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

**Tuesday, February 18, 2020**

TODAY ON THE BLOG

PAYMENT

Population-Based Payments May Help Ensure Access To Life-Saving
Antibiotics For Medicare Beneficiaries

By Monika Schneider, Nicholas R. Harrison, and Mark B. McClellan

As the "lifetime" payer for the segment of the US population most
susceptible to death and complications from antimicrobial resistance,
and as the largest health care payer, the Centers for Medicare and
Medicaid Services is in a unique position to take the lead in advancing
broad-based payment reforms to address antimicrobial resistance. Read
More >>

BEHAVIORAL HEALTH CARE

The Primary Care First Model Is Flawed: CMS Can Fix It With Stronger
Support For Behavioral Health Integration

By Joshua Barrett, Brigitta Spaeth-Rublee, and Harold Pincus

Offering support to smaller, less advanced primary care practices,
including direct incentives, and eliminating disincentives for
behavioral health integration will enable more primary care practices to
deliver high-quality, integrated care. Read More >>

PRIMARY CARE
[link removed] To
Strengthen The Primary Care First Model For The Most Frail, Look To The
Independence At Home Demonstration

By Bruce Leff, Peter Boling, George Taler, and Bruce Kinosian

Congress and the Centers for Medicare and Medicaid Services can seize
this moment to couple an effective and patient-centered, home-based
primary care model for highly complex patients with Primary Care First,
and serve the breadth of frail patients in our society. Read More >>

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IN THE JOURNAL

THE PRACTICE OF MEDICINE

Clinician-Directed Performance Improvement: Moving Beyond Externally
Mandated Metrics

By Lara Goitein

Lara Goitein describes the Clinician-Directed Performance Improvement
program at Christus St. Vincent Regional Medical Center and its impact
on quality, costs, and the engagement and morale of clinicians. Read
More >>

Differences In Starting Pay For Male And Female Physicians Persist;
Explanations For The Gender Gap Remain Elusive

By Anthony T. Lo Sasso, David Armstrong, Gaetano Forte, and Susan E.
Gerber

Anthony Lo Sasso and coauthors examined survey data for graduating
medical residents and fellows in New York State for the years
1999-2017. They found that during this period, the average starting
compensation was $235,044 for men and $198,426 for women, with a larger
gap in more recent years than in earlier years. Approximately 60 percent
of the gap in starting salary could be explained primarily by
differences in specialty and hours spent in patient care.
Read More >>

The Practice Of Medicine
series is
supported by the Physicians Foundation.

Read the February 2020 table of contents
.

Subscribe to Health Affairs for full journal access

HEALTH AFFAIRS EVENTS-PAST EVENT:  Violence & Health

Violence permeates our society with consequences for victims,
perpetrators, and communities alike. Even as media attention tends to
focus on incidents of mass violence, it is the daily burden of violence
in its many forms that takes the greater toll. Get caught up with the DC
event:  slides

(click on Download Event), video
, and
podcast
. Get
caught up with the Los Angeles event:  slides
,
video
, and
podcast
.
Access the October PRINT

or ONLINE

issue.

Getevent-specific emails

delivered directly to your inbox.

A CLOSER LOOK-Low Birthweight

Nearly 15 percent of babies born worldwide suffer from low birthweight,
a factor in three quarters of neonatal deaths and a cause of stunted
growth, lower IQ, and increased risk for obesity and diabetes. The
authors of a Health Affairs Blog post write that there is an urgent
opportunity to save infant lives throughmultiple micronutrient
supplements for pregnant women
.

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About Health Affairs

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Today , and Health Affairs
Sunday Update .  

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