Janet Weiner, MPH

Bumped-up Medicaid Fees for Primary Care Linked to Improved Appointment Availability

Jan. 21, 2015

Did the two-year Medicaid “fee bump,” fully financed by the federal government, succeed in its goal of improving primary care availability for growing numbers of Medicaid patients? Most states, facing the decision of whether to use state funds to continue to pay for Medicaid primary care services at Medicare levels, were unconvinced, and Medicaid fees returned to previous levels in 34 states as of January 1, 2015.

The Affordable Care Act and Minority Health: Part II (Medicaid)

Jan. 13, 2015

As the Affordable Care Act’s health insurance marketplaces begin their second year of open enrollment, LDI examines the current and potential impact of the ACA on the health of minority populations. This second post of a five-part series describes the benefits and shortfalls of the Medicaid expansion.

The Affordable Care Act and Minority Health: Part I (Overview)

Jan. 12, 2015

As the Affordable Care Act’s health insurance marketplaces begin their second year of open enrollment, LDI examines the current and potential impact of the ACA on the health of minority populations. This first post of a five-part series describes the current state of insurance coverage and health disparities among racial and ethnic minorities.

Editor’s Choice: Picks from the LDI Blog in 2014

Jan. 6, 2015

As we enter 2015, I looked back upon the LDI Blog in 2014, its first full year of existence.  First the numbers.  We had 12,219 page views of our 63 blog posts.  Which means each post averaged nearly 200 views (median 122)!  We had 22 different senior fellows write almost half of our posts.  And our posts covered the research of 33 different senior fellows.

Primary Care Shortages: More Than Just a Head Count

Nov. 21, 2014

A new LDI/INQRI Research Brief, written by Mark Pauly, PhD, Mary Naylor, RN, PhD, and me, reviews the evidence of an existing or looming primary care shortage in the wake of the ACA. Will the combined effects of an aging population, an increase in coverage and demand for care, and a decrease in the number of physicians going into primary care create widespread gaps in access? Who will treat the newly insured, and will this exacerbate existing workforce shortages?

ACA Impact on Safety Net Health Systems -- an LA Story

Nov. 19, 2014

Safety-net hospitals that see many Medicaid and uninsured patients have long relied on additional payments from Medicaid to partially offset the costs of uncompensated care. The ACA reduced these Disproportionate Share Hospital (DSH) payments, reasoning that the hospitals would gain revenue from newly insured patients.

Digital Marketing to Physicians: Policy Lags Behind Practice

Nov. 12, 2014

In a Perspective in today’s New England Journal of Medicine, David Grande, LDI's Co-Director of Health Policy, and colleagues write about new digital forms of pharmaceutical and medical device marketing to physicians. The same technologies that can be used to support clinical practice—such as electronic health records, social media, and mobile applications—can also be used to conduct market research and to market directly to physicians. Grande and colleagues write:

Why We Should All Care about Obamacare

Oct. 23, 2014

Cross-posted from The Field Clinic blog

Despite all the media attention, most of us are only bystanders to the activities surrounding “Obamacare.” That’s because most of us still get our health insurance through our employers. The ACA focused on stabilizing the individual market and making coverage more affordable for people buying health insurance on their own.

Pages