Affordable Care Act

A new study in the journal Academic Medicine provides one of the first looks at a program created by the Affordable Care Act in 2010 to train more primary care doctors. It’s a pretty different model than the traditional one, where the government, through Medicare, makes payments to teaching hospitals to help fund graduate medical education (like a residency program for doctors-in-training).

States that have chosen to make their own online marketplaces for health insurance are moving ahead, some more quickly than others. And there’s no time to lose: these exchanges have to come online in 2014, under the Affordable Care Act timeline. (Here’s an update on where states are with their exchanges.)

A new study in the Journal of General Internal Medicine finds that nearly a quarter of Medicare recipients spend more than their total household assets on out-of-pocket health care costs in the last five years of their lives. That’s in co-payments, home health care, things Medicare doesn’t cover.

There’s an interesting new issue out of the journal Health Affairs about the many challenges facing the nation’s “safety net” health care providers (such as big urban hospitals and others providing a  lot of so-called “uncompensated care.”). But, according to the issue’s editor, there are other stories, too:

“Meanwhile, other articles in this issue delineate the great strides that many safety-net providers have made in system integration and care coordination—in essence, preparing themselves to be leaders in delivering care and managing population health.”

The Congressional Budget Office and the Joint Committee on Taxation have just released new estimates of what President Obama’s Affordable Care Act will cost, and the numbers are less than previously thought. From the CBO Director’s Blog: