What if?

What If? Integration of Public Health and Primary Care

Tuesday, June 5th, 2012
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State of Reform is proud to launch, in collaboration with the Univ of Washington School of Public Health – Health Policy Center Initiative, a series titled “What If: A Post-Supreme Court World.”  This is the eight piece in a series of contributions hosted on our news site, by a range of authors, about the possibilities for health care in a still hypothetical world after a Supreme Court decision.

While most attention from health leaders has understandably been focused on the upcoming Supreme Court decision on PPACA, I urge you all to also pay attention to two reports recently released by the Institute of Medicine (IOM). Their titles summarize their subjects: (more…)

What If? Payment for Rural Providers

Tuesday, May 29th, 2012
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State of Reform is proud to launch, in collaboration with the Univ of Washington School of Public Health – Health Policy Center Initiative , a series titled “What If: A Post-Supreme Court World.”  This is the seventh piece in a series of contributions hosted on our news site, by a range of authors, about the possibilities for health care in a still hypothetical world after a Supreme Court decision.

How will our State’s rural hospitals and health care providers be affected by the Affordable Care Act (ACA), or by its possible repeal? Potentially three ways: changes in the way public programs – especially Medicare and Medicaid – pay rural hospitals; increases in the demand for care generated by the (more…)

What If? Primary Care Practice and the ACA

Monday, May 21st, 2012
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State of Reform is proud to launch, in collaboration with the Univ of Washington School of Public Health – Health Policy Center Initiative , a series titled “What If: A Post-Supreme Court World.”  This is the sixth piece in a series of contributions hosted on our news site, by a range of authors, about the possibilities for health care in a still hypothetical world after a Supreme Court decision.

With the passage of the ACA, there has been great attention and a tremendous amount of work on implementing various provisions. Specifically, primary care workforce programs received renewed attention and programs such as the Teaching Health Centers, interprofessional practice, and Title VII have been the focus for countless hours. (more…)

What If? The States and Health Reform

Monday, May 14th, 2012
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State of Reform is proud to launch, in collaboration with the Univ of Washington School of Public Health – Health Policy Center Initiative , a series titled “What If: A Post-Supreme Court World.”  This is the fifth piece in a series of contributions hosted on our news site, by a range of authors, about the possibilities for health care in a still hypothetical world after a Supreme Court decision.

We know the fate of the Affordable Care Act (ACA) hinges on the choices of a group of nine justices and “…you can hear virtually any prediction you want…”[1]Given this uncertainty, what happens if we think about something certain instead? (more…)

What If? Managing Uncertainty: The ACA and a Cure for Sleepless Nights

Monday, May 7th, 2012
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State of Reform is proud to launch, in collaboration with the Univ of Washington School of Public Health – Health Policy Center Initiative , a series titled “What If: A Post-Supreme Court World.”  This is the fourth piece in a series of contributions hosted on our news site, by a range of authors, about the possibilities for health care in a still hypothetical world after a Supreme Court decision.

We are managing uncertainty again. The Affordable Care Act – the health care law – is a complex, but needed, reform that provides the tools and momentum for us to get off our duffs and do the things we have been contemplating for the past 15-20 years. But, just as we get underway, the curve ball of the Supreme Court comes along, leaving us unsure. (more…)

What If? Accountable Care Organizations and Repeal of the ACA

Monday, April 30th, 2012
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State of Reform is proud to launch, in collaboration with the Univ of Washington School of Public Health – Health Policy Center Initiative , a series titled “What If: A Post-Supreme Court World.”  This is the third piece in a series of contributions hosted on our news site, by a range of authors, about the possibilities for health care in a still hypothetical world after a Supreme Court decision.

One of the major cost control mechanisms created by the federal Patient Protection and Affordable Care Act (ACA) are Medicare Accountable Care Organizations, or ACOs. The basic mechanics of the program are that a health care organization is held contractually accountable for the cost and quality of a defined population of patients (at least 5,000 Medicare beneficiaries) and can share in up to 60 percent of any cost reductions achieved. (more…)

What If? Public Health Services At Risk With or Without the ACA

Thursday, April 26th, 2012 by Susan Allan, MD, JD, MPH
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State of Reform is proud to launch, in collaboration with the Univ of Washington School of Public Health – Health Policy Center Initiative , a series titled “What If: A Post-Supreme Court World.”  This is the second piece in a series of contributions hosted on our news site, by a range of authors, about the possibilities for health care in a still hypothetical world after a Supreme Court decision.

State and local public health agencies overall were very enthusiastic about passage of the ACA: its promise to reduce the number of uninsured, the mention of prevention in many of its provisions, and the considerable funding it provides through the Prevention and Public Health Fund. As things have worked out, many health departments will find themselves struggling to deliver core public health services regardless of the Supreme Court’s decision – that is, with or without the ACA. (more…)

What If?

Tuesday, April 10th, 2012
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State of Reform is proud to launch, in collaboration with the Univ of Washington School of Public Health – Health Policy Center Initiative, a series titled “What If: A Post-Supreme Court World.”  This is the first piece in a series of contributions to be hosted on our news site, by a range of authors, about the possibilities for health care in a still hypothetical world after a Supreme Court decision.

What if the U.S. Supreme Court strikes down the Patient Protection and Affordable Care Act? (more…)