Wednesday, March 11, 2015

Failing Older Patients, New Round on ACOs

Necessary Steps: How Health Care Fails Older Patients, 

And How It Can Be Done Better  http://bit.ly/1M7AfDg  

Medicare Announces New Models For Accountable Care Programs 

CMS plans a new set of ACOs. Do not know enough details, but I have been unimpressed with the Innovation Centers bypassing of Experimental Designs.  When I was at CMS, the use of such designs lead to many very successful projects that resulted in major progress through legislation.  Several of my projects have made an incredible difference, resulting in many billions of dollars in savings and major benefits to many lives.  

Mental Health Providers Look For Federal Incentives To Go Digital, Too  

What are the effects of not expanding Medicaid?

Enroll In Clinical Trials Through Your IPhone 

The Wall Street Journal: Health-Care Deductibles Climbing Out Of Reach 

More Young People But Fewer Minorities Pick ACA Plans 


 

Saturday, March 7, 2015

Racial disparities; AHR briefing; Death with Dignity +

1) Closing the Gap: Past Performance of Health Insurance in Reducing Racial and Ethnic Disparities in Access to Care Could Be an Indication of Future Results

2)  AHR: ACA 101: What You Need to Know 

I attended this excellent forum on the ACA sponsored by the Alliance for Health Reform.  It was the first in a series of four sessions.  Sponsored by Kaiser Family Fdn. On C-span. With Ed Howard, Diane Rowland and Sabrina Corlette.  Had a good discussion with Sabrina re Consumer Checkbook. AHR will post a video in a couple of days as will KFF.  

3) Supporters of Death With Dignity Rally in Annapolis

4) Digital Dilemma For Medicine: How To Share Records

We have a long way to go with digital records.  This is a major barrier that I hope gets solved soon.

5) Health Affairs: Safety-Net Hospitals More Likely Than Other Hospitals To Fare Poorly Under Medicare’s Value-Based Purchasing

6) They Called Obamacare A Job-Killer. Were They Wrong? 


Tuesday, March 3, 2015

Medicare Pay Reform, Nursing Home and Hospital Quality

1)Medicare Payment Reform

2) Nursing Home Quality studies from Vince Mor

I asked Vince Mor of Brown University the following question: 

A speaker the other day stated that Nursing Homes that accept Medicaid only patients have lower quality of care than homes that accept those that have insurance or sufficent resources to pay for nursing home care at the time of admission.  The above link provides a list of studies he supplied in response to this question.  

3) Is Your Data Safe at Healthcare.gov

4) Workers' Costs Grow Despite Slowed Health Spending

5)   The Diseases We Spend Our Health Dollars On

6) Here are a number of articles from Health Affairs latest issue. 

National Hospital Ratings Systems Share Few Common Scores And May Generate Confusion Instead Of Clarity

KHN had an report on the above article: 
Groups That Rate Hospitals Often Disagree On Rankings

Medicare’s Bundled Payment Initiative: Most Hospitals Are Focused On A Few High-Volume Conditions

English National Health Service’s Savings Plan May Have Helped Reduce The Use Of Three ‘Low-Value’ Procedures

Safety-Net Hospitals More Likely Than Other Hospitals To Fare Poorly Under Medicare’s Value-Based Purchasing


Medicaid Beneficiaries In California Reported Less Positive Experiences When Assigned To A Managed Care Plan

Use Of Intelligent Assignment To Medicare Part D Plans For People With Schizophrenia Could Produce Substantial Savings


Comparing Employer-Sponsored And Federal Exchange Plans: Wide Variations In Cost Sharing For Prescription Drugs


Despite The Spread Of Health Information Exchange, There Is Little Evidence Of Its Impact On Cost, Use, And Quality Of Care


US Hospitals Experienced Substantial Productivity Growth During 2002–11

Narrative Matters: Necessary Steps: How Health Care Fails Older Patients, And How It Can Be Done Better







Wednesday, February 25, 2015

Special Enrollment Periods; Drug Prices Climb


1) Center for Budget and Policy Priorities: Beyond the Basics Series

Special Enrollment Periods
Thursday, February 19, 2015
Webinar Video
Presentation Slide Deck


Many of you are aware that a new special enrollment period (SEP) was announced today for people in states using the federally facilitated Marketplace (FFM) who have to pay the penalty for not having coverage when they file their taxes. The special enrollment period goes from March 15 to April 30, and consumers have to complete enrollment by April 30, 2015. We will update our material and provide more information on this new SEP and additional updates soon.  


Additional resources on Beyond the Basics include: 

Health Care Assister's Guide to Tax Rules
CBPP developed The Health Care Assister’s Guide to Tax Rules to familiarize people who are helping consumers apply for Medicaid, CHIP and premium tax credits with the tax rules that are applied in determining eligibility for these programs.

Key Facts You Need to Know About Health Reform
This collection of key facts explain in-depth topics related to health reform. 


2) The Charts That Drugmakers Don’t Want You to See from AHIP

Drug prices have gone up greatly in 2014. 

3)  Half Of Obamacare Enrollees Must Pay Back Part Of Insurance Subsidies

4) Study: Electronic Health Records Lead To More Patient-Doctor 

Collaboration

5) Enroll America: State of Enrollment report 
 Which messages motivated the uninsured to start the enrollment process.
  • What tools and outreach strategies make consumers more likely to successfully enroll.
  • Why year-round outreach is critical to enrollment success.
  • How tax time is a prime opportunity to encourage enrollment.
  • Where the uninsured rate has already fallen the farthest.
6)   Employers 

Sunday, February 22, 2015

ACA Tax Fix, Enrollment in the States; Hospital Prices Down

An Obamacare fix  Excellent editorial in the Post re Tie between Tax Penalty and Extended Enrollment. Glad it is so positive.  

The Health-Care Enrollment Story Is in the States  Useful article 


Hospital prices always go up. But this year, they went down:  


What Funders Can Do to Advance Payment Reform

This is an outstanding review of the accomplishments. covers several points that I was not aware. Highly recommend it.  (Note: already posted in a number of places)

An Early Look at the Integration of Behavioral Health and Primary Care in ACOs

Emerging health care models for innovators  

CHART: 3 disease categories contributed to more than 1/3 

of US medical services spending growth from 2000-2010