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

**Wednesday, February 12, 2020**

TODAY ON THE BLOG

PAYMENT

The Center For Medicare And Medicaid Innovation Can Be A Powerful Force
To Accelerate Change, But Not Without Key Reforms

By Jeff Micklos, Clare Pierce-Wrobel, and Joshua Traylor

Vanguard organizations that committed to the value-based payment mission
from the outset have learned much in their journeys. The Innovation
Center should focus new efforts on enticing those providers still
clutching onto fee-for-service for dear life to join the effort.
Read More >>

FOLLOWING THE ACA

ACA Guidance Round-Up: Draft Letter To Issuers, QHP Compliance Report,
HRAs, And More

By Katie Keith

On January 31, 2020, the Centers for Medicare and Medicaid Services
(CMS) released its proposed 2021 Notice of Benefit and Payment
Parameters rule. In conjunction with the proposed rule, CMS released
additional documents including the 2021 draft letter to issuers in the
federal marketplace. CMS also released guidance for states on the use of
excepted benefits health reimbursement arrangements, a summary report on
qualified health plan compliance, and new frequently asked questions on
the Summary of Benefits and Coverage. This post summarizes these
documents. Read More >>

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IN THE JOURNAL

PHARMACEUTICALS & MEDICAL TECHNOLOGY

Non-Infection-Related And Non-Visit-Based Antibiotic Prescribing Is
Common Among Medicaid Patients

By Michael A. Fischer, Mufaddal Mahesri, Joyce Lii, and Jeffrey A.
Linder

Amid growing concern about antibiotic overuse, which can contribute to
resistance, Michael Fischer and colleagues use Medicaid claims data to
explore inappropriate prescribing behavior. They find that "28 percent
[of antibiotic prescriptions] were not associated with a recent
[clinician] visit, and another 17 percent were dispensed without
evidence of a visit that had an infection-related diagnosis." Read More
>>

Read the February 2020 table of contents
.

Subscribe to Health Affairs for full journal access

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HEALTH AFFAIRS PODCAST-NEWSMAKERS

Excessive Antibiotic Prescribing In Medicaid

Listen to a WTOP interview with the lead author of today's featured
article, Michael Fischer.

Listen here
.

A CLOSER LOOK-Decarceration

Formerly incarcerated individuals have mortality rates twelve times
higher than the general public's in the first two weeks after release
from prison. Jacqueline Lantsman and Mark Osler write that successful
decarceration relies on access to health care
.

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About Health Affairs

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