Future Bundled Payment Models Need To Engage Physician Group Practices
Health Affairs Blog | Latest Insights & Commentary In Health Policy
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1w ago
We argue that CMS should explicitly find a way to engage physician groups in future bundled payment models, either as direct participants or through more flexible gainsharing models, to ensure continued success in producing more cost-efficient practice patterns ..read more
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In Memoriam: Remembering The Contributions Of Jeffrey Kelman, MD
Health Affairs Blog | Latest Insights & Commentary In Health Policy
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1w ago
From 2004 until his death on February 8, 2024, at the age of 75, Jeffrey Kelman, MD, worked at the Centers for Medicare and Medicaid Services as the medical director for the Medicare prescription drug benefit (Part D) and Medicare Advantage. His service is a case study in how a largely anonymous civil servant helped Medicare beneficiaries and advanced public health in tangible ways ..read more
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Better Outcomes Tracking: A First Step In Improving Access To New Treatments
Health Affairs Blog | Latest Insights & Commentary In Health Policy
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1w ago
These emerging capabilities are promising, but they will be insufficient to address affordability and patient access for new treatments. We identify three remaining challenges that researchers, regulators, and payers must overcome to accelerate outcomes tracking and payment innovation ..read more
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It’s Past Time For An Upgrade To The Medicare Hospice Benefit
Health Affairs Blog | Latest Insights & Commentary In Health Policy
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1w ago
Current policy restrictions to enroll and remain on hospice make it difficult for many hospice recipients to receive hospice care for “whatever time remains ..read more
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Final 2025 Payment Notice: Marketplace Standards And Insurance Reforms
Health Affairs Blog | Latest Insights & Commentary In Health Policy
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1w ago
On April 2, 2024 the U.S. Department of Health & Human Services released the final “Notice of Benefit and Payment Parameters” (Payment Notice) for plan year 2025. The annual rule sets standards and requirements for the Affordable Care Act (ACA) Marketplaces and health insurers ..read more
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Why We Need Structural Interventions For Campus Sexual Violence Prevention
Health Affairs Blog | Latest Insights & Commentary In Health Policy
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1w ago
The reason sexual assault, particularly on campuses, is so common and its rate so unrelenting is because we respond to assaults after they happen. Public health has an enormous opportunity to be part of finally moving the needle on sexual violence through a focus on prevention ..read more
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Food Is Medicine: The Road To Universal Coverage
Health Affairs Blog | Latest Insights & Commentary In Health Policy
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1w ago
For Food Is Medicine to gain credibility with national standards of care for patients expressing certain conditions, more evidence must be generated that proves it is not only clinically effective, but worth paying for ..read more
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Medicare Drug Price Negotiations: Policy Implications Of The First 10 Drugs’ Features
Health Affairs Blog | Latest Insights & Commentary In Health Policy
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1w ago
Certain features of the drugs selected for first-year negotiation could limit CMS’s pricing flexibility. To enhance program predictability and provide clear signals to the pharmaceutical industry about investment priorities, the agency should provide further details about how it will apply negotiation factors in its decision making ..read more
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A Revolving Loan Fund Could Unleash The Power Of Community-Based Organizations To Support Medicaid Beneficiaries
Health Affairs Blog | Latest Insights & Commentary In Health Policy
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2w ago
Despite increasing demand for services and earned revenue potential from Medicaid, inadequate access to capital remains a limiting factor for most community-based organizations (CBOs). The time is nigh for CBOs to shift to a more sustainable financing model that leverages earned revenue—and for new financial and technical assistance models to assist CBOs in this transition ..read more
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Can Hospital At Home Finally Hit Its Tipping Point? Lessons From The Hospitalist Field
Health Affairs Blog | Latest Insights & Commentary In Health Policy
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2w ago
For Hospital at Home to achieve its full potential, advocates may find lessons in the decisions, missteps, and successes of hospitalists in their early days ..read more
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