Insurers at the gates: Who gets the state imprimatur under the Massachusetts universal health care law?

Yesterday’s Boston Globe highlighted a potential problem with the creation of new insurance markets under the Massachusetts universal health care law.  One currently-licensed "limited benefit" insurance company, within weeks of being touted by the Insurance Commissioner at a Health Insurance Connector Authority meeting, was being sued by the Attorney General based on allegations of deceptive […]

CDHPs and HSAs: Some spend more and some spend less

Health Affairs published yesterday (see the Health Affairs blog post) a RAND meta-analysis with an unsurprising conclusion: some folks with high-deductible consumer-directed health plans (usually paired with health savings accounts, or HSAs) use less care, and some use more.  There are those who are affected more by the out-of-pocket expenses, and may defer care.  There […]

Green House model of nursing facility spreads nationwide; how will it be financed?

Smaller units, more personalized care planning, and greater autonomy for elders are three hallmarks of the Green House model of care, identified by the Robert Wood Johnson Foundation last year as a model worthy of support so that it may be propagated across all 50 states.  The RWJF awarded a $10 million grant to help […]

AHA finally supports federal price transparency legislation; the states are taking the lead

This month, the American Hospital Association has made an about-face and is now supporting a bill in Congress that promotes price transparency.  The information made available under such a scheme would clearly be a boon to consumer directed health plans (see HealthBlawg posts on CDH), including plans making use of health savings accounts (see HealthBlawg […]

IOM recommends P4P for Medicare

The proverbial 800-pound gorilla of health care seems poised to jump on the pay-for-performance (P4P) bandwagon. Last week, the Institute of Medicine released a report recommending that Medicare start moving in that direction — though in a measured, gradual way, acknowledging that there’s still precious little data on P4P programs, no truly standardized metrics, and […]

Bush signs executive order on HIT and transparency

David Harlow As reported in the Washington Post, President Bush signed an executive order yesterday, "Promoting Quality and Efficient Health Care in Federal Government Administered or Sponsored Health Care Programs."  This is the latest in a series of administration initiatives regarding EHR interoperability, price transparency and quality transparency that are intended to promote better decisionmaking […]