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Health Affairs

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https://www.readbyqxmd.com/read/28515140/three-year-impacts-of-the-affordable-care-act-improved-medical-care-and-health-among-low-income-adults
#1
Benjamin D Sommers, Bethany Maylone, Robert J Blendon, E John Orav, Arnold M Epstein
Major policy uncertainty continues to surround the Affordable Care Act (ACA) at both the state and federal levels. We assessed changes in health care use and self-reported health after three years of the ACA's coverage expansion, using survey data collected from low-income adults through the end of 2016 in three states: Kentucky, which expanded Medicaid; Arkansas, which expanded private insurance to low-income adults using the federal Marketplace; and Texas, which did not expand coverage. We used a difference-in-differences model with a control group and an instrumental variables model to provide individual-level estimates of the effects of gaining insurance...
May 17, 2017: Health Affairs
https://www.readbyqxmd.com/read/28483791/house-passes-ahca-hhs-acts-on-regulations
#2
Timothy Stoltzfus Jost
As the GOP worked to pass ACA repeal legislation, HHS finalized a market stabilization rule, and the debate over cost-sharing reduction payments continued.
May 8, 2017: Health Affairs
https://www.readbyqxmd.com/read/28424215/medical-marijuana-laws-may-be-associated-with-a-decline-in-the-number-of-prescriptions-for-medicaid-enrollees
#3
Ashley C Bradford, W David Bradford
In the past twenty years, twenty-eight states and the District of Columbia have passed some form of medical marijuana law. Using quarterly data on all fee-for-service Medicaid prescriptions in the period 2007-14, we tested the association between those laws and the average number of prescriptions filled by Medicaid beneficiaries. We found that the use of prescription drugs in fee-for-service Medicaid was lower in states with medical marijuana laws than in states without such laws in five of the nine broad clinical areas we studied...
April 19, 2017: Health Affairs
https://www.readbyqxmd.com/read/28404601/federal-funding-insulated-state-budgets-from-increased-spending-related-to-medicaid-expansion
#4
Benjamin D Sommers, Jonathan Gruber
As states weigh whether to expand Medicaid under the Affordable Care Act (ACA) and Medicaid reform remains a priority for some federal lawmakers, fiscal considerations loom large. As part of the ACA's expansion of eligibility for Medicaid, the federal government paid for 100 percent of the costs for newly eligible Medicaid enrollees for the period 2014-16. In 2017 states will pay some of the costs for new enrollees, with each participating state's share rising to 10 percent by 2020. States continue to pay their traditional Medicaid share (roughly 25-50 percent, depending on the state) for previously eligible enrollees...
April 12, 2017: Health Affairs
https://www.readbyqxmd.com/read/28356320/risk-adjustment-reinsurance-improved-financial-outcomes-for-individual-market-insurers-with-the-highest-claims
#5
Paul D Jacobs, Michael L Cohen, Patricia Keenan
The Affordable Care Act (ACA) reformed the individual health insurance market. Because insurers can no longer vary their offers of coverage based on applicants' health status, the ACA established a risk adjustment program to equalize health-related cost differences across plans. The ACA also established a temporary reinsurance program to subsidize high-cost claims. To assess the impact of these programs, we compared revenues to claims costs for insurers in the individual market during the first two years of ACA implementation (2014 and 2015), before and after the inclusion of risk adjustment and reinsurance payments...
March 29, 2017: Health Affairs
https://www.readbyqxmd.com/read/28298432/the-volume-of-tv-advertisements-during-the-aca-s-first-enrollment-period-was-associated-with-increased-insurance-coverage
#6
Pinar Karaca-Mandic, Andrew Wilcock, Laura Baum, Colleen L Barry, Erika Franklin Fowler, Jeff Niederdeppe, Sarah E Gollust
The launch of the Affordable Care Act was accompanied by major insurance information campaigns by government, nonprofit, political, news media, and private-sector organizations, but it is not clear to what extent these efforts were associated with insurance gains. Using county-level data from the Census Bureau's American Community Survey and broadcast television airings data from the Wesleyan Media Project, we examined the relationship between insurance advertisements and county-level health insurance changes between 2013 and 2014, adjusting for other media and county- and state-level characteristics...
