TODAY ON THE BLOG

PAYMENT

Despite Early Success, Vermont’s All-Payer Waiver Faces Persistent Implementation Challenges: Lessons From The First Four Years
By Adam Atherly, Eline van den Broek-Altenburg, Stephen Leffler, and Claude Deschamps

There have been a number of notable initial successes with Vermont's all-payer model. All hospitals in the state now participate, as do more than half of primary care providers. However, there are a number of practical challenges to implementing an all-payer program statewide. Read More >>

HEALTH AFFAIRS BRANDED POST

Study Shows Improved Outcomes In Medicare Advantage As Compared To Traditional Fee-for-Service Medicare

By Allyson Y. Schwartz
Supported by Better Medicare Alliance

As Medicare Advantage now exceeds 40 percent of all Medicare enrollment, and with continued robust growth year over year, interest in quality and cost as compared to traditional fee-for-service Medicare grows as well. Read More >>

A CLOSER LOOK—Sex Discrimination And Health Equity

Sex discrimination is a health equity issue. It not only plays a role in the social determinants of health individuals experience such as income, education, and emotional stress, but sex discrimination can also determine who has access to certain health care services and resources. In a January 2018 Health Affairs Blog post, Kevin Costello and Maryanne Tomazic discuss the ongoing journey of Section 1557, the primary anti-discrimination provision of the Affordable Care Act. Section 1557 prohibits discrimination in certain health programs and activities on the basis of sex and has been interpreted and challenged in courts across the Obama and Trump administrations.

HEALTH AFFAIRS PODCAST

Value-Based Care Isn’t Transforming Health Care Spending
Alan Weil, Sherry Glied

Every year, Health Affairs publishes a retrospective look at national health care spending. In 2020 Anne Martin and colleagues from the CMS Office of the Actuary found that US health care spending increased 4.6% to $3.8 trillion in 2019.

The rate of health spending declined slightly from that of 2018, which noted a growth rate of 4.7%. Hospital care, physician and clinical services, and retail purchase of prescription drugs, which together accounted for 61% of total national health spending, saw faster growth rates in spending in 2019.

These figures predate the coronavirus, which has led to major changes in health care delivery and spending.

In this week’s episode of A Health Podyssey, Alan Weil invites Sherry Glied, dean of the Robert F. Wagner Graduate School of Public Service at New York University, to the program. They take a step back from the main findings of the paper and discuss the relationship between administrative costs and high health care prices.

Listen to Sherry Glied share why she thinks value-based care won’t be transformational and how public health is a desirable field to go into now.

Listen here.

About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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