House Republicans Tweak AHCA Again; CBO Scores Earlier Changes

It is now reported that the full House will vote on the American Health Care Act on Friday, March 24. Late on March 23, a further manager’s amendment was offered, apparently to pick up more Republican votes. CBO updated its score for AHCA, reflecting earlier changes but not the latest tweaks.

March 24, 2017

Essential Health Benefits: What Could Their Elimination Mean?

In the effort to pass the American Health Care Act, House Republicans are looking to eliminate the requirement that health insurers cover “essential health benefits” (EHB). What are EHB and what would be the consequences of removing this requirement?

March 23, 2017

The Unfolding Medicaid Story: Congress, Governors, And The Trump Administration

Anyone who has had the chance to witness (or be part of) any of the epic health reform dramas that continually play out in Washington D.C. will agree: in the end, it always comes down to Medicaid. We have once again arrived at one of those moments.

March 20, 2017

A Better Balance Between Accelerated Access And High-Priced New Drugs: A New Conditional Approval Option

A new form of “conditional approval” could accelerate the approval of new drugs and, at the same time, take at least a small step towards reducing the costs of potentially life-saving drugs.

March 20, 2017

Taming Health Care Spending: Could State Rate Setting Work?

For more than three and a half decades health care expenditures in the United States have grown at a much higher rate than those in other wealthy nations. To get a handle on prices, policymakers should seriously consider rate regulation.

March 20, 2017

What’s Behind 2.5 Million New Health Jobs?

Data from the Bureau of Labor Statistics sheds light on how the health care sector added 2.5 million new jobs over the decade following the recession.

March 17, 2017

In This Next Phase Of Health Reform, We Cannot Overlook Long Term Care

With the focus of Congress once again turning to health reform, we have an opportunity to fix the problems with the ACA, and find solutions to health care challenges that the ACA failed to address. One such challenge is the looming crisis of aging and long-term care.

March 16, 2017

Private Payer Participation In Coverage With Evidence Development: A Case Study

Coverage with Evidence Development is a promising solution to funding investigations of experimental services. Blue Shield's participation in the Wisdom study shows that private payers can help address the critical funding gap for comparative effectiveness studies.

March 14, 2017

CBO Projects Coverage Losses, Cost Savings From AHCA; Administration Signals Flexibility To Governors On Waivers

On March 13, CBO scored the House GOP leadership’s American Health Care Act, finding that there would be 24 million more uninsured people by 2026 under AHCA. Also, HHS Secretary Tom Price wrote to the governors setting out a flexible approach to the ACA section 1332 state innovation waiver program.

March 14, 2017

To Battle The Opioid Overdose Epidemic, Deploy The ‘Cascade of Care’ Model

Revisiting how the public health community established the systems needed to US AIDS mortality rate in half can serve as a useful guide for states and policymakers to set up the most effective response to the current crisis.

March 13, 2017