Category Archives: Health Care Reform

Opportunities to Advance Patient-Centeredness and Equity

With the historic enactment of national health care reform in March 2010, it can be a little overwhelming to understand all the details and implications of this huge structural shift in national health care policy.

As I continue to refine my own knowledge and understanding of the national health care reform law, I will share my analyses and presentations here. I will be highlighting what I call the “patient-centeredness” and “equity” elements of the legislation, two of the components of health care quality identified by the Institute of Medicine.

Children Now: Child-Centered Health Homes in California

This policy brief from Children Now describes how child- and family-centered health homes can improve the health of California’s children.  While patient-centered health homes can improve health for all populations, children can particularly benefit because of the impact of early childhood … Continue reading

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H.R. 2: Medicare Access and CHIP Reauthorization Act of 2015

Here is the full text of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, which repealed the Sustainable Growth Rate formula for Medicare provider payments.  The bill was signed into law as Public Law 114-10 by President Barack … Continue reading

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U.S. Department of Health and Human Services: Goal of 50% Medicare Provider Payments Based on Alternate Payment Models by 2018

In this January 2015 blog posting, Health and Human Services Secretary Sylvia Mathews Burwell announced departmental goals of changing 30% of Medicare provider payments to alternate payment models by 2016, and to 50% by 2018.  A secondary set of goals … Continue reading

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Covered California: Premium Rates, New Health Plans Announced for 2016

Covered California, the state health insurance marketplace for California, has announced the health plans and preliminary premium rates for purchasing health insurance in each of California’s 19 regions for 2016.   According to Covered California, the statewide weighted average increase will be … Continue reading

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Centers for Medicare and Medicaid Services: Final Rule for Medicare Shared Savings Program Accountable Care Organizations

On June 9, 2015, the Centers for Medicare and Medicaid Services (CMS) published this final rule that significantly revises the requirements for the Medicare Shared Savings Program accountable care organizations (ACOs) established through section 3022 of the Affordable Care Act (ACA). … Continue reading

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National Council of Asian Pacific Islander Physicians: Impact of Affordable Care Act on Asian Indian, Chinese, Filipino, Korean, Pakistani, and Vietnamese Americans

This report from the National Council of Asian Pacific Islander Physicians (NCAPIP) analyzes 2013 American Community Survey data on select social determinants (health insurance coverage, language, nativity, education, economic status) that impact on the participation and enrollment in the Affordable Care Act (ACA) … Continue reading

Posted in Asian American, Native Hawaiian and Pacific Islander Health, Data, Health Care Reform, Health Care Reform: General Analysis, Language Access | Leave a comment

Centers for Medicare & Medicaid Services: Proposed Medicare Bundled Payments for Hip and Knee Replacements

The Centers for Medicare and Medicaid Services has a proposed change in its Medicare fee-for-service payments that would use a bundled payment methodology for hip replacements and knee replacements, called the Comprehensive Care for Joint Replacement Payment Model.  According to … Continue reading

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Patient-Centered Primary Care Collaborative: The Patient-Centered Medical Home’s Impact on Cost and Quality

The Patient-Centered Primary Care Collaborative (PCPPC) has published its 2015 edition of its annual review of the evidence for improving quality and reducing costs through patient-centered medical homes.  This report’s evidence comes from 14 peer-reviewed articles, 7 state program evaluations, … Continue reading

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California School-Based Health Alliance: Making the Health Home Model Work for Boys and Young Men of Color

This policy brief from the California School-Based Health Alliance and the California Pan-Ethnic Health Network describes how health homes can provide improved health care and related services to boys and young men of color. The brief describes the disparities in … Continue reading

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Agency for Healthcare Research and Quality: Request for Comments on Proposed Changes for Consumer Assessment of Healthcare Providers and Systems (CAHPS)

The Agency for Healthcare Research and Quality is seeking comments on proposed changes to the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Clinician and Group Survey and the CAHPS Patient-Centered Medical Home (PCMH) item set.  Additional technical details about … Continue reading

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