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The Latest Health Wonk Review


July 21st, 2014

Over at Wing of Zock, Jennifer Salopek offers some fresh thoughts in her “Polar Vortex” Health Wonk Review. Jennifer highlights Health Affairs Blog posts on the Supreme Court’s Hobby Lobby decision by Tim Jost, John Kraemer, and Sara Rosenbaum and coauthors, as well as a slew of other great posts.

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New Health Affairs July Issue: The Impact Of Big Data On Health Care


July 8th, 2014

Health Affairs explores the promise of big data in improving health care effectiveness and efficiency in its July issue. Many articles examine the potential of approaches such as predictive analytics and address the unavoidable privacy implications of collecting, storing, and interpreting massive amounts of health information.

Big data can yield big savings, if they are used in the right ways.

David W. Bates of the Brigham and Women’s Hospital and coauthors analyze six use cases with strong opportunities for cost savings: high-cost patients; readmissions; triage; decompensation (when a patient’s condition worsens); adverse events; and treatment optimization when a disease affects multiple organ systems.

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Health Affairs Event Reminder: Using Big Data To Transform Care


July 7th, 2014

The application of big data to transform health care delivery, health research, and health policy is underway, and its potential is limitless.  The July 2014 issue of Health Affairs, “Using Big Data To Transform Care,” examines this new era for research and patient care from every angle.

You are invited to join Health Affairs Editor-in-Chief Alan Weil on Wednesday, July 9, for an event at the National Press Club, when the issue will be unveiled and authors will present their work.

WHEN:
Wednesday, July 9, 2014
9:00 a.m. – 12:30 p.m.

WHERE:
National Press Club
529 14th Street NW
Washington, DC, 13th Floor

REGISTER NOW

Twitter: Follow Live Tweets from the briefing @HA_Events, and join the conversation with #HA_BigData.

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Call For Papers: Care Of Older Adults


June 27th, 2014

Health Affairs encourages submissions from authors on topics surrounding the care of older adults, including new models of care and the management of multiple chronic conditions among this population. We are interested in work that spans the full range of care settings, including primary care and specialty practices, hospitals, nursing homes and other long-term care settings.

In addition to exploring topics that are directly related to the provision of care, we also welcome papers on a broad array of related dimensions that affect care, access, and affordability, such as financing models, coverage, and size and composition of the workforce. We are grateful to The John A. Hartford Foundation for providing support for our ongoing coverage of these topics.

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Health Affairs Briefing: Using Big Data To Transform Care


June 23rd, 2014

The application of big data to transform health care delivery, health research, and health policy is underway, and its potential is limitless. The July 2014 issue of Health Affairs, “Using Big Data To Transform Care,” examines this new era for research and patient care from every angle.

You are invited to join Health Affairs Editor-in-Chief Alan Weil on Wednesday, July 9, for an event at the National Press Club, when the issue will be unveiled and authors will present their work.

WHEN:
Wednesday, July 9, 2014
9:00 a.m. – 12:30 p.m.

WHERE:
National Press Club
529 14th Street NW
Washington, DC, 13th Floor

REGISTER NOW

Twitter: Follow Live Tweets from the briefing @HA_Events, and join the conversation with #HA_BigData.

Read the rest of this entry »

The Latest Health Wonk Review


June 20th, 2014

Over at Workers’ Comp Insider, Julie Ferguson was “Undeterred by World Cup Fever” from posting a new Health Wonk Review. Among the great posts Julie highlights is Joel Kupersmith’s Health Affairs Blog post discussing the problems of the VA health system.

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The Latest Health Wonk Review


June 10th, 2014

Joe Paduda offers the latest edition of the Health Wonk Review at Managed Care Matters. Joe is “not taking any time off” and covers the latest in health policy blogging, including a trio of Health Affairs Blog posts.

Joe features HA Blog posts by Bob Berenson and Stu Guterman on provider consolidation and market power in health care; these posts were written in response to a Health Affairs Web First package on the same topic. Joe also includes Amy Berman’s post on being diagnosed with terminal cancer and choosing palliative care, written in response to the May Narrative Matters essay by Diane Meier.

