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Sen. Jay Rockefeller
Honorary Chairman

Sen. Roy

Honorary Co-Chairman

Dr. Bob Graham

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Upcoming Briefings in July and August:

*July 28, 12:00-1:30 pm: Disclosure and Apology: Patient Safety and Medical Liability
*Aug 1, 12:00-1:30 pm: Correctional Health Care

Upcoming Briefings

Friday, August 01, 2014: Health Care Behind Bars: A Key to Population Health?

This briefing will explore innovations and challenges in delivering health care to a growing population of inmates. This is an expensive group because of the large number of people with mental illness, addiction disorders, conditions associated with aging and Hepatitis C. Indeed, corrections spending is the second fastest-growing state expenditure, behind Medicaid, according to the Pew Charitable Trusts.   Info & Registration 

What's New

July 2014
U.S. Courts of Appeals split on premium subsidies in federally-run exchanges. DC Circuit would strike down subsidies (Halbig v. Burwell decision ), while Fourth Circuit would continue them (King v. Burwell decision). 

Related resources:
*Previous District Court decision upholding premium subsidies in federally-run exchanges
*Urban Institute state-by-state analysis of impact on exchange enrollment and subsidies
*Forbes article describing state-by-state Cato Institute analysis of impact on individual mandate and employer mandate
*Kaiser Health News summary of articles analyzing Halbig v. Burwell decision

July 17, 2014
Kaiser Family Foundation issue brief on the impact of Children’s Health Insurance Program (CHIP).

July 9, 2014
The CMS Innovation Center has announced a second round of recipients for Health Care Innovation Awards. That brings total funding for the awards to as much as $360 million.

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Recent Briefings

Policymakers, providers, and stakeholders have been debating various approaches to reforming our medical liability system to both protect patients who experience adverse medical events and to help practitioners provide the highest quality care possible. One innovative approach may well avoid some of the sharper policy differences on proposals in this area: encouraging the disclosure of unanticipated outcomes to affected patients. This disclosure may include an explanation and apology to the patient and family, as well as an offer of compensation in some cases. Some anecdotal data suggest that such communication-and-resolution programs can result in improved patient safety and decreased malpractice claims. However, questions arise about how well this approach really works, and whether it can be standardized and scaled up in our medical system.  Read More

Some new health plans sold in the insurance marketplaces are offering consumers networks that exclude certain doctors, hospitals and other medical providers. While some claim that these networks hamper provider access and choice, others contend that this approach, if done the right way, helps consumers by creating competition and controlling costs.  Read More

Cost Savings and Narrow Networks

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Toolkit: Replacing the SGR

A new Alliance for Health Reform Toolkit summarizes the recent policy debate surrounding the decade-long problem In the last six months, the House Energy and Commerce Committee, House Ways and Means, and Senate Finance committees all put forth similar bills to repeal and reform the flawed Medicare physician payment formula. Further, with the CBO estimating the cost of repeal at $116.5, the lowest since 2006, many health policy experts are speculating that 2014 is the year that policymakers enact a permanent change to the SGR.

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The Employer Mandate of the Patient Protection and Affordable Care Act

The Toolkit, available here, details the ACA’s employer requirements and penalty. It also includes information about the delay in the mandate to 2015, and analysis about its impact on employer-based coverage.

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