Skip to main content.

Remaking Health Care

This blog explores how health reform is changing the ways in which we pay for and deliver health care in the U.S. On any given week, that could mean a look at how Republican plans to repeal Obamacare could reshape the individual insurance market, how the safety net system is adapting to new financial pressures, or whether Trumpcare will affect the trend of doctors and hospitals merging into ever-larger entities. We also explore health care costs and whether Obamacare or its successor plans can live up the promise to rein them in. Throughout, we keep watch on how the goals of health reform intersect with the shaping power of markets and human behavior. Contributors include veteran health journalist Trudy Lieberman, David Lansky, executive director of the Pacific Business Group on Health, and independent health journalist Kellie SchmittRyan White, content editor of Center for Health Journalism Digital, serves as the blog's principal editor. 

Picture of Kellie  Schmitt

As Medicare makes a big push towards paying providers based on value rather than volume over the next few years, Accountable Care Organizations will be expected to start making good on their promise to cut costs and improve quality of care. But so far, their track record has been rather mixed.

Picture of Judy  Silber

For La Clínica de la Raza, long a source of care for a diverse Oakland community, the ACA has increased the clinic's share of insured patients. But financial pressures are still a constant reality, and the problem will worsen dramatically if federal funding isn't renewed.

Picture of Kellie  Schmitt

In some states, reimbursements are so low that doctors say they lose money when they see Medicaid patients. And that can make it harder for patients to see their doctor — a recent study found that higher rates improve access to care.

Picture of Judy  Silber

Sign-ups for insurance on the federal and state health exchanges end in less than a month, and the state's push to enroll more Latinos appears to be paying off. Meanwhile, safety net providers such as Clinica Sierra Vista are focused on both signing up and retaining patients.

Picture of Kellie  Schmitt

A key goal of health reform has been to get insured individuals to seek out primary care rather than the ER. In the Bay Area, safety net systems are trying new approaches to funnel more patients into primary care, including putting nurses in firehouses.

Picture of Judy  Silber

As a federal "funding bump" expires, the payments California doctors receive for seeing Medicaid patients are dramatically decreasing. At the same time, the state is imposing a 10 percent fee cut that was approved in 2011 but is just now taking effect.

Picture of Kellie  Schmitt

The ACA expanded insurance coverage, but many children throughout the country are still not receiving important health care benefits. The extent of the coverage exclusions varies widely depending upon which state a child calls home.

Picture of Judy  Silber

As the pool of uninsured shrinks, public hospital systems must increasingly compete for newly insured patients. “We're forcing public hospitals to compete in one of the most competitive industries that has ever existed in the economy,” said one county health director.

Picture of Kellie  Schmitt

With millions of their patients newly insured because of health care reform, community health centers, once viewed as providers of last resort, are remaking themselves as providers of choice.

Picture of Judy  Silber

With Obamacare's second season of open enrollment underway, advocates remain focused on signing up the remaining uninsured. In California, the uninsured rate is projected to drop to 6 percent by 2019. But getting it much lower will require creative new strategies.

Pages

CONNECT WITH THE COMMUNITY

Member Activities

Lujain Al-Saleh's profile has been updated

Connect with Lujain Al-Saleh

Ivette Sierra-Castro joined the community

Connect with Ivette Sierra-Castro

Isabeth Mendoza joined the community

Connect with Isabeth Mendoza

Nicole Johnson joined the community

Connect with Nicole Johnson

Anna Romano has shared a blog post

Read it.
More Member Activities

Follow Us

Facebook


Twitter

CHJ Icon
ReportingHealth