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Archive for November, 2010




Call For Papers On Health Care Quality


November 30th, 2010
by Chris Fleming

Health Affairs will publish a theme issue on health care quality in April 2011. The journal’s aim is to bring together the best current thinking on a range of topics related to quality and to highlight important trends, developments, and controversies. Health Affairs particularly wants to surface key issues or proposals for consideration by policy […]

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AMA Conservatives Revolt Against The Individual Mandate


November 30th, 2010
by Harris Meyer

The Republican drive to repeal the Patient Protection and Affordable Care Act nearly got a surprise boost earlier this month from the American Medical Association, which up to now has provided valuable support for President Obama’s health care reform effort. At the AMA’s interim meeting on Nov. 9, conservatives within AMA’s House of Delegates won […]

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Health Policy Brief: Early Retiree Coverage


November 29th, 2010
by Chris Fleming

The latest Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation describes a new program to shore up health insurance coverage for early retirees—individuals 55 and older who have left employment and are not yet eligible for Medicare. The number of employers offering medical coverage for this group has declined during the […]

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Thoughtful Purchasing At CMS


November 24th, 2010
 
by Dan Mendelson and Tanisha Carino

Recent press reports on Medicare’s decision to evaluate coverage policy for the new cancer therapy Provenge were highly critical of the Centers for Medicare and Medicaid Services (CMS) and its role in examining the evidence behind FDA-approved products.  Let’s take a step back. In fact, this is exactly what CMS should be doing – carefully […]

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Implementing Health Reform: Medical Loss Ratios


November 23rd, 2010
by Timothy Jost

Editor’s Note: The post below, on the “medical loss ratio” (MLR) rule issued yesterday by the Department of Health and Human Services, is the latest in a series of posts by Timothy Jost on the implementation of the Affordable Care Act.  Earlier posts by Jost provide analyses of regulations and guidance implementing provisions of the Act governing health insurance exchanges, coverage for pre-existing conditions, appeals […]

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Global Health, Health Reform, Psychiatric Hospitals in Armenia, and More: Philanthropy Blog Roundup


November 22nd, 2010
by Lee-Lee Prina

Here a few more blog posts I came across that you may want to check out. Global Health And Development “The Problem That Nobody Wants to Think About,” Louis Boorstin, Nov. 19, on the Foundation Blog of the Bill and Melinda Gates Foundation. Boorstin is the deputy director of water, sanitation, and hygiene at the […]

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Mann, Ornstein To Speak At National Health Policy Conference


November 22nd, 2010
by Chris Fleming

The recent elections completely changed the nation’s political landscape in Congress and elsewhere. As two of the nation’s most respected and insightful political analysts, Thomas Mann of the Brookings Institution and Norman Ornstein of the American Enterprise Institute are well-suited to make sense of the new terrain; they are also two of the confirmed speakers for the 2011 National Health Policy […]

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Implementing Health Reform: Emerging Guidance On Insurance Exchanges


November 19th, 2010
by Timothy Jost

Editor’s Note: This is the latest in a series of posts by Timothy Jost on the implementation of the Affordable Care Act.  Earlier posts by Jost provide analyses of regulations implementing provisions of the Act governing coverage for pre-existing conditions, appeals of coverage denials, coverage for preventive services, a patient bill of rights, grandfathered plans, tax exempt hospitals, the small employer tax […]

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Consumers And Insurance: Experiences In Eleven Countries


November 18th, 2010
by Chris Fleming

As the United States begins implementing health reform, how does the U.S. experience compare with that of other high-income countries? To answer that question, The Commonwealth Fund conducted its thirteenth annual health policy survey, this year focusing on access, cost, and care experiences. The survey findings were published today in a Health Affairs Web First […]

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The Fiscal Commission Co-Chairs’ Health Proposals: The Good, The Bad, and The Ugly


November 18th, 2010
 
by Douglas Holtz-Eakin and Michael Ramlet

The federal government’s unsustainable long-run fiscal picture has been outlined in successive versions of the Congressional Budget Office’s Long-Term Budget Outlook.  The policy problem is that spending rises above any reasonable level of taxation for the indefinite future.  As it currently stands, committed federal expenditures are expected to grow from 20 percent of gross domestic […]

