Category Archives: Health Reform

Health Reform GPS

Source: Hirsh Health Law and Policy program of the George Washington University School of Public Health and Health Services and the Robert Wood Johnson Foundation, 2010

Welcome to Health Reform GPS, a joint project of the Hirsh Health Law and Policy program of the George Washington University School of Public Health and Health Services and the Robert Wood Johnson Foundation.

The purpose of this web site is to track health reform from enactment through implementation, through notes, expert and public commentary and key documents. This site will grow and expand as the legislation and its implementation unfolds.

Patient Protection and Affordable Care Act: Summary of Provisions Affecting Employer-Sponsored Insurance

Source: Center for Labor Research and Education, University of California Berkeley, April 2010

This summary addresses common questions from unions and employers about the impact that the federal health reform law will have on employer-sponsored insurance.

See also:
Summary of Health Care Reform Legislation Provisions Affecting Children, Non-Elderly Adults and Employers
Calculator: How Much Would a Family Spend Under the President’s Health Reform Proposal?
The National Health Care Debate: What is being proposed and what does it mean for union members?

Hospital Cost of Care, Quality of Care, and Readmission Rates – Penny Wise and Pound Foolish?

Source: Lena M. Chen, Ashish K. Jha, Stuart Guterman, Abigail B. Ridgway, E. John Orav, Arnold M. Epstein, Archives of Internal Medicine, Vol. 170 no. 4, 2010
(subscription required)

From the abstract:
Background: Hospitals face increasing pressure to lower cost of care while improving quality of care. It is unclear if efforts to reduce hospital cost of care will adversely affect quality of care or increase downstream inpatient cost of care.

Conclusions: The associations are inconsistent between hospitals’ cost of care and quality of care and between hospitals’ cost of care and mortality rates. Most evidence did not support the “penny wise and pound foolish” hypothesis that low-cost hospitals discharge patients earlier but have higher readmission rates and greater downstream inpatient cost of care.
See also:
Decreasing Hospital Costs While Maintaining Quality: Can It Be Done?

The Costs of Failure: Economic Consequences of Failure to Enact Nixon, Carter, and Clinton Health Reforms

Source: Karen Davis, Kristof Stremikis, Commonwealth Fund Blog, December 21, 2009

The U.S. Congress is on the threshold of historic change that will usher in a new era in American health care. In the last 50 years, three presidents–Nixon, Carter, and Clinton–have made a serious effort to enact reform and failed. The nation simply can not afford to fail again–too much is at stake for those Americans who fail to get the life-saving care they need and for those who pay the bills of ever-rising cost of health care. History makes clear that failing to act on health reform has serious and far-reaching economic ramifications. An examination of trends in health spending over the past 50 years shows that if health reform measures proposed by previous presidents had been enacted and slowed the growth in spending by as little as 1.0 or 1.5 percentage points annually, spending trends in the U.S. would have been closer to those seen in other major industrialized countries and fewer adverse health consequences and economic burdens would have been borne by American families, businesses, and government.
See also:

Making Health Reform More Affordable for Working Families: The Effect of Employee Choice Vouchers Timely Analysis of Immediate Health Policy Issues

Source: Matthew Buettgens and Linda J. Blumberg, Urban Institute, February 2010

From a Robert Wood Johnson Foundation summary:
Many low-income workers would be prevented from accessing subsidies under current health reform proposals if they are offered employer-sponsored health insurance (ESI). Thus, some low-income families would not benefit from the reforms as much as others.

Who Benefits from the Proposed Amendment to the Senate Excise Tax on Employer Health Premiums?

Source: Ken Jacobs, William H. Dow, Dave Graham-Squire and Laurel Tan, Center for Labor Research and Education at UC Berkeley, Issue Brief, February 2010

This report examines the impact that the proposed Senate excise tax on high-cost employer health plans would have on union and non-union workers. The report finds that the vast majority of workers that would be affected by a tax on health benefits that cost above a certain threshold are not covered by a union contract. Non-union workers would receive a much larger share of the savings from the reduced excise tax that was negotiated between the White House and labor leaders in January.

Long-Term Care Financing Reform: Lessons from the U.S. and Abroad

Source: Howard Gleckman, Commonwealth Fund, Volume 1368, February 17, 2010

From the summary:
Broad health care reform legislation being considered by Congress would effect a major change in the way the United States finances long-term care. This paper reviews the experiences of France, Germany, Japan, the Netherlands, and the United Kingdom, and highlights some of the lessons the United States can learn from each.

Employers, Workers, and the Future of Employment-Based Health Benefits

Source: Stephen Blakely, Employee Benefit Research Institute, EBRI Issue Brief no. 339, February 2010

Since the vast majority of Americans who have health coverage get it through their jobs, one obvious question raised by the health reform legislation pending in Congress is: How might it affect the U.S. employment-based health benefits system? At a recent day-long conference sponsored by EBRI, more than a dozen experts from a wide range of specialties found consensus on one point: Imposing a tax on health benefits (such as the proposed tax on so-called “Cadillac” health plans) is likely to cause major cuts in health benefits and might result in structural changes in the employment-based benefits system.
See also:
Press release

Hot Topic – Health Care

Source: Capitol Ideas, Vol. 53 no. 1, January/February 2010
(scroll down)

States will undoubtedly face some major hurdles with reform of the nation’s health care system.

Articles include:
– Hot Topic
The impact of health care reform on states will be more than just money.
– 10 Questions
Kathleen Sebelius talks about health care reform, Medicaid and children’s insurance programs, and H1N1 preparedness.
– Timeline of Reform
States have taken action to supplement federal efforts at health care reform.
– Case Study
Four states have found ways to deal with coverage and care issues.
– Health Care Cost Drivers
Chronic disease and technology contribute to the rising cost of health care.
– Focus on Prevention
Various state programs focus on keeping people healthy.
– The Language of Reform
Dr. Frank Luntz shares insights into the debate about reform.
– Health Information Technology
Recovery Act dollars will help states incentivize progress in health IT.
– Straight Talk
Stakeholders share their opinions on important issues in reform.