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ACA Round-Up: Hospital Nonprofit Status, ACA Nondiscrimination Litigation, And More

A round-up of ACA-related developments, including hospital compliance with requirements for nonprofit status, litigation over protections against gender identity and pregnancy termination discrimination, a decision to continue CSR payments next month, developments on “bare” counties, and more.

Health Affairs Briefing: Understanding The Value Of Innovations In Medicine

On September 13 Health Affairs will sponsor a forum for policymakers to examine various frameworks for formally defining and measuring value and discuss the public policy issues and strategies attendant to their use.

August 18, 2017 | Elsewhere@ Health Affairs

Teenage Pregnancy Prevention Is The Latest Front In The War On Science

While first appearing to be just another skirmish in the culture wars, ending the Teenage Pregnancy Prevention program fits within the Administration’s larger efforts to devalue science, data, and evidence.

August 18, 2017 | Public Health, Quality

Managed Care Companies Should Publish Lessons Learned From Studying Their Own Big Data

Time has arrived for all managed care companies to claim a rightful seat at the table as experts in health services delivery by contributing in a scholarly domain.

The United States Can Reduce Socioeconomic Disparities By Focusing On Chronic Diseases

One unorthodox but highly effective approach to addressing health and socioeconomic disparities in the United States would be to close the racial and ethnic wealth gap in our society by improving health.

August 17, 2017 | Health Equity, Population Health

Questions About The FDA’s New Framework For Digital Health

Under a new administration, the FDA is experimenting with a new way to balance innovation and risk with emerging medical technologies.

August 16, 2017 | Health IT

Terminating CSR Payments Would Increase Deficits, CBO Finds

On August 15, CBO and JCT released an analysis of the potential effects of terminating the ACA’s cost-sharing reduction (CSR) payments to insurers. The CBO affirms what earlier analyses have concluded: in the long run the primary loser if CSR payments are terminated would be the federal budget.

The ‘Tanning Tax’ Is A Public Health Success Story

A CDC report found that the number of high school students who reported having artificially tanned has decreased by more than half since the enactment of the ACA, from 15.6 percent in 2009 to 7.3 percent in 2015.

August 15, 2017 | Costs and Spending, Public Health

If The Trump Administration Terminates Cost-Sharing Reduction Payments, States Can Use 1332 Waivers To Fund Their Own

Creating a State-administered CSR mechanism will undoubtedly require expenditure from the State. While some will argue that the limited resources in State budgets would render the idea all but theoretical, it would be beneficial to examine how States can use Section 1332 to fund CSRs.

August 15, 2017 | Costs and Spending, Following the ACA

What Should We Conclude From 'Mixed' Results In Payment Reform Evaluations?

It is true that evaluation results of payment reform models so far are not cause for celebration, but there are some positive cost and quality results and lessons are accumulating that can inform the next set of program parameters, incentive structures, and tools to help clinicians succeed.

August 14, 2017 | Costs and Spending, Payment Policy