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Request For Abstracts: Health Affairs Health Care And Medical Innovation Theme Issue


June 5th, 2014

Health Affairs is planning a theme issue on health care and medical innovation in early-2015. The issue will span the fields of medical technology and also cover public policy and private sector innovations that promote improvements in the delivery of care, lower costs, increase efficiency, etc. We plan to publish 15-20 peer-reviewed articles including research, analyses, and commentaries from leading researchers and scholars, analysts, industry experts, and health and health care stakeholders.

We invite interested authors to submit abstracts for consideration for this issue. To be considered, abstracts must be submitted by June 25, 2014. We regret that we will not be able to consider any abstracts submitted after that date. Editors will review the abstracts and, for those that best fit our vision and goals, invite authors to submit papers for consideration for the issue. Invited papers will be due at the journal by September 2, 2014.

More information on topics and themes for this issue, as well as process guidelines and timetables, is available below and on the Health Affairs website.

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Health Affairs June Issue: Where Can We Find Savings In Health Care?


June 2nd, 2014

The June issue of Health Affairs, released today, features various approaches to cost-savings in the U.S. health care system. A variety of articles analyze the effects of potential policy solutions on the Medicare and Medicaid programs and their impact on the health of beneficiaries and tax payer wallets.

Federal approaches to reduce obesity and Type 2 diabetes rates by improving nutrition could work—but the how matters. Sanjay Basu of the Stanford University School of Medicine and coauthors modeled the effects of two policy approaches to reforming the Supplemental Nutrition Assistance Program (SNAP), which serves one in seven Americans. They found that ending a subsidy for sugar-sweetened beverage purchases with SNAP dollars would result in a decrease in obesity of 281,000 adults and 141,000 children, through a 15.4 percent reduction in calories by the lowering of purchases of this source. They also found that a $0.30 credit back on every dollar spent on qualifying fruits and vegetables could more than double the number of SNAP participants who meet federal guidelines for fruit and vegetable consumption.

With more than forty-six million people receiving SNAP food stamp benefits, the authors suggest that policy makers closely examine the implications of such proposals at the population level to determine which will benefit people’s health the most and prove most cost-effective.

If you’re between ages 15–39 when you are diagnosed with cancer, the implications later in life extend well beyond your health. Gery P. Guy Jr. of the Centers for Disease Control and Prevention and coauthors examined Medical Expenditure Panel Survey data and determined that survivors of adolescent and young adult cancers had annual per person medical expenditures of $7,417, compared to $4,247 for adults without a cancer history. They also found an annual per capita lost productivity of $4,564 per cancer survivor — because of employment disability, missed workdays, and an increased number of additional days spent in bed as a result of poor health — compared to $2,314 for adults without a cancer history.

The authors suggest that the disparities are associated with ongoing medical care needs and employment challenges connected to cancer survivorship, and that having health insurance alone is not enough to close the gap. They stress the importance of access to lifelong follow-up care and education to help lessen the economic burden of this important population of cancer survivors.

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The Latest Health Wonk Review


May 28th, 2014

Hank Stern offers the latest edition of the Health Wonk Review at InsureBlog. His “Life’s a Beach” edition features many interesting reads on health care polity and policy.

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Health Policy Research And Disparities: A Health Affairs Conversation With Lisa Simpson And Darrell Gaskin


May 22nd, 2014

Earlier this year, AcademyHealth held its 2014 National Health Policy Conference; Health Affairs was a media partner for the NHPC. In a new installment of our Health Affairs Conversations Podcast series, we talk about the conference, as well as the challenges and opportunities facing the health services and health policy research communities, with AcademyHealth president and CEO Lisa Simpson. Before taking the helm of AcademyHealth, Dr. Simpson was director of the Child Policy Research Center at Cincinnati Children’s Hospital Medical Center and professor of pediatrics in the Department of Pediatrics, University of Cincinnati. She served as the Deputy Director of the Agency for Healthcare Research and Quality from 1996 to 2002.

We also take a close look at one of the NHPC sessions: “Community Health and Disparity: Moving Beyond Description.” (The disparities session is freely available to all readers.) Darrel Gaskin, who led the panel discussion, joins us as well. He is Deputy Director of the Johns Hopkins Center for Health Disparities Solutions and Vice Chair of AcademyHealth’s Board of Directors

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Reminder: Health Affairs May 19 Event On Provider Consolidation In Health Care


May 15th, 2014

The clinical and economic virtues of provider consolidation have long been recognized by policy experts, but in recent years, research has shown that large provider organizations may use market power to obtain relatively high prices from payers without necessarily delivering superior quality. On May 19, Health Affairs will release a package of “Web First” papers examining questions regarding provider consolidation.

