October 30th, 2014
In August, Vietnam’s Minister of Health, Nguyen Thi Kim Tien, was interviewed for Health Affairs by Tsung-Mei Cheng, recently released as a Health Affairs Web First.
Among the topics discussed was an overview of the unique characteristics of Vietnam’s health system; its strengths and weaknesses; health financing reform aimed at reaching the goal of universal health coverage; the prevention and control of infectious diseases; and how Vietnam has performed in achieving the Millennium Development Goals.
Cheng is a health policy research analyst at the Woodrow Wilson School of Public and International Affairs, Princeton University, in New Jersey. Health Affairs has previously published Cheng’s interviews with other world health ministers, including Thomas Zeltner of Switzerland (2010) and Chen Zhu of China (2012). Read the rest of this entry »
October 29th, 2014
Policymakers are paying increasing attention to the relationship between the characteristics of communities and the health of the people living in them. The November 2014 issue of Health Affairs, “Collaborating For Community Health,” examines new possibilities created by alignment of the fields of health and community development.
These possibilities come from both sides, including recent changes in the community development field that have set the stage for the new focus on improving health, as well as new approaches to health care financing that create incentives for improving health outcomes.
You are invited to join us on Wednesday, November 5, at a forum featuring authors from the new issue at the National Press Club in Washington, DC.
Wednesday, November 5, 2014
9:00 a.m. – 12:00 p.m.
National Press Club
529 14th Street NW
Washington, DC, 13th Floor
Follow live Tweets from the briefing @Health_Affairs, and join in the conversation with #HA_CommunityHealth. Read the rest of this entry »
October 27th, 2014
Editor’s note: This post is part of an ongoing “Exhibit of the Month” series. Readers who’d like to highlight other noteworthy exhibits from the same issue are encouraged to make their pitch in the comments section below.
This month’s exhibits, from the article, “Despite High Costs, Specialty Drugs May Offer Value For Money Comparable To That Of Traditional Drugs,” published in the October issue of Health Affairs, compare the value and costs of specialty and traditional drugs approved by the Food and Drug Administration from 1999-2011. Read the rest of this entry »
October 24th, 2014
Louise Norris at Colorado Health Insurance Insider provides this week’s “falling leaves” edition of the Health Wonk Review. Jennifer’s insightful read includes a Health Affairs Blog post from J. Stephen Morrison on the U.S. Ebola response and the role of CDC head Thomas Friedan. Read the rest of this entry »
October 23rd, 2014
In the October Health Affairs Narrative Matters essay, a doctor who stutters confronts the stigma against patients—and providers—with disabilities. Leana Wen’s article is freely available to all readers, or you can listen to the podcast. Read the rest of this entry »
October 22nd, 2014
With the 2014 election weeks away, a provision of California’s Proposition 46, raising the cap on medical malpractice payments for noneconomic damages, has been in the news. This provision would increase the payment cap from $250,000 to $1.1 million. A new study, being released today by Health Affairs as a Web First, sheds light on the potential effect of this proposition.
Study authors Seth A. Seabury, Eric Helland, and Anupam B. Jena looked at the impact of medical malpractice reforms on the average size of malpractice payments in several physician specialties and compared how the effects differed according to the size of the cap. It found that caps reduced the average payments by 15 percent compared to no cap—and a $250,000 cap reduced average payments by 20 percent.
On the other hand, a less restrictive $500,000 cap had no significant effect. The authors also found specialty variations, with the largest impact involving pediatricians and the smallest for claims of surgical subspecialties and ophthalmologists. Read the rest of this entry »
October 21st, 2014
The first three sessions of a conference I recently attended tackled some complex and important questions: How do we extend health insurance to people such as migrant and informal workers who don’t fit neatly into mainstream coverage programs? As we increase our investment in primary care, how do we assure that the performance of the primary care system is at the highest possible level? What types of evidence should we use as we make decisions in a dynamic health care system with limited opportunities for “gold standard” randomized controlled trials?
These are excellent questions, and they were perfect topics for a cutting-edge conference discussing the challenges facing the U.S. health care system.
But this conference was not about the U.S. health care system. These were opening “satellite” sessions at the Third Global Symposium on Health Systems Research held in Cape Town, South Africa. Read the rest of this entry »
October 17th, 2014
A new Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) examines the ninety-day grace period, a provision of the Affordable Care Act (ACA). Of the eight million people who enrolled in the insurance Marketplaces between October 2013 and March 2014, 85 percent received an advance premium tax credit. This provision allows a three-month grace period for nonpayment of insurance premiums for this group of consumers–and this group only–if they have previously paid at least one month’s full premium in that benefit year.
This grace period allows these new enrollees continuity of care, preventing them from shifting or “churning” in and out of coverage for nonpayment. Health care providers, however, have expressed concerns that this provision and the way the Centers for Medicare and Medicaid Services (CMS) has implemented it could expose them to considerable financial risk. This Health Policy Brief focuses on how this provision is being implemented and the concerns from the provider community. Read the rest of this entry »
October 13th, 2014
Health Affairs was delighted to read today’s announcement that Dr. Harvey V. Fineberg will become the next president of The Gordon and Betty Moore Foundation, effective January 1, 2015. Until recently, Dr. Fineberg was president of the Institute of Medicine (IOM), serving two consecutive terms from 2002-2014. From 1997 to 2001, he served as Provost of Harvard University, and prior to that for 13 years as Dean of the Harvard School of Public Health.
Health Affairs has strong ties to both Fineberg and The Gordon and Betty Moore Foundation. This summer, I interviewed Fineberg about his tenure at the IOM; the audio recording of that wide-ranging conversation is available as a Health Affairs podcast. Read the rest of this entry »
October 10th, 2014
Tim Jost’s post on complicated Affordable Care Act (ACA) tax forms and his review of Avik Roy’s ACA replacement plan were the most-read Health Affairs Blog posts for September. These were followed by a CVS Health post from Troyen Brennan and coauthors on rethinking the sale of tobacco products in pharmacies and a post on bundled payments and innovation from Rebecca Paradis of the Network for Excellence in Health Innovation.
The full list is below. Read the rest of this entry »