Category Archives: Health care reform

Pros and cons of health payment reform: Capitation

Joanne Kenen

About Joanne Kenen

Joanne Kenen, (@JoanneKenen) the health editor at Politico, is AHCJ’s topic leader on health reform and curates related material at healthjournalism.org. She welcomes questions and suggestions on health reform resources and tip sheets at joanne@healthjournalism.org.

Photo: Yann via Flickr

Photo: Yann via Flickr

The Urban Institute and the Catalyst for Payment Reform have collaborated on a series of briefs about various forms of health payment reform. Over the summer we’ll look at some that are receiving a lot of attention from policymakers and payers.

Let’s start with capitation. The recent Centers for Medicare & Medicaid Services (CMS) announcement about Comprehensive Primary Care Plus (CPC+) isn’t a switch to a fully capitated system. But this five-year model, scheduled to launch in January, does offer a degree of capitation, and moves further toward shifting more payments to a per-patient fee. Let’s look at what Urban/Catalyst says about the benefits and drawbacks of a capitated primary care payment system. Continue reading

For finance editor, covering value-based care takes well-versed sources, hours of interviews

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

money-and-medicineWe’ve all heard the talk about how the health care system is moving quickly from fee-for-service payment to value-based care. Certainly a new payment model is needed, but what is the difference between fee-for-service and value-based payment?

As health care journalists we have a good idea about how FFS works, but what are the characteristics of new models in which physicians and hospitals are paid for delivering value? And how do payers define value exactly? Continue reading

What we know about the House GOP’s proposed replacement for the ACA

Joanne Kenen

About Joanne Kenen

Joanne Kenen, (@JoanneKenen) the health editor at Politico, is AHCJ’s topic leader on health reform and curates related material at healthjournalism.org. She welcomes questions and suggestions on health reform resources and tip sheets at joanne@healthjournalism.org.

House Speaker Paul D. Ryan (R-Wis.)

House Speaker Paul D. Ryan (R-Wis.)

The House Republicans have released an Obamacare replacement plan – though it’s sparse on details. That’s partly because the Republicans themselves don’t agree on all the specifics – and it’s partly because politically it doesn’t really behoove them to put out all the details and let Democrats shoot it down between now and November.

Most of the ideas you’ve heard before – high-risk pools ($25 billion for that over 10 years, one of the few specifics in the GOP white paper), tax credits, tax-favored health savings accounts, the ability to buy insurance across state lines (which critics say undermine consumer protections). Continue reading

Tips to expand coverage of LGBT health beyond HIV and AIDS

Tara Haelle

About Tara Haelle

Tara Haelle (@TaraHaelle) is AHCJ's medical studies core topic leader, guiding journalists through the jargon-filled shorthand of science and research and enabling them to translate the evidence into accurate information.

Photo: Ted Eytan via Flickr

Photo: Ted Eytan via Flickr

For the past several decades, HIV and AIDS have dominated discussions and reporting about LGBT health. While HIV/AIDS continues to be relevant to this population, thorough coverage of health for lesbian, gay, bisexual and transgender individuals must be much more comprehensive in examining other challenges they face.

Several takeaways from the Health Journalism 2016 session, “Beyond HIV/AIDS: Reporting on the LGBT Community,” can help reporters go beyond those issues to discover new stories and important trends. Two major themes emerged from the session that offer fertile ground for deeper reporting. Continue reading

Turn to new tip sheet before writing about drug prices

Joanne Kenen

About Joanne Kenen

Joanne Kenen, (@JoanneKenen) the health editor at Politico, is AHCJ’s topic leader on health reform and curates related material at healthjournalism.org. She welcomes questions and suggestions on health reform resources and tip sheets at joanne@healthjournalism.org.

Photo: pixxiestails via Flickr

Photo: pixxiestails via Flickr

Drug prices have become a hot topic – and a significant source of the ongoing challenges to achieving affordable premiums and out-of-pocket costs in both Affordable Care Act exchange plans and employer-sponsored coverage. Drug costs are now the single largest health care concern of Americans across the political spectrum, according to some polls.

But it can be hard to know where to go to find out information about drug pricing and drug value (which aren’t the same thing). Continue reading