We invite you to a Health Affairs Briefing at the National Press Club in Washington, DC, where the authors will discuss their findings and engage in a discussion with a panel of expert responders and the audience. The papers and the briefing are supported by a generous grant from The Commonwealth Fund.

When:
Monday, May 19, 2014
9:00 a.m. – 10:30 a.m.

Where:
National Press Club
529 14th Street NW
Washington, DC 13th Floor (Metro Center)

REGISTER NOW!

Follow live Tweets from the briefing at @HA_Events, and join in the conversation with #HA_ProviderConsolidation.

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The Latest Health Wonk Review


May 12th, 2014

Jason Shafrin offers the latest edition of the Health Wonk Review at Healthcare Economist. In “A HWR Fit for a King,” Shafrin covers some of LeBron James’ “favorite” health topics, including a Health Affairs Blog post by Timothy Jost on the wrap-up health insurance marketplace enrollment report.

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Health Affairs May 19 Event: Provider Consolidation In Health Care


May 8th, 2014

The clinical and economic virtues of provider consolidation have long been recognized by policy experts, but in recent years, research has shown that large provider organizations may use market power to obtain relatively high prices from payers without necessarily delivering superior quality. On May 19, Health Affairs will release a package of “Web First” papers examining the issue from various perspectives.

We invite you to a Health Affairs Briefing at the National Press Club in Washington, DC, at which we will release the papers and where the authors will discuss their findings and  engage in a high-level discussion of the issues with a panel of expert responders and the audience.  The papers and the briefing are supported by a generous grant from The Commonwealth Fund.

When:
Monday, May 19, 2014
9:00 a.m. – 10:30 a.m.

Where:
National Press Club
529 14th Street NW
Washington, DC 13th Floor (Metro Center)

REGISTER NOW!

Follow live Tweets from the briefing at @HA_Events, and join in the conversation with #HA_Hospital_Consolidation.

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Reminder: Health Affairs Briefing On US Hospitals And The Standardization Of Care


May 6th, 2014

Hospital organizational form, practices, and procedures all affect outcomes and costs. These topics and the exploration of cost-saving potential within the hospital sector were the subject of a National Bureau of Economic Research conference held last fall. The May 2014 issue of Health Affairs“US Hospitals: Responding To An Uncertain Environment,” features four of the papers presented at that conference, as well as several other papers that take up issues surrounding the financial health of hospitals and outcomes for the populations they serve.

Please join Health Affairs Founding Editor John Iglehart on Wednesday, May 7, at the National Press Club in Washington, D.C., for a Health Affairs briefing marking the release of the May issue where the authors will present their work.

WHEN:
Wednesday, May 7, 2014
10:00 a.m. – Noon

WHERE:
National Press Club
529 14th Street NW
Washington, DC  13th Floor (Metro Center)

REGISTER NOW!

Follow live Tweets from the briefing @HA_Events, and join in the conversation with the hashtag #HA_HospitalProductivity.

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What Lies Ahead For US Hospitals? May Health Affairs Explores Post-Recession And ACA Environments


May 5th, 2014

Health Affairs’ May issue examines a number of concerns facing US hospitals in the wake of the recession and implementation of the Affordable Care Act (ACA). Several papers also analyze trends in US health care spending. Several of the authors of articles addressing hospital concerns will present their work at a National Press Club briefing on Wednesday, May 7.

Per capita health care spending growth for males outpaced females, while the oldest continued to spend the most from 2002–2010. David Lassman of the Centers for Medicare and Medicaid Services and colleagues examined personal health care spending in the United States for selected years from 2002–2010 and found that the average elderly person spent $18,424—three times more than working-age adults and five times more than children.

Yet the annual growth in spending for people ages sixty-five and older increased at the slowest annual rate (4.1 percent) and for children it was the fastest (5.5 percent). Growth in spending for males outpaced females, driven by a closing of the gender gap across most payers and goods and services, but most dramatically for prescription drug spending. The researchers also discussed the impacts of aging baby boomers, the recession, and the implementation of Medicare Part D during this period.

