Making Non-Discriminatory Benefit Design a Reality

The Affordable Care Act’s (ACA) Essential Health Benefits (EHB) completely changed health coverage by requiring health plans on the individual and small-group market to cover the same ten benefits without discrimination. These 10 essential categories of benefits range from general—office...

Massachusetts Advocates Roll Up Their Sleeves to Improve Medicaid Reform

Massachusetts, always a leader in health reform, is on the move again. Last month, the state released a draft plan to shift its Medicaid program, MassHealth, from a fee-for-service model to one that relies on Accountable Care Organizations (ACOs). Under...

Engaged Consumers: The Key to Better Value in the Empire State

Last week, I had the privilege of attending the United Hospital Fund’s 2016 Medicaid Conference in New York City. This year’s conference focused on ongoing efforts in New York’s Medicaid program to develop delivery and payment systems that reward value...

Valuing Health: Building the Field for Consumer-Designed Health Systems

Minnesota is one among a handful of states leading the nation in public and private exploration of health system transformation and consumer advocates have the opportunity to embed consumer engagement and priorities in the “Minnesota Model.”

The Takeaway: Reflecting on the ACA

It was a big week for reflecting on the accomplishments of, and challenges facing, the ACA and the U.S. health care system. President Obama released an article in JAMA.

The Takeaway: Guns, Race and Health

The United States has a gun problem, and the United States has a racial justice problem. When the two collide the results are too often tragic and horrible.

Purposeful. Effective. Equitable.

I recently attended Health Care for All’s (HCFA) 4th Annual Patient and Family Advisory Council (PFAC) Conference in Massachusetts, which was incredibly informative and inspiring. HCFA was a major force behind the passage of the 2008 law that required all...

Seeing Providers as Partners to Tackle Discrimination and Implicit Bias in Health Care

In the aftermath of the unsettling tragedy that unfolded in Orlando last month, we are again reminded about the issue of discrimination and its relation to health care.

Preparing for the Launch of Community HealthChoices in the Three River City

When Pennsylvania launches its Community HealthChoices (CHC) program for older adults and individuals with disabilities over the next few years, it will join a growing number of states shifting to managed care plans to provide long-term services and supports (MLTSS)...