“Across state lines.” That’s shorthand for what many GOP politicians see as part of an acceptable replacement for the Affordable Care Act.
They see the approach as reducing barriers, so insurers can base themselves in one state, but sell in other states without having to include all the coverage mandates and benefit rules in those other states. Continue reading
One premise behind the formation of accountable care organizations is that physicians and other health care providers would have financial incentives to deliver high quality care at lower costs. But research is indicating that the financial incentive may not be sufficient to foster improvements in care.
A study published in the July/August 2015 issue of the Annals of Family Medicine, noted that physicians both inside and outside of accountable care organizations (ACOs) have similar payment arrangements. They are paid a mix of salary, bonuses for productivity and a bonus equivalent to about 5 percent of total salary for delivering quality care and other factors, the researchers said. Continue reading
Photo: Living-Learning Programs via Flickr
Here’s a story worth looking at in the states, particularly in the midst of a pretty heated campaign season: health care for those living in the United States without legal permission.
The Affordable Care Act, as you may remember, did not cover people living in the country illegally (though some conservatives insist otherwise). In fact, they can’t even buy a plan in the ACA exchanges with their own money – with no subsidy. (They can purchase insurance outside the ACA with their own money, and some who are employed do get covered through jobs, although there is some disagreement over how many.) Continue reading
Just seven years after the federal government announced plans to invest in health information technology (HIT) for physicians and hospitals, those new systems are listed in a report Wednesday as the number one cause of patient safety concerns.
In the report, Top 10 Patient Safety Concerns for 2016, the ECRI Institute said HIT configurations that do not support each other were the number one patient safety issue for hospitals and other health care provider organizations. Continue reading
For several years now, I’ve moderated an AHCJ conference panel on health reform in the states and will do it again this year at Health Journalism 2016 in Cleveland. We’ll get pretty granular this year, looking at two specific states – Massachusetts and Washington state – and provide a national overview of how states are looking ahead to next year to solve some of their persistent challenges.
Those challenges include a relatively low rate of young and healthy people signing up, persistent public misconception about what the law does and does not do, and of course, affordability, affordability, affordability. Continue reading