If you’re just reading the headlines, jobs and the economy have displaced access to affordable health insurance as the electorate’s top domestic concern with six months to go until Election Day. But digging a little deeper into the results of a new poll from the Robert Wood Johnson Foundation, it appears that voters also believe […]

Jason Shafrin of the blog, Healthcare Economist, hosts this week’s Health Wonk Review. He’s written the biweekly round-up of the best of health policy blogging in “newspaper” format. It’s a great quick scan of what’s being debated in the health business and policy blogs, with Health Affairs Blog providing the lead story on health reform and the ‘08 […]

The Netherlands, which combines mandatory universal health insurance with competition among private health insurers, has been frequently cited as a possible model for reform in the United States. You can read Wynand van de Ven and Frederik Schut’s examination of the Dutch experience (free access until May 27) in the May/June issue of Health Affairs, a thematic […]

By proposing to move away from the employer-based health care system to one emphasizing the individual market, Sen. John McCain (AZ), the presumptive Republican presidential nominee, has set the stage for health care to become part of a major debate about government and the marketplace during this year’s election, Robert Blendon said May 5.
Blendon, a […]

Editor’s Note: In connection with the publication of its May/June issue, a thematic issue on health reform, Health Affairs organized a May 5 conference call on the role of health reform in the presidential election. The call was moderated by Health Affairs editor-in-chief Susan Dentzer. Participants included Robert Blendon, a professor of health policy and political […]

In May 2007, Indiana enacted comprehensive health reform in the form of the Indiana Check-Up Plan and its centerpiece, the Healthy Indiana Plan (HIP). After intense negotiations, the Centers for Medicare and Medicaid Services granted Indiana the 1115b waiver required for the plan to go into effect in December 2007, and within three months over […]

UnitedHealth Group officials may have been laying protective cover for themselves when they attributed poor first-quarter earnings to a sagging economy last week. But that doesn’t mean it isn’t also true, as United said, that business is bad because the company’s products are getting too expensive for a growing number of workers and companies. Coming within […]

Editor’s Note: Should drugmakers and medical device manufacturers be allowed to provide physicians with medical and scientific journal articles concerning uses of their products that have not been approved by the Food and Drug Administration? Recently, the FDA issued draft guidance that would permit this practice with certain regulatory restraints. In the post below, Jerome […]

Editor’s Note: Should drugmakers and medical device manufacturers be allowed to provide physicians with medical and scientific journal articles concerning uses of their products that have not been approved by the Food and Drug Administration? Recently, the FDA issued draft guidance that would permit this practice within certain regulatory restraints. In the post below, Scott […]

In interviews with Health Affairs, government ministers in Germany and the Netherlands talk up market-oriented refinements to their universal health insurance systems for the future. But the news from Europe isn’t all happy: an unsettling survey in the United Kingdom finds that some physicians believe that the market will unravel the government-owned and -operated National […]

It’s been nearly five years since the President’s New Freedom Commission on Mental Health issued its final report. The report affirmed the possibility of recovery and the effectiveness of available treatments for many conditions. But it also warned that many patients never find their way to care and that providers are often unaware of therapies […]

Because the most glaring geographic variations in health care use have been observed in specialty and end-of-life care, policymakers have had trouble coming to terms with the work of John Wennberg and his Dartmouth colleagues. The questions the Dartmouth researchers raise about spending and quality are too disruptive, too threatening. Specialty and end-of-life care are […]

Americans need and deserve health information technology (IT). As the chairman and CEO of Verizon Communications Inc. and the only business representative on a federal commission to develop a strategy for health care IT standards, I have spent considerable time over the past several years promoting this technological necessity.  
In addition, Verizon helped found an unprecedented, […]

Editor’s Note: This post was written by several of the 2007-08 Commonwealth Fund Harkness Fellows. These fellowships allow mid-career health services researchers and practitioners from Australia, Germany, the Netherlands, New Zealand, and the United Kingdom to spend up to 12 months in the United States, conducting original research and working with leading U.S. health policy experts. The lead […]

Health Affairs and its publisher Project HOPE are pleased to announce that Susan Dentzer will become the journal’s new editor-in-chief on May 1, 2008.
Dentzer, one of the nation’s most respected health policy journalists, is currently an on-air correspondent for The NewsHour with Jim Lehrer on the Public Broadcasting Service. She heads The NewsHour’s health unit, […]

As Jacob, one of the three Old Testament patriarchs, flees from his brother Esau, he stops for the night at Bethel, where he dreams of a ladder going from earth to heaven with the angels of God ascending and descending the ladder (Genesis 28:11-19). There is extensive biblical commentary on this dream and particularly on […]

Editor’s Note: This is the last in a series of posts in response to Jon Gabel’s article “Where Do I Send Thee? Does Physician-Ownership Affect Referral Patterns To Ambulatory Surgical Centers?,” published March 18 on the Health Affairs Web site. Rep. Michael Burgess (R-TX) began the series, which also featured Jerry Cromwell.
The tension between commerce and professionalism is not new. Maimonides warned against allowing […]

A lot of pipe dreams have been stoked by the seductive notion of “aligning incentives” — a catchphrase of the managed care era that promised better quality and lower costs in one magical bubble. But the divergent interests of patients, payers, and providers are in reality more likely to collide than align, a circumstance that […]

Editor’s Note: This is the second in a series of posts in response to Jon Gabel’s article “Where Do I Send Thee? Does Physician-Ownership Affect Referral Patterns To Ambulatory Surgical Centers?,” published March 18 on the Health Affairs Web site. Rep. Michael Burgess (R-TX) began the series, which will also feature Chris Cassel.
Policymakers are increasingly concerned over incentives facing physicians to refer more lucrative, well-insured […]

Editor’s Note: Today, Rep. Michael Burgess (R-TX) kicks off a series of posts on Jon Gabel’s article “Where Do I Send Thee? Does Physician-Ownership Affect Referral Patterns To Ambulatory Surgical Centers?,” published March 18 on the Health Affairs Web site. The series will also feature posts from Jerry Cromwell and Chris Cassel.
To paraphrase the […]