Kip Piper's Health Care Blog
Medicare, Medicaid, Health Reform

The Affordable Care Act (ACA) created a trade-off for providers, particularly hospitals: On the one hand, Medicare fee-for-service hospital payments will be cut by $260 billion over 10 years. Some people newly eligible for Medicaid will switch from private insurance, which pays much higher provider rates than Medicaid does....
While the Affordable Care Act is expected to shift more of health coverage from the private employers to taxpayers, the most common source of health insurance for Americans is still though an employer or the employer of a spouse or parent.  According to the most recent census data, over...
Coordinated primary care models have shown great potential to reduce health care costs while improving care, a goal that will become even more important after the Affordable Care Act (ACA) coverage expansion provisions take full effect next year. The models typically involve communication among providers, a focus on patients...
For the past several years, major payers in U.S. health care have experimented with new payment models that create incentives to control unnecessary health care spending. The traditional fee-for-service model for health insurance does not give providers a reason to control health costs: The more services they provide, the...
The Federal Reserve Beige Book is the central bank’s version of a routine check-up from a physician. Published eight times each year, the Beige Book compiles reports about how the economy is doing from Fed staff across the country and interviews with business leaders, economists, and other market experts...
The subject of health benefits for Members of Congress often surfaces in political debates, with some implying that Members of Congress enjoy lavish healthcare benefits.  Many citizens would be surprised to learn that the health insurance coverage available to Members of Congress is the same series of health plans...
State insurance commissioners typically bear most of the responsibility for enforcing health insurance consumer protections. In theory, that will remain the case after broad new consumer protections included in the Affordable Care Act (ACA) go into effect. States are expected to be the first-line of enforcement, and the federal...
A year from now, in January 2014, new health insurance exchanges (HIX) will offer coverage to individuals and small-business employees. Part of the Affordable Care Act (ACA), the exchanges present vast and complex challenges for states, the federal government, and health insurers weighing whether to participate by becoming qualified...
State Partnership Exchanges are a hybrid model for operation of a Health Insurance Exchange (HIX) under the Affordable Care Act.  In this model, responsibility for Exchange functions is shared between the state and Centers for Medicare and Medicaid Services (CMS).  The other two models are a Federally Facilitated Exchange...
The Employer Mandate is one of the many complex new requirements of the Affordable Care Act (ACA) health reform law.  Under the Employer Mandate - decorously called Employer Shared Responsibility in the law - most employers must provide health insurance coverage to all full-time employees or pay a penalty...

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