Most Recent

Breaking Down The MACRA Proposed Rule

The mother ship has landed. On Wednesday, April 27, CMS released the highly-anticipated proposed rule that would establish key parameters for the new Quality Payment Program. This post briefly outlines the key elements of the proposed rule.

Medicaid Managed Care Final Rule: Examining The Alignment With Qualified Health Plan Requirements (Updated)

In the final Medicaid Managed Care (MMC) rule, CMS indicated a desire to align MMC requirements with those governing qualified health plans in the marketplaces. However, the regulations for the two programs vary in some cases, recognizing their differences.

State Options To Control Health Care Costs And Improve Quality

While the ACA contains several tools designed to control health care costs, the current political environment makes it unlikely that reforms will be achieved at the federal level in the near future. States, however, are well-positioned to take the lead on implementing cost control and quality...

On Zika Preparedness And Response, The US Gets A Failing Grade

Congress has thus far refused to pass President Obama’s supplemental $1.86 billion funding request to buttress Zika preparedness. It is one thing to fail to prepare for an emerging infectious disease if the risks are uncertain. But it is quite another to fail to act when the facts are clear.

Health Affairs Web First: For Medical Procedures, Costs Vary Greatly By Locale

A new study, released as a Web First by Health Affairs, examined the variations in the prices for 242 common medical services in 41 states and the District of Columbia, using a national multipayer commercial claims database for the years 2012 and 2013.

Increasing Access To Dental Care For Seniors To Improve Overall Health

A foundation, soon to open a Senior Dental Center, is also exploring which are the appropriate payment and reimbursement models to tackle the cost and access barriers preventing seniors from receiving proper oral health care.

What Does A New Era Of Physician Accountability Mean For Patients?

Since roughly the year 2000, consensus has grown that no gains can be made in tackling our health care system's problems without changing the drivers of physician behavior. Quality measurement, financial incentives, and competition are three of the avenues MACRA employs to incentivize physicians.

About That Cadillac Tax

Congress delayed implementation of the Cadillac tax until 2020. There are two key practical issues with the tax that warrant continued caution: the indexing problem and the adaptation question.

New Health Policy Brief: Medicare’s New Physician Payment System

A new policy brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) provides a primer on the Medicare payment part of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.

The Latest Health Wonk Review

Check out Peggy Salvatore's The Early Bird Catches the Worm Spring edition of the latest health wonk review at Health System Ed Blog. Don't forget to listen to HWR's new podcast series with HealthBlawg.

April 22, 2016 | Elsewhere@ Health Affairs