March 15, 2017: Health Affairs
https://www.readbyqxmd.com/read/28289040/cross-currents-and-complexities-abound
#7
Timothy Stoltzfus Jost
The effort to repeal, replace, and repair the ACA faces myriad policy and political challenges.
March 13, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461372/brazilian-mortality-rates-the-authors-reply
#8
LETTER
Thomas Hone, Christopher Millett
No abstract text is available yet for this article.
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461371/governance-and-mortality-rates-in-brazil
#9
LETTER
Cyprian Mostert, Pricivel Carrera
No abstract text is available yet for this article.
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461370/market-share-the-authors-reply
#10
LETTER
Eric T Roberts, Michael E Chernew, J Michael McWilliams
No abstract text is available yet for this article.
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461369/insurer-and-provider-market-share
#11
LETTER
Zachary Dyckman
No abstract text is available yet for this article.
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461368/acos-and-disparities-the-authors-reply
#12
LETTER
Valerie A Lewis, Elliott S Fisher, Carrie H Colla
No abstract text is available yet for this article.
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461367/accountable-care-organizations-and-disparities
#13
LETTER
Alex Hartzman, Kimberly Rhodes
No abstract text is available yet for this article.
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461365/drug-industry-in-peril
#14
Christopher-Paul Milne
No abstract text is available yet for this article.
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461364/are-foundations-still-interested-in-hiv-aids
#15
(no author information available yet)
No abstract text is available yet for this article.
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461363/dave-didn-t-have-to-die-on-health-care-for-homeless-patients
#16
Tammy L Kling
A writer watches a homeless man's health decline because of a lack of care.
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461362/improving-allocation-and-management-of-the-health-workforce-in-zambia
#17
Fiona J Walsh, Mutinta Musonda, Jere Mwila, Margaret Lippitt Prust, Kathryn Bradford Vosburg, Günther Fink, Peter Berman, Peter C Rockers
Building a health workforce in low-income countries requires a focused investment of time and resources, and ministries of health need tools to create staffing plans and prioritize spending on staff for overburdened health facilities. In Zambia a demand-based workload model was developed to calculate the number of health workers required to meet demands for essential health services and inform a rational and optimized strategy for deploying new public-sector staff members to the country's health facilities...
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461361/vast-majority-of-development-assistance-for-health-funds-target-those-below-age-sixty
#18
Vegard Skirbekk, Trygve Ottersen, Hannah Hamavid, Nafis Sadat, Joseph L Dieleman
Development assistance for health targets younger more than older age groups, relative to their disease burden. This disparity increased between 1990 and 2013. There are several potential causes for the disparity increase.
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461360/mongolia-s-public-spending-on-noncommunicable-diseases-is-similar-to-the-spending-of-higher-income-countries
#19
Otgontuya Dugee, Enkhtuya Munaa, Ariuntuya Sakhiya, Ajay Mahal
Although there is increased recognition of the global challenge posed by noncommunicable diseases (NCDs), translating that awareness into resources for action requires better data than typically available in low- and middle-income countries. One middle-income country that does have good-quality information is Mongolia. Using detailed administrative data from Mongolia and supplementary survey-based information, we estimated public spending on four NCDs in Mongolia and reached four main conclusions. First, Mongolia's public spending patterns on NCDs are similar to NCD spending observed in countries with much higher per capita incomes...
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461359/rapid-growth-in-mental-health-telemedicine-use-among-rural-medicare-beneficiaries-wide-variation-across-states
#20
Ateev Mehrotra, Haiden A Huskamp, Jeffrey Souza, Lori Uscher-Pines, Sherri Rose, Bruce E Landon, Anupam B Jena, Alisa B Busch
Congress and many state legislatures are considering expanding access to telemedicine. To inform this debate, we analyzed Medicare fee-for-service claims for the period 2004-14 to understand trends in and recent use of telemedicine for mental health care, also known as telemental health. The study population consisted of rural beneficiaries with a diagnosis of any mental illness or serious mental illness. The number of telemental health visits grew on average 45.1 percent annually, and by 2014 there were 5...
May 1, 2017: Health Affairs
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