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ACA Round-Up: Bill Focuses On Counties With No Marketplace Insurers; Court Revives Sex Discrimination Claim; And More

Claire McCaskill's bill addresses the problem of "bare" counties with no marketplace insurers, an appellate court decision revives a sex discrimination claim stemming from denial of gender reassignment services, and more.

Mandating Coverage Of Abuse-Deterrent Opioids Would Be A Costly Distraction From More Effective Solutions

It is tempting to see abuse-deterrent opioids as a powerful and singular solution that might go a long way toward addressing our nation’s opioid crisis. But, it is not so simple.

The Burgeoning “Yelpification” Of Health Care: Foundations Help Consumers Hold A Scale And A Mirror To The Health Care System

Current information about health care quality is disconnected from what consumers want. Philanthropy has a role to play in bridging the disconnect.

May 25, 2017 | GrantWatch, Hospitals, Quality

CMS Should Continue Innovating Health Care Payment And Delivery

It will be vital for the federal government to maintain its commitment to ongoing investment in new payment and delivery models for federal health insurance programs, while sending clearer signals to other payers and health care providers.

Building Additional Serious Illness Measures Into Medicare Programs

Given that approximately 70 percent of people who die in the United States each year are Medicare beneficiaries, the new administration has an opportunity to implement changes to significantly improve the quality of end-of-life care.

New CBO AHCA Estimate: Decreases In Savings And Uninsured, Potential Market Instability For States With Major Waivers

On May 24, 2017, the CBO and Joint Committee on Taxation released their third cost estimate on H.R. 1628, the House American Health Care Act of 2017. The estimate focuses primarily on changes that occurred after the CBO scored the original bill on March 13, and the manager’s amendment on March 24.

Market Momentum, Spillover Effects, And Evidence-Based Decision Making On Payment Reform

With so many diverse reforms taking place, how is it possible to generate the evidence needed for informed decision making about payment reforms for the future?

First Trump Administration ASPE Report On ACA Notes Premium Increases

The first Trump administration ASPE report on the ACA compares premiums in the individual market in 2013, before the ACA’s reforms and subsidies went into effect, with premiums in HealthCare.gov states. It finds that premiums more than doubled in the 39 HealthCare.gov states.

Trump Budget Proposes Big Health Cuts

Over the next ten years, President Trump’s FY 2018 budget proposal would cut Obamacare by $1.25 trillion, reducing the deficit by $250 billion, through the AHCA. Beyond that, Trump’s budget would cut Medicaid spending by $610 billion and cut CHIP by $5.8 billion (while extending it through 2019).

Measuring Value Based On What Matters To Patients: A New Value Assessment Framework

Despite the drive toward value-based health care reimbursement and patients’ ever increasing financial stake in their own health care treatment, many traditional value assessment tools fail to consider value from the patient’s perspective.