October 3rd, 2014
A new Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) looks at a section of the Affordable Care Act (ACA), known as the Physician Payments Sunshine Act (PPSA). The PPSA spells out how medical product manufacturers are required to disclose to the Centers for Medicare and Medicaid Services (CMS) any payments or other transfers of value made to physicians or teaching hospitals as well as physician ownership or investment interests in certain manufacturers or group-purchasing organizations.
These data, which have been collected since August 2013, were published for the first time earlier this week in a publicly searchable database and will be updated annually. There is a long history of financial relationships between physicians and medical product manufacturers, which can include anything from free meals to consulting, speaker fees, and direct research funding. This health policy brief looks at the PPSA and its impact on physician-manufacturer relationships. Read the rest of this entry »
September 29th, 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 exhibit, published in the September global health issue of Health Affairs, looks at budget allocation for mental health services by country income level.
In the article, “Policy Actions To Achieve Integrated Community-Based Mental Health Services,” authors Mary DeSilva, Chiara Samele, Shekhar Saxena, Vikram Patel, and Ara Darzi write that “most low-income countries allocate about 0.5 percent of their already small health budgets to the treatment and prevention of mental health problems.” Read the rest of this entry »
September 26th, 2014
At Healthcare Lighthouse, Billy Wynne provides this week’s “Thank God It’s Recess” edition of the Health Wonk Review. Billy gives us a nice collection of posts, including a Health Affairs Blog post on health insurance reform proposals by Ari Friedman and Siyabonga Ndwandwe. Read the rest of this entry »
September 24th, 2014
As part of the 2009 reauthorization of the Children’s Health Insurance Program (CHIP), states were provided with new resources and options to help reduce uninsurance rates among children. These included: expanded eligibility guidelines; simplified enrollment and renewal procedures; and funding for outreach campaigns. Fifteen states chose to raise their CHIP income eligibility thresholds.
In one of the first studies to analyze the impact of these recent CHIP expansions on the program’s enrollment, published today as a Web First by Health Affairs, authors Ian Goldstein, Deliana Kostova, Jennifer Foltz, and Genevieve Kenney found that “expansion states” saw a 1.1-percentage-point reduction in uninsurance among newly eligible children, cutting this group’s uninsurance rate by nearly 15 percent. The study also discovered that public coverage increased by 2.9 percentage points, revealing a shift among some of these families away from private insurance, and found variable effects across states. Read the rest of this entry »
September 24th, 2014
High levels of bed occupancy are associated with increased inpatient and thirty-day hospital mortality in Denmark, according to research published in the July issue of Health Affairs.
Authors Flemming Madsen, Steen Ladelund, and Allan Linneberg received considerable media attention in Denmark for their research findings. For one major Television channel, it topped Germany’s victory in the World Cup finals.
In another story from the Danish newspaper, Information, Councillor Ulla Astman, Chairman of the North Denmark Regional Council and second highest ranking politician, who runs all of the Danish public hospitals, reportly stated that “we have to live with it [the increased mortality],” since Denmark cannot afford to reduce bed occupancy.
“Or die with it,” said lead author Madsen, a pulmonary physician and director of the Allergy and Lung Clinic in Helsingør, Denmark, at the July 9 Health Affairs briefing, “Using Big Data To Transform Care.” Madsen, who left his position as director of the Department of Internal Medicine at Frederiksberg Hospital in Copenhagen to pursue this research, believes that Astman’s statement explains why Denmark has a bed shortage problem and supports his argument that bed shortage is a result of planning.
“It is dangerous to focus on productivity without looking at the consequences,” says Madsen. Read the rest of this entry »
September 23rd, 2014
We live in an era of specialty pharmaceuticals — drugs typically used to treat chronic, serious or life threatening conditions such as cancer, rheumatoid arthritis, growth hormone deficiency, and multiple sclerosis. Their cost is often much higher than traditional drugs, and they are set to account for more than half of all drug spending by the end of this decade.
The October 2014 edition of Health Affairs, “Specialty Pharmaceutical Spending and Policy,” contains a cluster of articles examining the host of issues related to specialty pharmaceuticals: from the promise they hold for curing or managing chronic diseases, to the risk they pose for exacerbating health care costs and disparities, and the challenges they present for policymakers striving to balance both.
Tuesday, October 7, 2014
9:00 a.m. – 11:30 a.m.
Hyatt Regency Capitol Hill
400 New Jersey Avenue, NW
Washington, DC, Lower Level
Follow Live Tweets from the briefing @Health_Affairs, and join in the conversation with #HA_SpecialtyDrugs.
Health Affairs is grateful to CVS Health for its financial support of the issue and event. Read the rest of this entry »
September 18th, 2014
A new Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) looks at health coverage choice for employees of small businesses. Unlike large organizations, small businesses have been less likely to provide comprehensive health insurance or a choice of plans, and their employees are more likely to be uninsured or underinsured.
To address this insurance gap, the Affordable Care Act (ACA) created the Small Business Health Options Program (SHOP) Marketplaces in each state. (Note: The SHOP exchange was the subject of an earlier Health Policy Brief.) These Marketplaces (eighteen run by state exchanges, thirty-three by the federal government) will provide “one stop shopping,” for small businesses to compare health plans and enroll their employees.
To make SHOP Marketplaces more attractive to small businesses, the ACA required SHOP Marketplaces to offer a feature known as employee choice, in which employers can offer their employees a choice from multiple health insurance plans. While the majority of state-based SHOP Marketplaces have chosen to offer access to multiple plans, employee choice will not be mandatory until 2016. This Health Policy Brief examines the issue of employee choice, the status of its implementation, and whether the concept is successfully attracting more small businesses to offer coverage through SHOP Marketplaces. Read the rest of this entry »
September 15th, 2014
In the September Health Affairs Narrative Matters essay, when a family caregiver becomes injured, she learns the difficulties—and costs—of caring for herself and her chronically ill husband at the same time. Suzanne Geffen Mintz’s article is freely available to all readers, or you can listen to the podcast. Read the rest of this entry »
September 12th, 2014
At Health Business Blog, David Williams is not ashamed to be a wonk in his September 11 edition of the Health Wonk Review. David highlights many great posts, including “The 125 Percent Solution,” suggested by Jonathan Skinner, Elliott Fisher, and James Weinstein on Health Affairs Blog, which would give consumers and insurers the option of paying 125 percent of the Medicare price for any health care service. Read the rest of this entry »
September 12th, 2014
Posts on payment and delivery reform head the Health Affairs Blog top-fifteen list for August. Suzanne Delbanco and David Lansky’s post on accountable care organizations was the most-read post, followed by Tom Williams and Jill Yegian’s post on bundled payment, written in response to an article published in the August issue of Health Affairs.
Next is Health Affairs’ Editor-in-Chief Alan Weil’s post on the five engagements that will define the future of health, drawn from his keynote presentation at the 2014 Colorado Health Symposium. This is followed by Rosemarie Day and coauthors’ post on the private health insurance exchange system.
The full list is below. Read the rest of this entry »