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.

National Health Law Program: Analysis of ACA Section 1557 Final Rule

This is the National Health Law Program’s initial analysis of the final rule implementing section 1557 of the Affordable Care Act (ACA) prohibiting discrimination in federally funded health programs and services on the basis of race, color, national origin, age, sex, … Continue reading

Posted in Health Care Reform, Health Care Reform: Advancing Equity, Language Access, Language Access: Standards, Lesbian, Gay, Bisexual and Transgender Health | Leave a comment

U.S. Department of Health and Human Services Office of Civil Rights: Final Rule Prohibiting Discrimination Under Affordable Care Act

The U.S. Department of Health and Human Services (HHS) Office of Civil Rights (OCR) has issued its final rule implementing Section 1557 of the Affordable Care Act prohibiting discrimination on the basis of race, color, national origin, sex, age, and … Continue reading

Posted in Health Care Reform, Health Care Reform: Advancing Equity, Language Access, Language Access: Standards, Lesbian, Gay, Bisexual and Transgender Health | Leave a comment

Centers for Medicare and Medicaid Services: MACRA Proposed Rule Fact Sheet about Small Practices

The Centers for Medicare and Medicaid Services (CMS) has published this fact sheet describing how small group physician practices (defined as practices with 15 or fewer physicians) and practices in rural or health professional shortage areas will be impacted and accommodated … Continue reading

Posted in Health Care Reform, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement | Leave a comment

MACRA Physician-Focused Payment Model Technical Advisory Committee Issues Draft Proposal Review Process

The Physician-Focused Payment Model Technical Advisory Committee established by the Medicare Access and CHIP Reauthorization Act (MACRA) has issued a draft Proposal Review Process to review and recommend “physician-focused” Alternative Payment Models (APMs) for implementation through MACRA. The legislation established this … Continue reading

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Centers for Medicare and Medicaid Services: Additional Resources on MACRA Proposed Rule

The Centers for Medicare and Medicaid Services (CMS) has made available two additional resources about its proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA).  The first resource is a set of slides describing the proposed rule. Link to Original … Continue reading

Posted in Health Care Reform, Health Care Reform: Medical Homes, Health Care Reform: Accountable Care Organizations, Health Care Reform: Quality Improvement, Health Information Technology, Health Information Technology: Meaningful Use, Health Care Reform: Payment Reform | Leave a comment

Centers for Medicare and Medicaid Services: List of Alternative Payment Models (APMs) under MACRA Proposed Rule

Buried deep (on pages 501-502) in the 900+ page pre-publication version of the Centers for Medicare and Medicaid Services (CMS) proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) is Table 32, which lists current Alternative Payment Models (APMs) … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement | Leave a comment

Community Catalyst: Consumer Policy Platform for Health System Transformation

Community Catalyst has published this policy platform for health system transformation from a health consumer perspective. When using the framework of the “triple aim”, consumers should be asking: whether “better care” focuses on improving care for people with multiple chronic … Continue reading

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Centers for Medicare and Medicaid Services: Fact Sheet on MACRA Proposed Regulations

The Centers for Medicare and Medicaid Services has published this useful summary of its proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA): Link to Original Source

Posted in Health Care Reform, Health Care Reform: Medical Homes, Health Care Reform: Accountable Care Organizations, Health Care Reform: Quality Improvement, Health Information Technology, Health Information Technology: Meaningful Use, Health Care Reform: Payment Reform | Leave a comment

Centers for Medicare and Medicaid Services: Proposed Rule to Implement Medicare Access and CHIP Reauthorization Act (MACRA)

The Centers for Medicare and Medicaid Services (CMS) has published its much-anticipated proposed rule to implement the Medicare Access and Childrens’ Health Insurance Program (CHIP) Reauthorization Act (MACRA), which replaces the Sustainable Growth Rate formula for how fee-for-service or traditional Medicare … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Health Information Technology, Health Information Technology: Meaningful Use | Leave a comment

Centers for Medicare and Medicaid Services: Final Rule for Managed Care in Medicaid and Children’s Health Insurance Program

The Centers for Medicare and Medicaid Services (CMS) has published a final rule, updating requirements for managed care plans funded by Medicaid and the Children’s Health Insurance Program.  The updated requirements are aligned with requirements enacted by the Affordable Care Act … Continue reading

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