adults to remain on their parents’ coverage through age 26, and 17.7 million non-elderly adults who have gained coverage between the beginning of open enrollment in October 2013 and the present. The report shows continued progress since ASPE released its last estimat...
Source: Health Affairs Blog - March 3, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Alaska Medicaid expansion QHPs Supreme Court Source Type: blogs
New Health Care Symposium: High Prices And Payment Reform—Let’s Get Practical
Editor’s note: This post is part of a Health Affairs Blog symposium stemming from “The New Health Care Industry: Integration, Consolidation, Competition in the Wake of the Affordable Care Act,” a conference held recently at Yale Law School’s Solomon Center for Health Law and Policy. Links to all posts in the symposium will be added to Abbe Gluck’s introductory post as they appear, and you can access a full list of symposium pieces here or by clicking on the “Yale Health Care Industry Symposium” tag at the bottom of any symposium post.
High and highly variable provider prices in health care market...
Source: Health Affairs Blog - March 1, 2016 Category: Health Management Authors: Robert Berenson Tags: Costs and Spending Hospitals Medicare Organization and Delivery Payment Policy Population Health ACOs health insurance mergers market consolidation value-based payment Yale Health Care Industry Symposium Source Type: blogs
CMS Releases Form And Rate Filing Instructions For Five States, Quality Rating System Guidance
The Affordable Care Act (ACA) provides that if a state lacks the authority or is otherwise substantially unable to enforce the ACA’s health insurance reform provisions, the Centers for Medicare and Medicaid Services (CMS) shall itself enforce those provisions directly. Currently CMS directly enforces the ACA’s insurance market reform provisions in Alabama, Missouri, Oklahoma, Texas, and Wyoming.
On February 5, 2016, CMS released 2017 form and rate filing instructions for insurers in those five states. Insurers providing individual or group health insurance products (other than excepted benefits and grandfathered produc...
Source: Health Affairs Blog - February 9, 2016 Category: Health Management Authors: Timothy Jost Tags: Following the ACA Insurance and Coverage Quality Alabama Essential Health Benefits Health Insurance Oversight System Missouri Oklahoma QHPs qualified health plans Texas Wyoming Source Type: blogs
Using Congressional Budget Rules To (Not) Save Money
A new health club opened in my neighborhood recently and I told my wife I wanted to join it. She agreed, providing that I gave up something we were spending elsewhere to pay for the $1,200 annual membership. I don’t want to give up anything fun so I decided to adopt the Congressional approach to budgeting to achieve such savings. It turned out to be a snap.
The first thing I did was claim $150 in credit from a restaurant app I use called Open Table. Each time I use the app to reserve a table it gives me the equivalent of $1 towards a future meal. Since I got the app five years ago I’ve never gotten around to us...
Source: Cato-at-liberty - February 5, 2016 Category: American Health Authors: Ike Brannon Source Type: blogs
Why the physician shortage in the VA is a sign of things to come
The metallic mix of freshly spilled blood and sterile instruments engulfed his nostrils as he shifted uncomfortably in the cracked, worn, brown leather chair where so many others had sat before him. He tried not to sweat as the faceless, gray clinician coaxed the long needle deeper into his fleshy neck and watched as a rogue drop of crimson escaped and marred the otherwise pristine tile floor beneath him. He could just make out the sound of laughter, muffled by the aging, wooden door that separated him from a somber new beginning.
My brother was 29 and a chief engineering officer in the U.S. Navy when he was first diagnose...
Source: Kevin, M.D. - Medical Weblog - January 23, 2016 Category: Journals (General) Authors: Sarah Mongiello Bernstein, MD Tags: Policy Primary care Source Type: blogs
Supplemental Benefits Under Medicare Advantage
Medicare Advantage has grown rapidly since the 2003 Medicare Modernization Act, and now covers 17 million or 33 percent of the 54 million Medicare beneficiaries — up from 13 percent a decade ago. This option allows seniors and the disabled to receive their Medicare benefits from a choice of private health care plans, instead of a single benefit structure managed directly by the federal government through the Centers for Medicare and Medicaid Services (CMS).
Much has been written about the relative merits of Medicare Advantage (MA) and Medicare Fee-For-Service from the standpoint of efficiency and care coordination, b...
Source: Health Affairs Blog - January 21, 2016 Category: Health Management Authors: Christopher Pope Tags: Costs and Spending Featured Insurance and Coverage Medicare Payment Policy CMS fee-for-service Medicare Advantage Medicare Modernization Act Source Type: blogs
