Julie Barnes: All Related Content

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The History of Health Reform

July 14, 2010

Health reform isn't over. We've got a long way to go with implementation -- and making sure the cost, coverage, and quality promises made by the new reform law are fulfilled over the coming years. The ups and downs of the debate made for an intense and exciting year. As the dust settles, we'd like to offer up our guide to what happened, The History of Health Reform.

Kavita Patel, M.D., to Direct New America’s Health Policy Program

May 10, 2010

The New America Foundation today announced Kavita Patel, M.D., as the new director of the foundation's Health Policy Program.  Dr. Patel, a practicing physician with health care policy experience at the White House and U.S. Senate Health, Education, Labor and Pensions Committee, assumed leadership of the program this week.

HEALTH REFORM: What Comes When

  • By
  • Julie Barnes
March 18, 2010
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Is it too early to say what would happen first if health care reform passes? We don’t think so. Better to be ready for something than to expect nothing, we always say.

Understanding that we can’t be absolutely positive that the upcoming reconciliation process won’t change a thing or two, the somethings that will come first are:

Insurance reforms:

HEALTH POLITICS: The Reconciliation Experts

  • By
  • Julie Barnes
March 8, 2010
Capitol

We do not pretend to be experts on the congressional budget reconciliation process, but we know who is -- Sen. Kent Conrad (D-ND), chair of the Senate Budget Committee and Sen. Robert Byrd, (D-WV), who helped write the reconciliation rules and knows pretty much everything you ever wanted to know about Senate procedure, past and present.

In the past few days, both of these influential Democrats explained why reconciliation is perfectly appropriate to make changes to the already-passed Senate health care reform bill -- so long as those changes reduce the deficit.

IN THE STATES: Cuts, Cuts and More Cuts

  • By
  • Julie Barnes
March 8, 2010
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We are a broken record about how the cost of doing nothing on health care reform is dire for everyone -- individuals, families, businesses, the federal budget. But states too will suffer enormously in the absence of federal reform. Just ask the governors -- who held their big winter meeting recently and couldn’t stop talking about health reform. National Governors Association Vice Chair West Virginia Gov. Joe Manchin III explained:

States cannot afford to sustain our existing level of health care spending. Governors recognize that it is a critical priority in ensuring the economic viability of our states and the quality of life for our citizens that we work tirelessly to address the current healthcare delivery challenges states are facing.

IN THE STATES: Lawsuits for Everyone

  • By
  • Julie Barnes
March 5, 2010
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We're bracing for the inevitable jokes: heard about the new jobs bill for lawyers? Health care reform.

Whether it's state governments’ attempt to preemptively block a federal individual mandate to purchase insurance, the creation of health courts to address medical malpractice woes, or legal immigrants in Massachusetts suing over coverage -- lawyers don’t need to worry about where their next meal is coming from.

We were struck, though, by the Massachusetts class action lawsuit challenging a state law that prohibits certain legal immigrants from accessing health insurance coverage available to citizens of the Commonwealth. Struck by the irony, that is, of how the one state in the union that has attempted to provide  coverage for everyone is getting sued by a group that is not covered. What a contrast to the states like Virginia  that are prepared to fight against having anyone force insurance coverage on their citizens through a mandate.

HEALTH REFORM: Mental Health and Health Reform

  • By
  • Julie Barnes
February 11, 2010
DSM 4

On our 7th straight snow day, we were surprised that the changes announced this week to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM) did not include Blizzard-Induced Cabin Fever. We are quite sure that this is a bona fide condition requiring therapy of one form or another, but we will continue to self-diagnose and self-treat for as long as we need to (or as long as the whiskey sour mix lasts). In the meantime, it is worth examining the proposed changes to the manual that doctors, insurers and scientists use in deciding what's officially a mental disorder, what symptoms to treat. Health reform, as we'll see, will have a role in making sure Americans in need get care.

QUALITY: The Blizzard Checklist Edition

  • By
  • Julie Barnes
February 10, 2010
Checklist

(We are reposting this -- we left out that Health Affairs co-sponsored this conference)

Yesterday we slogged our way through snow and ice to attend AcademyHealth’s and Health Affairs'  National Health Policy Conference, partly to bravely act like the historic blizzard(s) here haven’t affected our health care reform momentum. An impressive number of folks did manage to get to the conference but others were unable to find their snowshoes (or snowplanes as the case may be) and were forced to spend the fifth consecutive day holed up with their families. This included Atul Gawande, who gave his keynote lunch address over the phone from Boston. We are happy to report that we cannot confirm his claim that he gave his speech in his underwear but we can share his telephonically-imparted wisdom.

QUALITY: The ABCs of ACOs

  • By
  • Julie Barnes
January 8, 2010
Doctor Meeting

"What should we do now?"

That’s the question we often hear from stakeholders in the health care industry. Companies, law firms, consultants, investment advisers and state governments need to know what to do, now that comprehensive federal health care reform seems imminent. One of the trickier questions, given the dearth of guidance at this time, is how physicians, hospitals and other entities that provide health care services can come together to offer a more coordinated, efficient and consumer-oriented approach to health care delivery.

COST: Senate Judiciary Committee Looks to End Insurer Antitrust Exemption

  • By
  • Julie Barnes
October 16, 2009

Much of the debate in Congress right now still centers on the public plan, and the need to make sure there is adequate competition in the new insurance exchanges that would be established under health reform.

