• HIPAA at 25 — A Work in Progress HIPAA is best viewed as a framework of evolving regulation that’s revised periodically in response to demands of biomedical innovation and public health in the digital age. That capacity for adaptive modification is among the greatest strengths of HIPAA and its rules.
  • HIPAA and the Leak of “Deidentified” EHR Data Although patients (and their physicians) still have difficulty obtaining complete medical record information in a timely fashion, HIPAA policies permit massive troves of digital health data to traverse the medical–industrial complex unmonitored and unregulated.
  • Fundamentals of U.S. Health Policy

  • Fundamentals of U.S. Health Policy — A Basic Training Perspective Series The Journal is launching a brief Perspective series that will provide a primer on both the main challenges facing the U.S. health care system and key policy solutions that can address those challenges. We hope to offer a foundation for a common understanding of where we stand and where we need to go.
  • Health Care as an Ongoing Policy Project The United States lags behind peer countries on key health outcomes, and the pandemic has highlighted weaknesses of U.S. health care. Though Americans have long struggled to bring about a high-performing, affordable health care system, additional reforms are needed.
  • Do We Spend Too Much on Health Care? Health system reforms — such as changes in insurance design, patient cost sharing, payment reform, or price regulation — should be judged by whether they move us toward higher-value use of resources, rather than by whether they reduce spending.
  • Improving the Quality of U.S. Health Care Despite nearly two decades of experimentation with standardized measurement, public reporting, and reward-and-penalty programs, average quality performance in U.S. health care remains about the same. So what will it take to improve the quality of care?
  • Health Equity Our health care system is a microcosm of U.S. society: its resources are not allocated fairly among races. Though various factors influence prevention and management of chronic diseases, access to care through stable insurance coverage may have the most profound effect.
  • Competing Visions for the Future of Health Policy Beyond Covid-19, two other health policy issues are poised to feature prominently in the 2020 U.S. elections: what role government should play in ensuring broad health insurance coverage, and how to cope with the lack of competition in many health care provider markets.
  • The Role of Market Forces in U.S. Health Care The weaknesses associated with market-based health care systems are severe, but that does not mean the market should be abandoned. Relatively incremental actions could improve market functioning with a relatively light touch.
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