In a push to encourage “personal responsibility,” the Centers for Medicare and Medicaid Services (CMS) has approved work requirements as a condition for receiving Medicaid benefits in four states - Kentucky, Indiana, Arkansas, and most recently New Hampshire, with applications from other states pending. In a new JAMA Viewpoint, Harald Schmidt and Allison Hoffman review the implications and ethics of Medicaid work requirements and other personal responsibility policies. They propose safeguards CMS should consider to minimize risk and protect beneficiaries’ health.
Forty economists and health policy experts, including Dan Polsky and Zeke Emanuel, have signed a strongly worded letter opposing the Better Care Reconciliation Act (BCRA), the Senate proposal to repeal the Affordable Care Act.
In this Health Affairs blog post, we review a number of trade-offs—between health spending and insurance expansion, between premium levels for the young and healthy and those for the sick and elderly, and between covering additional people and the extent of the insurance provided—that the ACA sought to navigate, ones that the AHCA and any new effort must also address.
After a shooting, a stabbing, a car crash, or a fall, emergency services rush an injured patient to the emergency room. They bypass the waiting room and come directly to a specialized area called the trauma bay, where a team of clinicians performs a fast, intense, full-body exam and initiates treatment for injury. How do patients experience this?
The drop in number of projects funded by the National Institutes of Health in the past 10 years obscures significant differences between institutes. And these differences speak volumes to changing research priorities within fields and specialties.
In a Perspective in the New England Journal of Medicine, Joshua Rolnick, David Asch, and Scott Halpern suggest that an advance directive should be understood primarily as a clinical document, rather than a legal one.
Although well-intentioned, government regulation has inadvertently provided manufacturers that repurpose old orphan drugs with significant market power. Sustainable solutions, whether based in public policy or market strategies, must address this unintended effect.
After the House passed the American Health Care Act (AHCA), I asked a few of our Senior Fellows to comment on the economic problems the AHCA is designed to fix, and the economic problems it might cause, all politics aside.
Tennessee Senators Lamar Alexander and Bob Corker have introduced the bill Health Care Options Act of 2017 (HCOA) that would allow consumers living in an area with no insurers on the public exchange to use their ACA premium tax credit in the off-exchange individual market. We asked some experts to reflect on the implications of this policy proposal.
In the second of a three-part forum, Terri Lipman, PhD, CRNP, Joan Gluch, PhD, RDH, and community partners discussed Penn Nursing and Penn Dental partnerships with Sayre Health Clinic as an example of how to integrate education, community involvement, and organizational support through collaboration with community-based organizations.