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.

8 Governors Issue Bipartisan Proposal to Strengthen Affordable Care Act

Eight governors in key states – Republicans John Kasich from Ohio and Brian Sandoval from Nevada, Democrats John Bel Edwards from Louisiana, John Hickenlooper from Colorado, Tom Wolf from Pennsylvania, Terance McAuliffe from Virginia, and Steve Bullock from Montana, and … Continue reading

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Oregon Health Authority Transformation Center: Opportunities for Oregon’s Coordinated Care Organizations to Advance Health Equity

This report summarizes the work to date and identifies future opportunities for Oregon’s Coordinated Care Organizations (CCOs) to advance health equity as part of their health system transformation activities. CCOs are obligated to identify and pursue opportunities to advance health … Continue reading

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National Academy of Medicine: Effective Care for High-Need Patients

The National Academy of Medicine has published a report on effective care for high-need patients, highlighting the opportunities for improving outcomes, value, and health. In the U.S., 1% of patients account for more than 20% of the nation’s health care … Continue reading

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Health Care Payment Learning & Action Network: “Refreshed” Alternative Payment Model Framework

The Health Care Payment Learning & Action Network (LAN) has issued a “refreshed” white paper updating its framework for Alternative Payment Models (APMs). The updates bring the framework into alignment with the APMs recognized by the Centers for Medicare and … Continue reading

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Congressional Budget Office: Terminating Cost-Sharing Reductions Would Increase Health Insurance Premiums by 25% and Increase the Federal Deficit by $194 Billion

The Congressional Budget Office has estimated that the threatened termination of cost-sharing reductions for low-income Americans purchasing health insurance through the health insurance marketplaces established by the Affordable Care Act would increase premiums by 20% next year and by another … Continue reading

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National Quality Forum: Request for Comments on Draft Report on Healthcare Disparities Measurement

The National Quality Forum (NQF) has released a draft report, A Roadmap to Reduce Health and Healthcare Disparities through Measurement. The report was developed by NQF Standing Committee on Disparities, and was funded by the Centers for Medicare and Medicaid … Continue reading

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Text of Senate Health Care Freedom Act (“Skinny Repeal”)

Here (finally), is the text of the 8-page Senate Health Care Freedom Act, the misnamed “skinny repeal” of the Affordable Care Act (ACA). This would be the final Senate bill to be voted on to repeal and/or replace the ACA. … Continue reading

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America’s Health Insurance Plans Oppose “Skinny Repeal” of Individual Mandate, Urge Funding for Marketplace Subsidies

In a letter sent today to Senate Majority Leader Mitch McConnell and Senate Minority Leader Charles Schumer, America’s Health Insurance Plans (AHIP), the leading trade association representing health insurance plans, opposed the “skinny repeal” of the Affordable Care Act’s (ACA) … Continue reading

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Congressional Budget Office: “Skinny Repeal” Would Result in 16 Million Losing Health Insurance

Earlier this evening, the Congressional Budget Office (CBO) issued a revised estimate of the impact of a “skinny repeal” of the Affordable Care Act (ACA), concluding that, by 2026 (in ten years),  16 million would lose their health insurance. The … Continue reading

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Text of Senate Obamacare Repeal Reconciliation Act to be Voted On July 26

Here is the text of the “Obamacare Repeal Reconciliation Act” that will be voted on by the U.S. Senate on Wednesday, July 26, 2017: Link to Original Source Except for the handwritten changes made by Senate Budget Committee Chair Mike … Continue reading

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