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The Latest Research, Commentary, and News from Health Affairs
Wednesday, February 12, 2020
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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 >>
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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
Health Affairs is the leading peer-reviewed journal 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, Health Affairs Today, and Health Affairs Sunday
Update.
Project HOPE 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.
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