Skip to main content.

Remaking Health Care

This column explores how health reform is changing the ways in which we pay for and deliver health care in the U.S. It also highlights the ways in which our current system is falling short on measures of coverage, access and affordability. 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 how the trend of doctors and hospitals merging into ever-larger entities is driving up costs. We also explore health care costs and whether the Affordable Care Act or its successor plans can live up to 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 and independent health journalist Kellie Schmitt, with occasional contributions from independent journalists such as Susan Abram and Sara Stewart.

Picture of Kellie  Schmitt

From hospital systems to pharmacies, this summer’s health headlines have been filled with tales of consolidation. And no where has the “merger mania” been more evident than the insurance sector. Health policy expert Paul Ginsburg helps us break down the trend in this Q&A.

Picture of Kellie  Schmitt

Tradeoffs are a recurring theme when it comes to Obamacare plans — lower premiums often come with a smaller range of doctors to choose from, as a new database bears out. But as earlier research has shown, the relation between the size of physician networks and quality of care is, well, complicated.

Picture of Kathryn  Kietzman

Last year, California embarked on a bold new experiment to improve how care is coordinated among patients enrolled in both Medicaid and Medicare. But the progress has been anything but smooth for a host of reasons, as UCLA health researcher Kathryn Kietzman explains in this overview.

Picture of Kellie  Schmitt

The U.S. Supreme Court voted to uphold the Affordable Care Act’s premium subsidies in a 6-3 ruling that prompted President Barack Obama to say the health law “is here to stay.” Here's what some leading experts and voices in the media had to say about the critical decision.

Picture of Kellie  Schmitt

Leading journalists and a former Obamacare official offered predictions, discussed possible outcomes and shared story ideas for the much-anticipated Supreme Court decision on King v. Burwell at a Reporting on Health webinar this week.

Picture of Kellie  Schmitt

Health insurers will often limit the size of provider networks to control costs, frustrating patients who suddenly find their doctor is now out-of-network. But do such "narrow networks" mean poorer quality care and access? Not necessarily, says a recent study of California plans.

Picture of Kellie  Schmitt

Rampant consolidation among hospitals and doctors' practices was the theme of our Tuesday webinar with guests Paul B. Ginsburg of USC and Margot Sanger-Katz of The New York Times. Here's a recap of what they had to say on how the trend is shaping U.S. health care, and what might be done in response.

Picture of Kellie  Schmitt

The Affordable Care Act has expanded health care access to millions of Americans, but also placed new demands on the health care delivery system. Here are five key trends that are helping bring more effective care to more patients in a post-reform world.

Picture of Judy  Silber

Recent data and survey results suggest that health reform's promise of getting people out of the ER and into less costly care settings hasn't come to pass yet. There's a growing realization that it's going to take more than health insurance to change patients' longterm habits.

Picture of Kellie  Schmitt

California leads the nation when it comes to fostering the health of undocumented immigrants, according to a recent report. Meanwhile, state legislators are considering legislation that would expand coverage to undocumented residents.

Pages

Announcements

Our California Fellowship supports reporters in the Golden State pursuing ambitious projects on overlooked health and health equity issues.

CONNECT WITH THE COMMUNITY

Follow Us

Facebook


Twitter

CHJ Icon
ReportingHealth