Forefront: Policy Design Tools For Achieving Equity Through Value-Based
Payment
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Wednesday, June 7, 2023 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

We've launched a newsletter for Health Affairs Insiders covering the
topic of social determinants of health. Join Health Affairs Insider or
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Access To Care Among LGBT Adults

When the Supreme Court decision in the case of Obergefell vs. Hodges
legalized same-sex marriage in 2015, it also expanded access to
employer-sponsored insurance as a dependent for lesbian, gay, bisexual,
and transgender (LGBT) adults.

In their new Health Affairs article, Andrew Bolibol and coauthors
examine trends in
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insurance coverage and access to care
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LGBT and non-LGBT adults
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in the years after the implementation of the Affordable Care Act.

The authors find that, "although insurance coverage increased for all
groups during our analysis period, the change was greatest for partnered
LGBT people, and for this group, the gains were driven by an increase in
private health insurance coverage," suggesting the importance of
dependent coverage.

By the end of the study period in 2019, there was no statistically
significant difference in overall insurance coverage rates for LGBT and
non-LGBT adults; however, significant disparities in access did remain.

For more articles, podcasts, events, and more about health equity, visit
our dedicated landing page
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Read The Article
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Elsewhere At Health Affairs

Today in Health Affairs Forefront, Amol Navathe and colleagues describe
ways to align payment design with equity in the areas of organizational
participation, payment rules, and risk adjustment.
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Stay tuned for the second installment in this article series tomorrow.

Zach Baron and Andrew Twinamatsiko discuss current and future legal
attacks against the Medicare Drug Price Negotiation Program
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Advertise with Health Affairs this month to take advantage of our
current promotions. Learn more about advertising opportunities here.
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Kelsey Owsley on 340B's Effect on Oncology Services

Health Affairs' Alan Weil interviews Kelsey Owsley from the University
of Arkansas for Medical Sciences on her new paper assessing whether the
340B drug pricing program leads to increase in oncology services in
rural hospitals.

Listen
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Daily Digest

Health Insurance Coverage and Access To Care Among LGBT Adults, 2013-19
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Andrew Bolibol et al.

Policy Design Tools For Achieving Equity Through Value-Based Payment,
Part 1
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A. Navathe et al.

Current And Future Legal Attacks Against The Medicare Drug Price
Negotiation Program
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Z. Baron and A. Twinamatsiko

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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
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