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Global Health, Health Reform, Hospitals in California, Vets’ Health Care: Sampling Other Blogs


November 17th, 2010
by Lee-Lee Prina

It’s once again time for a visit to GrantWatch Blog’s Blogroll to point out some recent posts on philanthropy-related blogs that you may find informative. Here’s my selected sampling. Global Health “Saving Kids, Beating Pneumonia,” Doug Holtzman, Nov. 12, on the Foundation Blog of the Bill and Melinda Gates Foundation. Holtzman, a senior program officer […]

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Berwick Finally Faces The Finance Committee — Briefly


November 17th, 2010
by Chris Fleming

Don Berwick’s long-awaited appearance before the Senate Finance Committee turned out to be a bit anticlimactic and abbreviated, as votes taking place on the Senate floor limited the hearing to a little over an hour.  Republicans complained that they couldn’t possibly ask the Centers for Medicare and Medicaid Services Administrator all their questions in such […]

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Don Berwick In Health Affairs


November 16th, 2010
by Chris Fleming

Don Berwick, the administrator of the Centers for Medicare and Medicaid Services, will face vigorous questioning from Republicans when he appears before the Senate Finance Committee tomorrow. Berwick of course was given a recess appointment by President Obama, so he never testified at a confirmation hearing. Politico lists some of the questions Berwick is likely to […]

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Health Policy Brief: Medical Loss Ratios


November 15th, 2010
by Chris Fleming

A new Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation examines the requirements outlined in the Affordable Care Act concerning “medical loss ratios” (the percentage of premiums that insurance companies must spend on health care services). Starting in 2011, insurance companies will be required to spend 80 to 85 percent of […]

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High-Risk Pool Premiums To Decline, Pollitz Says


November 12th, 2010
by Chris Fleming

Premiums for new high-risk pools established under the Affordable Care Act will decrease roughly 20 percent in January in the 23 states and the District of Columbia in which the federal government operates the pools, Karen Pollitz, head of the Health and Human Services Office of Consumer Support, said at a Health Affairs media breakfast this morning. The […]

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Assessing The Fiscal Commission Co-Chairs’ Proposal


November 12th, 2010
by Henry Aaron

The chairs of the deficit reduction commission, Erskine Bowles and Alan Simpson, have put forward their draft plan for cutting the deficit.  More accurately, plans, since many of the elements are, to put matters kindly, vague We all agree that we have a daunting deficit problem that should be addressed soon. How soon is less clear.  “After […]

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California HealthCare Foundation Announces It Will Provide $10 Million in PRI Capital through New Fund; Proposals Sought


November 12th, 2010
by Lee-Lee Prina

The California HealthCare Foundation (CHCF), based in Oakland, announced its Health Innovation Fund on November 8. The total amount of money alone that has been allocated for this investment fund will attract notice. And what is also interesting is that this fund allows both nonprofits and for-profit companies to apply for money. The CHCF Health Innovation Fund […]

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How Do You Solve A Problem Like Health Reform: Has Singapore Got It Right?


November 12th, 2010
by Parmeeth M.S. Atwal

Editor’s Note: This week, senior health policy experts and emerging health care leaders from around the world have gathered in Salzburg, Austria, where the Salzburg Global Seminar, in association with the Nuffield Trust, has convened a health care series titled, “Reforming Health Care: Maintaining Social Solidarity and Quality in the Face of Economic, Health and Social Challenges.” Health Affairs Deputy […]

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A Veterans Day Health Wonk Review


November 11th, 2010
by Chris Fleming

Heather Kelly at INQRI Blog hosts the latest edition of the Health Wonk Review. Heather presents a great collection of health policy blogging, including Linda Bergthold’s Health Affairs Blog post on defining essential benefits under the Affordable Care Act.

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Advancing High-Value Health Care: A Mayo Clinic Interactive Symposium


November 11th, 2010
by Chris Fleming

With the recent Republican election victories, the news has been filled with discussion of the coming political battles over Affordable Care Act. But whatever happens to the new law, taking the steps necessary to advance high-value health care in America will remain a national imperative. As David Cutler of Harvard said at a Health Affairs […]

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