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.

Families USA: Network Adequacy and Health Equity

This policy brief from Families USA describes the issue of network adequacy and its importance for achieving health equity for communities of color, individuals who speak languages other than English, and other populations experiencing health disparities.  As more previously uninsured individuals … Continue reading

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Health Access: California’s Uneven Safety Net – A Survey of County Health Care

This 2013 report from Health Access describes county-funded “indigent” health care programs for low-income residents in California. While there are comprehensive county-based programs in counties such as San Francisco, Alameda, San Mateo, Santa Clara, and Los Angeles, there are minimal … Continue reading

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Advocacy to Make Increased Medicaid Primary Care Payments Permanent

National primary care physician organizations, including the American College of Physicians, American Academy of Family Physicians, and American Academy of Pediatrics, have taken policy positions supporting making permanent the increased Medicaid primary care payments for calendar years 2013 and 2014 under … Continue reading

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Kaiser Family Foundation: Increasing Medicaid Primary Care Fees for Certain Physicians in 2013 and 2014

This policy brief from the Kaiser Family Foundation describes section 1202 of the Health Care and Education Reconciliation Act, which authorized increased payments during calendar years 2013 and 2014 to primary care providers under the Medicaid program at rates equivalent … Continue reading

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Kaiser Family Foundation: Medicaid Financing – Overview of the Federal Medicaid Matching Rate

This policy brief from the Kaiser Family Foundation describes the Federal Medical Assistance Percentage (FMAP), or the federal matching rate for the Medicaid program. The FMAP is generally 50% for the majority of states, but as high as 74% for … Continue reading

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Centers for Medicare and Medicaid Services: Final Rule on Medicaid Payments for Certain Primary Care Providers

This final rule from the Centers for Medicare and Medicaid Services (CMS) implements section 1202 of the Health Care and Education Reconciliation Act (HCERA), which authorizes increased payments during calendar years 2013 and 2014 to Medicaid primary care providers at … Continue reading

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5th Accountable Care Congress: Accountable Care as B2B and Patient Engagement, Moving Beyond Medicare into Medicaid and Private Exchanges

This year’s (5th) Accountable Care Congress (which conspicuously dropped the accountable care “organization” from its conference name) was much more somber, and well, business-like. There wasn’t the buzz and excitement of the first years about launching new ACO models under … Continue reading

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Centers for Medicare and Medicaid Services Announces ACO Investment Model

The Centers for Medicare and Medicaid Services has announced the availability of an additional $140 million in federal funding for Medicare Shared Savings Program Accountable Care Organizations (ACOs) to assist with start-up costs and to provide advance payments of potential … Continue reading

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Center for Medicare and Medicaid Services: 7.2 Million Additional Americans Enrolled in Medicaid and CHIP Under ACA

In a report released by the Centers for Medicare and Medicaid Services, Medicaid enrollment numbers grew to over 66 million in June 2014 with more than 7.2 million additional people enrolled in Medicaid and the Children’s Health Insurance Program compared … Continue reading

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Conflicting Court Opinions on Availability of Federal Tax Subsidies in Federally-Facilitated Health Insurance Marketplace

This past month saw directly conflicting U.S. Court of Appeals decisions issued on the issue of whether federal tax credits are available to subsidize premiums for low-income individuals obtaining health insurance coverage through the federally-facilited health insurance marketplace under the … Continue reading

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