HEALTH REFORM: Checking the Lab Results

  • By
  • Julie Barnes
September 25, 2009

We talk a lot about how health reform will place a bigger emphasis on preventative care, managing chronic conditions and paying providers based on the quality of care. So much of this means providing necessary medical screenings and diagnostic tests to improve the quality of care. But who will be charged with the task of screening us for cancer? Who will run the CBC (complete blood count) to help a doctor diagnose fatigue or an infection?

Grand Junction, Colorado

  • By
  • Julie Barnes,
  • Len Nichols,
  • Micah Weinberg,
  • New America Foundation
August 12, 2009

It is possible to delivery higher quality care at lower costs in the U.S. health care system. We have to look no further than Grand Junction, CO to prove it is possible. In 2006, average Medicare spending per enrollee in Grand Junction was $5,800, about 30 percent lower than the national average of $8,300 and more than 60 percent lower than high-cost areas like McAllen, Texas.

COVERAGE: The Constitutionality of an Individual Mandate

  • By
  • Julie Barnes
August 6, 2009

Most people want to have health insurance -- and many people desperately need it. That's part of what's driving the push for health care reform legislation.

HEALTH IT: Legal Challenges in Privacy and Technology (Part 2)

  • By
  • Julie Barnes
May 8, 2009

We posted an overview earlier this week of the recent O'Neill Institute Legal Solutions in Health Reform symposium. Now we want to talk about the legal framework around Health information technology.

HEALTH REFORM: Legal Challenges from A to Z (Part I)

  • By
  • Julie Barnes
May 4, 2009

As New America's health policy director Len Nichols likes to say, "If you don't have the personality to be a lawyer, you become an economist." Yet Len (our favorite health care economist) had the best personality in a room full of lawyers and Hill staffers at the recent Georgetown Law / O'Neill Institute's Legal Solutions in Health Reform program.

HEALTH IT: IT's Stimulating

  • By
  • Julie Barnes
March 18, 2009

We get all fired up about investing in health care reform — like the $19 billion + in stimulus funds we're pouring into Health Information Technology. Apparently, we are not the only ones.

Transcript: Social Policy After the Economic Crisis

December 5, 2008
NEW AMERICA FOUNDATION HOLDS A CONFERENCE
ON SOCIAL POLICY AFTER THE ECONOMIC PROBLEMS

DECEMBER 5, 2008

SPEAKERS: MICHAEL CALABRESE,
VICE PRESIDENT, NEW AMERICA FOUNDATION

LEN NICHOLS, DIRECTOR,
HEALTH POLICY PROGRAM, NEW AMERICA FOUNDATION

MAYA MACGUINEAS, DIRECTOR, FISCAL POLICY PROGRAM,
NEW AMERICA FOUNDATION, PRESIDENT,
COMMITTEE FOR A RESPONSIBLE FEDERAL BUDGET

MARK IWRY,
NONRESIDENT SENIOR FELLOW, BROOKINGS INSTITUTION

DAVID GRAY,

WORLDVIEW: Dutch Treat(ment) Running Way Ahead of Us

  • By
  • Julie Barnes
November 21, 2008

It is not every day the U.S. loses to the Dutch. Heck, even when our wooden-shod friends were favored in soccer over the U.S. in group play at the Olympics this summer, the U.S. came from behind to tie.

But when it comes to the quality of health care services, particularly taking care of people with chronic disease, the Netherlands runs way ahead of us.

COVERAGE: Uninsured and Desperate for Medical Care

  • By
  • Julie Barnes
November 11, 2008

At this point, every American knows that there are millions among us who do not have health insurance. Sometimes, we talk to each other about what this means - the neighbor who puts off her mammogram because she can't afford it, the uncle who keeps not going to the dentist despite increasing pain, the eight- or nine-hour wait we had at the local emergency room that was overflowing with people who don't have access to preventative care.

COVERAGE: Healthy San Francisco Lives... For Now

  • By
  • Julie Barnes
October 1, 2008

Diners in San Francisco are finding something new on the menu of local eateries—health care—as some restaurants are charging customers a bit extra so restaurant employees can access health care services.

REFORM: The Challenge of Health Care and Entitlements

  • By
  • Julie Barnes
September 15, 2008

We came to the National Press Club today ready for a debate on health care and entitlement reform. What we got was a lot of consensus on the serious challenge of health care cost growth and the need to do everything in our power to bend the cost curve. That, and an interesting bowl of gazpacho with chunks of watermelon in it….

QUALITY: Unhealthy Trends in Employee Benefits

  • By
  • Julie Barnes
July 8, 2008

I am guilty of going to work when I'm sick. I admit to workaholic tendencies, but the real reason that I choose to cough my way through a day is because, as a working mother, most of my lost work days are due to my kids' illnesses and doctor appointments. Many of us hard-working, competitive Americans have our reasons for this practice of showing up to work sick.

CULTURE BEAT: It's Not Funny, Honey -- Health Reform Meets the Comedy Club

  • By
  • Julie Barnes
July 1, 2008

If you're a politician, you know you've hit the big time if a late night talk show host makes fun of you. Ditto for an issue -- it's big time if it makes the leap from think tank "Issue Brief" to a riff in a stand-up comedy routine. At the D.C. Improv the other night, it was pretty clear that the state of the American health care system has hit the big time. Jake Johannsen had the packed house doubled-over or nodding vigorously to a series of truisms about our broken system.

HEALTH IT: What it Means and What it Costs

  • By
  • Julie Barnes
May 22, 2008

We had hoped to see progress in the Senate this week on the Wired for Health Care Quality Act, which would have given a big boost to the growth of health IT. Just last week, a reported agreement between Senators Patrick Leahy and Edward Kennedy on protecting the privacy of electronic health records generated movement on the bill. But some senators apparently still needed some persuading.

Issues:
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