Read the new issue from Health Affairs
 ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌ ‌


Problems viewing this email?

View Message In Browser
<[link removed]>

Dear John,

The June issue of Health Affairs explores a wide range of topics,
including children's Medicaid coverage, competition in the biosimilars
market, sites of care for people with Alzheimer's disease, and more.

We are pleased to include for the first time the official projections of
nonelderly
<[link removed]>health
insurance coverage for 2023-33
<[link removed]>
prepared by the Congressional Budget Office Coverage Team of Caroline
Hanson and colleagues.

Read The Issue
<[link removed]>


Medicaid

Aditi Vasan and coauthors assess children's Medicaid participation
<[link removed]>
before and after enactment of the continuous coverage provisions of the
Families First Coronavirus Response Act.

They find that although "both prior continuous eligibility states and
new continuous coverage states experienced increases in children's
Medicaid participation during the COVID-19 pandemic, the increase was
significantly greater in new continuous coverage states."

Ju-Chen Hu and coauthors examine the relationship
<[link removed]>
between quantitative managed care network adequacy standards and access
to specialty care among Medicaid-enrolled children, including those with
special health care needs, who often have difficulty obtaining specialty
care.

The authors find no association between the adoption of new standards
and measures of specialty care use or unmet health care need.

Read More
<[link removed]>


Drug Pricing

Through the Medicaid Drug Rebate Program, state Medicaid programs
receive mandatory rebates when prices rise faster than inflation.

Congress expanded that program in 2017 to include generic drugs.

Benjamin Rome and coauthors find that between 2017 and
<[link removed]>2020
<[link removed]>,
inflationary rebates "offset an estimated 2-12 percent of the $54
billion total Medicaid generic drug spending."

Alice Chen and coauthors compare
<[link removed]>prices
and market-share dominance
<[link removed]> of
the cancer drug trastuzumab (Herceptin) and five biosimilars.

They find that after the introduction of biosimilars in 2019- 20,
Herceptin accounted for 45.3 percent of Medicare trastuzumab claims,
whereas Kanjinti (a biosimilar) accounted for 39.6 percent of claims.

Between 2019 and 2022 Herceptin's average sales price fell 21 percent,
and "biosimilars' net prices generally declined as new biosimilars
entered."

Kelsey Owsley and Cathy Bradley investigate rural hospitals' offerings
of oncology services
<[link removed]>.

They find that among rural hospitals without oncology services in 2011,
those that joined the 340B Drug Pricing Program, which provides access
to discounted drugs, were more likely than similar hospitals that did
not join the program to begin providing oncology services by 2020.

Read More
<[link removed]>


Aging

To estimate whether nursing home residents with Alzheimer's disease
and related dementias or cognitive impairment (ADRD-CI) have access to
necessary care, Dana Mukamel and coauthors explore the distribution of
<[link removed]>nursing
home residents with ADRD-CI
<[link removed]>
across US nursing homes.

They determine that "the majority of nursing homes...had a census
ranging from 31 percent to 80 percent of residents with ADRD-CI."

Fewer than 1 percent of patients with ADRD-CI are in nursing homes where
more than 90 percent of residents have ADRD-CI, which is associated with
the highest quality of care.

Naoki Ikegami and Thomas Rice argue that despite Japan's aging
population
<[link removed]> and
increased spending on a public long-term care insurance program, the
government's fee schedule has effectively contained the country's
health care expenditures.

The fee schedule consists of revisions to pharmaceutical pricing and
incentives to provide coordinated primary and long-term care.

In Narrative Matters, Sharon Joag documents her experience as a
podiatrist working in a skilled nursing facility
<[link removed]>.

Joag recounts the difficulties she encountered as she tried to connect
her patients with behavioral health services in an uncoordinated health
system.

She advocates for coordinated care for older Americans that better
integrates behavioral health needs into long-term care plans.

Accountable Health Communities

The Center for Medicare and Medicaid Innovation's Accountable Health
Communities (AHC) Model, launched in 2017, connects eligible Medicare
and Medicaid beneficiaries with community services to address
health-related social needs.

Presenting interim findings of an external evaluation, William Parish
and coauthors conclude that beneficiaries
<[link removed]>who
received navigation assistance
<[link removed]> had
lower rates of emergency department visits than those in the control
group, but the effects of receiving navigation assistance on other
outcomes were not statistically significant.

Jeanette Renaud and coauthors assess whether the AHC Model adequately
addresses beneficiaries' health-related social needs
<[link removed]>
through navigator facilitated connections to community service
providers.

After analyzing survey results, the authors find that although the AHC
Model effectively engaged participants, with more than 75 percent of
beneficiaries opting in to receive navigation, "the assistance-track
intervention did not significantly increase the rate of community
service provider connection or the rate of health-related social needs
resolution."

Order The Issue
<[link removed]>


Join Health Affairs Unlimited to access our current and past issues
<[link removed]>.

[link removed]


 

[link removed]


This month, join us for the following events:

* June 13: Journal Club: Continuous Eligibility and Coverage Policies
Expanded Children's Medicaid Enrollment
<[link removed]>

* June 20: Health Affairs Insider Virtual Networking Event
<[link removed]>

View Full Event Schedule
<[link removed]>


[link removed]


ICYMI two recent health policy briefs released last cover the issue of
US residential segregation, its impact on health, and policies to
alleviate the problem:

* Residential Segregation And Health: History, Harms, And Next Steps
<[link removed]>
by Justin Steil et al.

* Public Policies To Address Residential Segregation And Improve Health
<[link removed]>
by Michael Lens et al.

[link removed]


Each week, our podcasts uncover the latest findings and insights in
health policy research.

In June, we'll host authors from the new journal issue.

Catch up on last month's episodes where Brady Post discussed the impacts
of consolidation
<[link removed]> while
Anthony LoSasso examines the effects of insurer market power
<[link removed]> on
prices paid to hospitals.

Check out our podcasts, and subscribe on Spotify
<[link removed]>, Apple
<[link removed]>,
or wherever you prefer to listen.

Listen
<[link removed]>


[link removed]


 

[link removed]


[link removed]

 

[link removed]

 

[link removed]

 

[link removed]

 

mailto:[email protected]

About Health Affairs

Health Affairs is the leading peer-reviewed journal
<[link removed]> at the intersection of health,
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
<[link removed]>, and Health Affairs Sunday
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

Privacy Policy <[link removed]>

To unsubscribe from this email, click here
<[link removed]>.
_________________

Sent to [email protected]

Unsubscribe:
[link removed]

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