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Archive for the 'Health Reform' Category

Why “value” is central to true health care reform

Morning Consult has an interesting piece from Mark Linthicum, the Director of Scientific Communication at the Innovation and Value Initiative (IVI) titled “Why Understanding Value Is Central to True Health Care Reform“.  In the piece he argues: The true problem is that dollars are poured into a system without any clear understanding of how worthwhile […]

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How many people don’t have any health insurance options

Much of the news has claimed that the Affordable Care Act is a failure because individuals in many counties have few or even no health insurance options.  However, how many counties truly will have zero Obamacare exchange insurance options in 2018 ? The Kaiser Family Foundation reports that there are only 17 counties covering 9,595 […]

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Why people don’t like the Affordable Care Act?

The reason may be the exact problem that the ACA was trying to solve.  The ACA was trying to increase the affordability of health care.  They did this in part through the creation of the exchanges and patient subsidies.  However, premium rises have been double digits for multiple years and amount patients have to cover […]

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CBO Scores Better Care

The Congressional Budget Office (CBO) recently scored the Better Care Reconciliation Act of 2017.  What did they conclude? The good news: The Better Care Reconciliation Act of 2017 is a fiscally responsible bill.  According to the Congressional Budget Office (CBO), Better Care cuts taxes by $701 billion between 2017-2026 but would also cut spending by […]

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Wise words on State vs. Federal Administration of Medicaid

Yuval Levin has an interesting article in The Nation on Obamacare and the Senate’s most recently proposed bill, the Better Care Reconciliation Ace.  There has been a lot of arguments on both sides of the aisle about Better Care especially in terms of the provisions to decrease Medicaid funding and devolve more power to the States. […]

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Will Better Care deliver better care?

The Senate’s new health care bill, the Better Care Reconciliation Act of 2017, proposes a number of changes to the Affordable Care Act.  The Kaiser Family Foundation has a detailed breakdown of the bill and compares it with the Affordable Care Act that President Obama passed and the American Health Care Act that was proposed […]

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Are bundled payments the solution? Five key barriers to implementation

Alternative payment models, bundled payment and episode-based payments are the latest trend in reducing unnecessary care and making sure care is delivered efficiently.  However, what is a “bundle”?  Based on a recent report from the Health Care Payment Learning and Action Network (HCP LAN), bundled payment can be designed at three levels: At the setting […]

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Interpreting evidence on value

Value is the latest jargon to hit the health care sector.  One potential way value could manifest itself is through value-based insurance design (VBID).  Under VBID, patients would pay lower copayments for treatments that are highly effective and/or low cost would pay higher payments for treatments that have low effectiveness or high cost to the […]

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Do Incentives for Healthy Behaviors Work? A Case Study of Medicaid in Iowa

One of the primary changes in the healthcare system directed by the Affordable Care Act was providing funding for states to expand Medicaid.  Many states did so; many others did not.  Some states expanded Medicaid but put additional hurdles in front of beneficiaries to receive this coverage at no cost.  Consider the case of the State of Iowa. […]

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How does payment reform affect providers in competitive vs. non-competitive markets?

How does payment reform affect access to care?  And what does payment reform mean? Payment reform can mean manythings but in this context we will mean substituting fee-for-service or cost-plus reimbursement schemes for fixed reimbursement for a fixed episodes of care or fixed bundles of services during a specific time frame. One example of how payment reform worked, […]

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