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**The Latest Research, Commentary, and News from Health Affairs**

**Wednesday, January 29, 2020**

TODAY ON THE BLOG

FOLLOWING THE ACA

ACA Litigation Round-Up: A Status Check

By Katie Keith

While all eyes have been on whether (and when) the Supreme Court will
hear a challenge in Texas v. United States, other Affordable Care Act
litigation continues before the Supreme Court, appellate courts, and
district courts across the country. This post briefly summarizes the
status of many of the lawsuits we are tracking. Read More >>

PREVENTION

As Presidential Candidates Debate Sweeping Health Care Proposals,
Preventive Coverage Opportunities Are Overlooked

By Richard Hughes IV

With health care remaining a top issue for voters in the upcoming 2020
elections, candidates could consider meaningful, actionable updates to
provisions that advance access to preventive services for individuals
with all types of health care coverage.Read More >>

MEDICARE

Why Medicare Advantage Plans Are Being Overpaid By $200 Billion And What
To Do About It

By Richard Kronick

Under reasonably conservative assumptions about the rate of growth of
Medicare Advantage coding intensity, using the budget neutrality method
to calculate coding intensity would likely result in approximately $200
billion in savings to taxpayers over the next decade compared to current
policy.
Read More >>

IN THE JOURNAL

MATERNAL & CHILD HEALTH

Effects Of Medicaid Expansion On Postpartum Coverage And Outpatient
Utilization

By Sarah H. Gordon, Benjamin D. Sommers, Ira B. Wilson, and Amal N.
Trivedi

Because pregnancy-related Medicaid eligibility ends sixty days after
delivery, one effect of Medicaid expansion is to reduce postpartum
coverage losses. Comparing Colorado, which expanded Medicaid, with Utah,
which did not, Sarah Gordon and coauthors find that outpatient use
"increased significantly in Colorado compared to Utah across all four
postpartum months we examined, with the largest increases 31-90 days
after delivery-the period when new mothers transition from pregnancy
to parental Medicaid coverage and are at the highest risk of losing
coverage." Read More >>

AFFORDABLE CARE ACT

Among Low-Income Adults Enrolled In Medicaid, Churning Decreased After
The Affordable Care Act

By Anna L. Goldman and Benjamin D. Sommers

Anna Goldman and Benjamin Sommers explore Medicaid enrollment
churn-the frequent coverage losses that enrollees experience. In the
period 2011-16, gaps in coverage and loss of coverage each declined by
4.3 percentage points in states that expanded Medicaid, a decline
significantly larger than in states that did not expand Medicaid. Read
More >>

Read the January 2020 Table of Contents

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A CLOSER LOOK-Drug Spending

According to Altarum, December 2019 marked the third straight month that
drug prices increased, ending a year that saw prescription drug prices
actually fall most months. Authors of a September 2017 Health Affairs
Blog post argue that selectively disclosing actual generic drug prices

might be a way to generate substantial financial savings.

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About Health Affairs

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Today , and Health Affairs
Sunday Update .  

Project HOPE is a global health and
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health care workers to save lives across the globe. Project HOPE has
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