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Insurers, Marketplaces Face Uncertainty As Parties Seek Further House v. Price Delay

On May 22, 2017, the House of Representatives and the Department of Justice jointly asked the District of Columbia Court of Appeals to continue to hold House v. Price in abeyance. This would mean continued uncertainty for insurers and the marketplaces.

Health Insurance Benefits Should Be Equitable, Not Necessarily Equal

Coverage arrangements in most insurance plans are designed under principles of equality rather than equity. To fully realize the benefits of medical advances, ensure access for those who could benefit most, and enhance the efficiency of our health care expenditures, we need to change this paradigm.

The Humanity In End-Of-Life Care

Palliative care has been increasing in prevalence, in part due to new value-based care incentives. However, there is a significant misunderstanding about what defines effective palliative care among patients and providers.

California, New York Lead Group Of States Seeking To Intervene In Litigation Over Cost-Sharing Reduction Payments

On May 18, 2017, attorneys general from fourteen states and the District of Columbia, led by California and New York, filed a motion to intervene in House v. Price, the House’s challenge to reimbursement of insurers for cost-sharing reduction payments required under the Affordable Care Act.

Preserving The Bipartisan Commitment To Health Care Delivery System Reform

Improving and reforming our health care delivery system is not a partisan issue. It is important for Congress, the Trump administration, and the health care industry to continue bipartisan efforts to shift our health care delivery system and provider payment models toward value-based care.

A Consumer-Centered Framework For Quality: How Do We Get There From Here?

When it comes to health care, consumers aren’t able to easily obtain measures that could help them understand their quality of care. This isn’t because we don’t have quality measures, rather what we have are numerous “production” measures, but very few “consumer” measures.

May 18, 2017 | Costs and Spending, Quality

Toward A New Model For Promoting The Development Of Antimicrobial Drugs

While the development of new antimicrobials to combat antimicrobial resistance would seem to offer high value, our current system offers insufficient incentives to invest in them. Policy interventions that dampen the tie between manufacturer profits and the volume of antimicrobial use are needed.

CMS To Expand Direct Enrollment On

On May 17, CMS released a guidance outlining a new “proxy direct enrollment pathway” that will be available for the 2018 individual market open enrollment period. The process is designed to reduce regulatory burden and provide more choices for consumers, but it also carries risks for consumers.

Health Affairs Web First: ACA Improved Medical Care And Health Among Low-Income Adults

As the Senate evaluates potential changes to the Affordable Care Act, a new study, released today by Health Affairs as a Web First, examines the effects of gaining insurance coverage.

May 17, 2017 | Elsewhere@ Health Affairs

New RWJF Funding Opportunities Promote Access To Health Data For Researchers And Others

A few recent Robert Wood Johnson Foundation (RWJF) efforts reflect its evolving interest in promoting access to health data of various types. Brief proposals are due May 24 for its new Health Data for Action program, in which it partners with athenahealth and the Health Care Cost Institute.