EDs are already money makers for hospitals, and the ACA could push profits even higher. Michael Wilson of Harvard Medical School and David Cutler of Harvard University examined 2009 hospital financial reports and patient claims data and found a 7.8 percent profit margin that year in emergency department (ED) revenue over costs, or $6.1 billion. They found that the profits stemmed largely from privately insured patients, compensating for underpayments from other groups.

Of the 120 million ED visits analyzed, 35 percent of patients were privately insured, 26 percent were covered by Medicaid, 21 percent by Medicare, and 18 percent were uninsured. As more Americans gain insurance through the ACA, hospital-based EDs stand to increase their profit margins with a changing insurance payer mix. Policy makers looking to reduce health care costs, say the authors, should be cognizant of the dependence of ED profitability on payer mix and its implications for hospital-based accountable care organizations with varied patient populations.

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The ACA After The First Open Enrollment: A Health Affairs Conversation With Paul Ginsburg, Sherry Glied, and Bill Hoagland


May 1st, 2014

The first open enrollment period for the Affordable Care Act’s health insurance exchanges recently closed. In the latest edition of our Health Affairs Conversations podcast series, Paul Ginsburg, Sherry Glied, and Bill Hoagland discuss what we can learn from that experience. They also look at other aspects of ACA implementation, such as Medicaid expansion and payment and delivery reforms.

Paul Ginsburg is the Norman Topping Chair in Medicine and Public Policy at the University of Southern California. From 1995 through the end of 2013 he was President of the Center for Studying Health System Change (HSC). He also served as the founding Executive Director of the Physician Payment Review Commission (now the Medicare Payment Advisory Commission.)

Sherry Glied is Dean of New York University’s Robert F. Wagner Graduate School of Public Service. Glied served as Assistant Secretary for Planning and Evaluation at the Department of Health and Human Services from July 2010 through August 2012. Before that she chaired the Department of Health Policy and Management at Columbia University’s Mailman School of Public Health.

G. William Hoagland is a senior vice president at the Bipartisan Policy Center (BPC). Previously he served as vice president of public policy at CIGNA Corporation. He came to CIGNA after a distinguished Capitol Hill career culminating in service as the director of budget and appropriations in the office of Senate Majority Leader Bill Frist.

You can access the podcast recording here.

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The Latest Health Wonk Review


April 28th, 2014

This week’s edition of the Health Wonk Review comes to us from Louise Norris at Colorado Health Insurance Insider. In her “Ways the ACA Could Be Improved” edition, Norris offers an insightful read and mentions the Health Affairs Blog post by Ellen Goodman on her sister’s battle with Alzheimer’s disease and the importance of having a conversation about end-of-life wishes.

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Health Affairs Briefing: Hospital Productivity And The Standardization Of Care


April 24th, 2014

Hospital organizational form, practices, and procedures all affect outcomes and costs. These topics and the exploration of cost-saving potential within the hospital sector were the subject of a National Bureau of Economic Research conference held last fall. The May 2014 issue of Health Affairs, “US Hospitals: Responding To An Uncertain Environment,” features four of the papers presented at that conference, as well as several other papers that take up issues surrounding the financial health of hospitals and outcomes for the populations they serve.

Please join Health Affairs Founding Editor John Iglehart on Wednesday, May 7, at the National Press Club in Washington, D.C., for a Health Affairs briefing marking the release of the May issue where the authors will present their work.

WHEN:
Wednesday, May 7, 2014
10:00 a.m. – Noon

WHERE:
National Press Club
529 14th Street NW
Washington, DC  13th Floor (Metro Center)

REGISTER NOW!

Follow live Tweets from the briefing @HA_Events, and join in the conversation with the hashtag #HA_HospitalProductivity.

Read the rest of this entry »

The Latest Health Wonk Review


April 11th, 2014

Billy Wynne at Healthcare Lighthouse offers this week’s April Fool’s edition of the Health Wonk Review. All of the posts in Billy’s “April Fool’s” edition are an excellent read, including the Health Affairs Blog post by Dean Aufderheide on mental illness in America’s jails and prisons.

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