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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 >>
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: study content, slides, video, or podcast.

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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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