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

**Friday, August 2, 2019**

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TODAY ON THE BLOG

MEDICARE

Aligning Payment And Prevention To Drive Antibiotic Innovation For
Medicare Beneficiaries

By Seema Verma

In this post, I will outline the agency's multi-pronged strategy for
stimulating access to antibiotic innovation through the Fiscal Year 2020
Inpatient Prospective Payment System rule, including changes to the New
Technology Add-On Payment and severity adjustments to ICD-10 codes for
AMR. I will also discuss CMS's interest in addressing AMR beyond
payment reform, such as investments in public health infrastructure like
stewardship programs. Read More >>

MEDICAID

"We Have All Seen This Movie Before": Once Again, A Federal Court
Vacates HHS Approval Of A Medicaid Work Experiment

By Sara Rosenbaum

On July 29th-for the fourth time-Judge James Boasberg of the United
States District Court for the District of Columbia, in Philbrick v Azar,
vacated HHS approval of an 1115 Medicaid work experiment waiver. Read
More >>

PHARMACEUTICALS AND MEDICAL TECHNOLOGY

The Use Of Vendors In Medicare Part B Drug Payment

By Paul B. Ginsburg,  Caitlin Brandt, and Steven Lieberman

A voluntary vendor approach for Medicare could diminish the incentives
of buy and bill and engage physicians in trading off cost and
effectiveness of Part B drugs within a class.
Read More >>

FOLLOWING THE ACA

CMS Approves Reinsurance Waivers In CO, ND; Issues RADV Report, New
Notices

By Katie Keith

On July 31, 2019, the Centers for Medicare and Medicaid Services (CMS)
approved Colorado and North Dakota's requests to develop state-based
reinsurance programs under Section 1332 of the Affordable Care Act
(ACA). CMS also released its first summary report on the impact of risk
adjustment data validation and issued updated renewal and
discontinuation notices for 2020 coverage. Read More >>

IN THE JOURNAL

MEDICARE
Impact Of Medicare Readmissions Penalties On Targeted Surgical
Conditions

By Karan R. Chhabra, Andrew M. Ibrahim, Jyothi R. Thumma, Andrew M.
Ryan, and Justin B. Dimick

Karan Chhabra and coathors evaluate the Medicare Hospital Readmissions
Penalty Program's announcements' effects on risk-adjusted
readmission rates, episode payments, lengths-of-stay, and observation
status use. Read More >>

Read the July 2019 Table of Contents

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Hot Articles in July

Physicians' Well-Being Linked To In-Basket Messages Generated By
Algorithms In Electronic Health Records

By Ming Tai-Seale, Ellis C. Dillon, Yan Yang, Robert Nordgren, Ruth L.
Steinberg, Teresa Nauenberg, Tim C. Lee, Amy Meehan, Jinnan Li, Albert
Solomon Chan, and Dominick L. Frosch

Sending The Wrong Price Signal: Why Do Some Brand-Name Drugs Cost
Medicare Beneficiaries Less Than Generics?

By Stacie B. Dusetzina, Shelley Jazowski, Ashley Cole, and Joehl Nguyen

In Hospitals With More Nurses Who Have Baccalaureate Degrees, Better
Outcomes For Patients After Cardiac Arrest

By Jordan M. Harrison, Linda H. Aiken, Douglas M. Sloane, J. Margo
Brooks Carthon, Raina M. Merchant, Robert A. Berg, Matthew D. McHugh

Accuracy Of The Relative Value Scale Update Committee's Time Estimates
And Physician Fee Schedule For Joint Replacement

By John W. Urwin, Emily Gudbranson, Danielle Graham, Dawei Xie, Eric
Hume, and Ezekiel J. Emanuel

To Improve Outcomes, Health Systems Invest In Affordable Housing

By David Tuller

**A CLOSER LOOK**-Partial Medicaid Expansion

The Trump Administration denied Utah's request for funding for partial
Medicaid expansion. Back in February, David Anderson and Adrianna
McIntyre examined the policy implications of Utah's request
on
Health Affairs Blog.

HEALTH AFFAIRS EVENTS

Many Seniors Will Be Unable To Afford Housing And Health Care By 2029

A "middle market" of older Americans - unable to afford
private-pay senior housing and care, but with too many resources to
qualify for Medicaid - is rapidly expanding and facing escalating
health and housing needs as they age.  Get caught up with the event:
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About Health Affairs

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Update .  

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