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.

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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Covered California Announces Health Plan Premiums for 2015

Covered California, California’s state-based health insurance marketplace established under the Patient Protection and Affordable Care Act, has announced tentative premiums and federal tax credit subsidies for individual health insurance coverage from the ten health plans that will be offering health … Continue reading

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Health Research & Education Trust: The Second Curve of Population Health

This issue brief from the Health Research & Education Trust of the American Hospital Association and the Association for Community Health Improvement highlights the role that hospitals and health systems can have in advancing the third component of the triple … Continue reading

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American Hospital Association: Your Hospital’s Path to the Second Curve – Integration and Transformation

This issue brief from the American Hospital Association (AHA) describes the need for hospitals to transform from volume-based payments to value-based revenue and business models. Environmental pressures are driving hospitals and care systems toward greater clinical integration, more financial risk … Continue reading

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Health Research & Education Trust: Second Curve Roadmap for Health Care

This “roadmap” from the Health Research & Education Trust of the American Hospital Association uses a futurist framework to describe the coming of the “second curve” (phase) for health care organizations, moving from a “first curve” of volume-based, largely fee-for-service … Continue reading

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Health Research & Education Trust: Metrics for the Second Curve of Health Care

This report from the American Hospital Association’s Health Research and Education Trust describes how hospitals and health systems will need to shift from a “first curve” of primarily fee-for-service, volume-based payments to a “second curve” of value-based payments based on … Continue reading

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U.S. Department of Health and Human Services: Affordable Care Act Has Saved American Consumers $9 Billion Under Medical Loss Ratio Rule

The U.S. Department of Health and Human Services (HHS) has reported that American consumers have saved a total of $9 billion on their health insurance premiums since 2011 because of the Affordable Care Act. Created through the law, the 80/20 … Continue reading

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Kaiser Family Foundation: Non-Group Health Insurance Enrollees

This data brief from the Kaiser Family Foundation reports results from a national survey of individuals who have purchased their own health insurance (through “non-group” markets), including the Federally-Facilited Health Insurance Marketplace and state-based health insurance marketplaces established through the … Continue reading

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Commonwealth Fund Issue Brief: Percentage of Uninsured Falls to 15%

An issue brief from The Commonwealth Fund reports that the percentage of uninsured Americans has fallen from 20% to 15%, with 9.5 million adult Americans obtaining health insurance coverage in the past nine months since the first open enrollment period … Continue reading

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