Inequality at the core of high health care spending: A view from the OECD

From the Health Affairs blog: It is commonly said that the US spends more than twice as much on health care as other developed countries, yet its outcomes are worse. The inference is that too much care is provided, to no good end. Such international comparisons are drawn from the Organization of Economic Cooperation and … Continue reading Inequality at the core of high health care spending: A view from the OECD

State lessons on health system reform

There is a new issue brief available from the Commonwealth Fund:  State Innovation Models: Early Experiences and Challenges of an Initiative to Advance Broad Health System Reform. Since July 2012, the Centers for Medicare and Medicaid Services has awarded 25 states nearly $300 million to help them plan, design, and test new ways to improve … Continue reading State lessons on health system reform

The latest Health Wonk Review – Data, medicine, insurance reform, and more

From the Health Affairs Blog and Boston Health News: Health data is a theme of this edition of the Health Wonk Review because it is also the focus of the current Knight News Challenge. That contest rewards media innovation with seed money. They use the word “challenge” literally, asking for innovative responses to question:  How … Continue reading The latest Health Wonk Review – Data, medicine, insurance reform, and more

Healthcare in two Americas

From the Commonwealth Fund Blog: Economists at Harvard University recently reported that geography is a particularly powerful predictor of economic mobility in the United States. For those of us who work in health care, this should not be surprising: we already have abundant evidence that where you live matters a lot when it comes to health and … Continue reading Healthcare in two Americas

Revealing a health care secret: The price

From the Fixes blog at the New York Times: The Surgery Center of Oklahoma is an ambulatory surgical center in Oklahoma City owned by its roughly 40 surgeons and anesthesiologists. What makes it different from every other such facility in America is this: If you need an anterior cruciate ligament reconstruction, you will know beforehand … Continue reading Revealing a health care secret: The price

Promoting cooperative federalism through state shared savings

From the Health Affairs blog:  A new commentary, being released today as a Web First by Health Affairs, discusses the concept of "cooperative federalism" in light of the Affordable Care Act. It proposes an optional shared savings program between the states and the federal government as a response to concerns that there may be increased federal control over … Continue reading Promoting cooperative federalism through state shared savings

State action round-up on Affordable Care Act implementation

From the Commonwealth Fund: In just six months, the major health insurance provisions of the Affordable Care Act will go into effect. To keep you up-to-date on implementation efforts, starting today The Commonwealth Fund is launching a series of blog posts that will provide an overview of action on the new state health insurance marketplaces, … Continue reading State action round-up on Affordable Care Act implementation

Understanding the impact of health insurance on health

From the Commonwealth Fund Blog: A recent study reported that people who gained insurance coverage through Oregon’s Medicaid program experienced better access to care, increased detection of depression and diabetes, and reduced out-of-pocket costs. Yet blood pressure control, cholesterol levels, and blood sugar levels did not significantly improve. While some have said these findings suggest … Continue reading Understanding the impact of health insurance on health

Improving the rhetoric of rationing, pt. 1

From the Health Affairs Blog:Note: Rationing of health care services is a contentious topic and in our view, current discussions of rationing often are unproductive or harmful. We suggest two reasons for that result. First the discussants are imprecise in their use of the term rationing – often for politically motivated reasons. Second, the discussants write … Continue reading Improving the rhetoric of rationing, pt. 1

From the Health Affairs Blog: On June 14, 2013, the Department of Health and Human Services released a notice of proposed rulemaking (NPRM) entitled “Program Integrity: Exchange, SHOP, Premium Stabilization Programs, and Market Standards.” Although the proposed rule does include a number of provisions related to program integrity, it covers a great deal more. It resolves a … Continue reading