From Health Affairs Today <[email protected]>
Subject Costs of Preventable Heart Failure Hospitalizations
Date May 16, 2023 8:05 PM
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New podcast episode from Health Affairs
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Tuesday, May 16, 2023 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

Today's episode of A Health Podyssey features Andrew Anderson from the
Tulane School of Public Health and Tropical Medicine.

Anderson is a member of the Health Equity Fellowship for Trainees
program at Health Affairs, and he joins us on the podcast today to
discuss the financial costs associated with disparities
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in preventable heart failure hospitalizations among Medicare
beneficiaries in the US South.

Medicare Shared Savings Program

Original Medicare Shared Savings Program (MSSP) benchmarks were
determined by historical accountable care organization (ACO) spending.

Starting in 2017, the Centers for Medicare and Medicaid Services
introduced a regional adjustment that blends an ACO's historical
spending with the average spending in its region to address concerns
about unequal benchmarks for ACOs in the same market.

According to Peter Lyu and coauthors, the introduction of regional
spending into the MSSP benchmarks
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"fundamentally altered participation incentives."

The coauthors note that ACO and practice-level participation in the MSSP
increasingly shifted to providers with lower spending in their region
after the introduction of regionalized benchmarking that rewarded such
selection.

Their subgroup analysis shows the largest effects were among
convener-involved ACOs.

"Importantly, these findings do not imply that the role of convener
organizations is necessarily problematic," the authors note. "To the
contrary, we found no evidence of strategic practice-level selection
behavior among convener-involved ACOs, as selective participation was
driven by ACO-level exit."

Read More
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Share This Post!

Tell your network about this important work

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Elsewhere At Health Affairs

Today in Forefront, Jennifer Bright and coauthors provide
recommendations on how the Centers for Medicare and Medicaid Services
(CMS) can ensure patient experiences and perspectives
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are considered in decision making as it relates to the Medicare Drug
Price Negotiation Program.

Lauren R. Gilbert and Omolola E. Adepoju examine some of the challenges
associated with accessing Narcan
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over the counter, including cost barriers and stigmas associated with
the drug.

Read more on Forefront
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and learn more about how you can contribute
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to the publication.

 

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Andrew Anderson, PhD, an assistant professor at the Tulane School of
Public Health and Tropical Medicine, is the first graduate of HEFT to
publish work in Health Affairs. Be sure to check out Anderson's other
new releases:

* Andrew's study, titled "The Costs Of Disparities In Preventable
Heart Failure Hospitalizations In The US South, 2015-17,
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was published in our May 2023 issue.

* Andrew has also authored another piece in Forefront titled "The High
Costs Of Ignoring Health Inequities
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* Andrew is featured in
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Health Podyssey
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to discuss his recently published paper on preventable heart failure
hospitalizations.

* Finally, Andrew will speaking in an upcoming Lunch And Learn event
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on the topic of advancing racial equity in scholarly publishing of
health policy. Join us on Tuesday, May 23.

 

Daily Digest

Benchmarking Changes And Selective Participation In The Medicare Shared
Savings Program
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Peter F. Lyu et al.

Patient Engagement & Experience Data: Missing Ingredients For CMS'
Successful IRA Implementation
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Jennifer Bright et al.

Narcan OTC Access: A Step In The Right Direction, But We Aren't There
Yet
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Lauren R. Gilbert and Omolola E. Adepoju

 

Health Affairs Branded Post:

Supporting Maternal and Child Health Through the Fourth Trimester
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Sponsored by UnitedHealthcare <[link removed]>

 

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The Costs Of Preventable Heart Failure Hospitalizations

Health Affairs Editor-in-Chief Alan Weil interviews Andrew Anderson from
the Tulane School of Public Health and Tropical Medicine to discuss his
recently published paper assessing financial costs associated with
disparities in preventable heart failure hospitalizations among Medicare
beneficiaries in the US South.

Listen Here
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Health Affairs is launching a contest! The premise is simple. Finish the
statement "You're A Health Policy Wonk If..."

We'll share some of the submissions on Forefront in July, and the
first-place winner of the contest will receive a Health Affairs tumbler
and a free Unlimited membership
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for a year. Submit by May 31
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mailto:[email protected]

About Health Affairs

Health Affairs is the leading peer-reviewed journal
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health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org <healthaffairs.org>, Health Affairs Today
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Update <[link removed]>.  

Project HOPE <[link removed]> is a global health and
humanitarian relief organization that places power in the hands of local
health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

Copyright © Project HOPE: The People-to-People Health Foundation, Inc.

Health Affairs, 1220 19th Street, NW, Suite 800, Washington, DC 20036, United States

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