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How Unaffordable is Health Care and What Can We Do About It?

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During this Health Wonk Shop, panelists considered affordability from a variety of perspectives, including how to define affordability and the question of affordability for whom, how to measure it, and what can be done to address affordability and the underlying cost of health care.

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  • Medicaid Expansion Briefing: What’s at Stake for States?

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    The Alliance for Health Reform and the Kaiser Family Foundation present a November 30 briefing to discuss the Medicaid expansion and what's at stake for states. Speakers address questions around the potential financial impact of the expansion on states, the role of the federal government in financing the expansion, and what it might mean for providers on the ground level, as well as the effect on the safety net population should states choose to opt…

  • Health Care on the Brink of the Fiscal Cliff

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    The Alliance for Health Reform and the Kaiser Family Foundation present a November 16 briefing to discuss the components of this key policy crossroads with a particular emphasis on the implications for health programs and the health care industry. Automatic cuts would not apply to Medicaid, but Medicare providers would experience 2 percent payment cuts. The reductions would likely be larger for discretionary health programs, such as those funded as part of the National Institutes…

  • A Dose of Reality in the Virtual World of Health IT

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    The Alliance for Health Reform hosted a September 28 briefing to discuss electronic health records (EHRs), and the progress of the Health Information Technology for Economic and Clinical Health (HITECH) Act. Speakers explored such questions as: How does health information technology fit in the strategy for health care delivery transformation? What role are EHRs playing in care coordination, accountable care organizations and other innovations? What are the special challenges facing solo and small physician practices?…

  • Making Sense of the Census Uninsured Numbers

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    The Alliance for Health Reform and the Kaiser Family Foundation’s Commission and Medicaid and the Uninsured discuss the Census uninsured numbers. The Census Bureau announced that the number of people without health insurance dropped from 50 million to 48.6 million in 2011, marking the first decrease since 2007. That information came from the Current Population Survey, but it isn't the only data that Census is releasing on the uninsured. The Bureau is preparing a second…

  • The Alphabet Soup of Care Delivery Transformation

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    Both the private and public sectors are testing various care delivery transformation models to improve quality, reduce morbidity and mortality, and contain the costs of treatment. The Alliance for Health Reform and WellPoint, Inc. hosted a September 10 briefing to discuss delivery system innovations, Medicare care coordination, and low-spending health care practices. For more information, please visit the Alliance's event page. Full version: Video   Speakers for this session: Ed Howard of the Alliance and…

  • Oral Health: Putting Teeth into the Health Care System

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    The Alliance for Health Reform and the Robert Wood Johnson Foundation sponsored an August 17 briefing to discuss oral health coverage under the Patient Protection and Affordable Care Act (PPACA). While PPACA ensures dental coverage for children, challenges remain to improve dental health access and coverage for adults. Speakers will explore such questions as: With 15 percent of the U.S. population living in dental “Health Professional Shortage Areas,” how can dental workforce shortages be addressed?…

  • A Different Way of Thinking About Health

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    The Alliance for Health Reform, the Robert Wood Johnson Foundation, and the Bipartisan Policy Center sponsor an August 13 briefing to discuss the complexities of integrating patient-generated information into the electronic health record, including regulation, "meaningful use" requirements, HIPAA concerns, and more. Speakers will explore such questions as: What other special issues need to be addressed to enable the transmission of patient-generated information to occur effectively? What are the principal barriers to more rapid adoption…

  • Medicaid Managed Long-Term Services and Supports: Are More Caution and Oversight Needed?

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    The Alliance for Health Reform and AARP sponsor an August 3rd briefing to discuss who is being served by Medicaid managed care, how enrollment is determined, and whether sufficient oversight of the programs exist. Speakers will explore such questions as: Does Medicaid managed care cover a full range of long-term services and supports, including home- and community-based services? Is Medicaid managed care as a strategy part of state plans for 2014, and the challenges and…

  • Health Insurance Exchanges: Can States and the Federal Government Meet the Deadline?

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    The Alliance for Health Reform and the Commonwealth Fund sponsor a July 27 briefing to discuss how states are facing implementation and evaluation deadlines in regards to health insurance exchanges. Speakers will explore such questions as: What needs to happen between now and January 2014 for states to successfully implement exchanges and other aspects of health reform? What are options for states if they fail to meet the upcoming November deadline for declaring their exchange…

  • Community Health Centers: Can They Plug the Gaps in the Safety Net?

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    The Alliance for Health Reform and the Centene Corporation sponsored a July 23 briefing to discuss the role of community health centers (CHCs) in providing care to vulnerable populations as employer-sponsored coverage declines and demand for safety-net services increase. Panelists addressed questions such as: How are states and safety-net systems planning for 2014 and the challenges and opportunities presented under the ACA? Is there sufficient federal oversight of their operations? For more information, please visit…