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A Weekly Health Policy Round Up From Health Affairs
February 23, 2020
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THIS WEEK ON THE BLOGFOLLOWING THE ACA
Texas At The Supreme Court: The Latest
By Katie Keith (2/21/20)
In a 2-1 decision, the Fifth Circuit Court of Appeals partially affirmed the district court, agreeing that the mandate is now unconstitutional but remanding the case back to the district court on the issue of severability. A coalition of Democratic attorneys general and governors, led by California, and the US House of Representatives appealed the Fifth
Circuit’s decision to the Supreme Court. Read More >>
CONSIDERING HEALTH SPENDING
How Administrative Spending Contributes To Excess US Health Spending
By Laura Tollen, Elizabeth Keating, and Alan Weil (2/20/20)
In 2018, Health Affairs launched the Council on Health Care Spending and Value, a nonpartisan, expert working group that will, over the course of three years, develop recommendations about how the US could take a more deliberate approach to moderating health care spending growth while maximizing value. This post, the first in a series providing a view into the council’s discussions, recaps its
inquiry into administrative spending.
Read More >>
MEDICARE
Medicare For All: What History Can Teach Us About Its Chances
By John E. McDonough (2/21/20)
If Democrats can advance further toward near-universal coverage without the life-or-death struggles of passing Medicare for All, they just might achieve meaningful and historic progress even as they preserve political capital to make progress on other
urgent policy needs. Read More >>
Five Reasons Medicare For All (Or Anything Like It) Won’t Pass In 2021
By Billy Wynne (2/21/20)
There is a tremendous amount of headway Democrats can make in furthering the party’s goal of achieving quality, affordable coverage for all in 2021 if we can put our ideological preferences on the back burner. Read More >>
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Expand your capacity to navigate higher and more complex levels of leadership in the health care sector. Appraise and analyze your current organizational culture and discover opportunities for change.
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SUBSTANCE ABUSE
Enhancing Rates Of Opioid Overdose Education And Naloxone Distribution In Emergency Departments
By Kristen Huntley, Emily B. Einstein, Mary Ellen Palowitch, Anita Thomas, Terri L. Postma, Shari M. Ling, and Wilson M. Compton (2/21/20)
Emergency departments offer critical opportunities for addressing the opioid crisis because they are on the front lines of health care and are an underutilized point of contact with people at risk of opioid overdose. 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 (2/18/20)
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 >>
MEDICAID
Medicaid Enrollment Programs Offer Hope To Formerly Incarcerated Individuals And Savings For States
By Abaki Beck (2/20/20)
Given the initial findings on usage of Medicaid services, reduced recidivism, and state savings, it seems advantageous for all states to expand Medicaid to our formerly incarcerated community members. Read More >>
Inside The D.C. Circuit’s Opinion In Gresham v Azar
By Alexander Somodevilla and Sara Rosenbaum (2/20/20)
In a unanimous opinion written by Judge David Sentelle, a three-judge court affirmed a lower court ruling that set aside the approval of Arkansas’s Medicaid work experiment by the Secretary of Health and Human Services. Read More >>
PRIMARY CARE
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 (2/18/20)
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 >>
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 (2/18/20)
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 >>
CHRONIC CARE
Chronic Condition Self-Service: An Idea Whose Time Has Come?
By Anupam Goel and Shantanu Nundy (2/19/20)
Chronic care self-service would not be a replacement for primary care. As these programs expand to address more complex combinations of concordant and discordant chronic conditions, integration with primary care will be critical. Read More >>
HEALTH AFFAIRS BRANDED POST
The Value Of Medicare Advantage: Health Coverage As Unique As You
By Allyson Y. Schwartz and Gary A. Puckrein (2/19/20)
Supported by the Better Medicare Alliance
A 2015 report from the US Census Bureau found that Americans speak 350 different languages in the home. This rich multiculturalism extends to older Americans as well.
Read More >>
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IN THE JOURNAL
AHEAD OF PRINT
The Past, Present, And Possible Future Of Public Opinion On The ACA
By Mollyann Brodie, Elizabeth C. Hamel, Ashley Kirzinger, and Drew E. Altman
When the Affordable Care Act (ACA) became law in 2010, public opinion of it was narrowly divided and deeply partisan. Mollyann Brodie and coauthors analyzed data from 102 nationally representative public opinion polls that were conducted between April 2010 and November 2019 as part of the ongoing Kaiser Family Foundation Health Tracking Poll. They found that while the ACA is now more popular than ever, opinions remain divided, and partisan divisions have gotten
larger rather than smaller over time. Read More >>
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.
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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.
Copyright © Project HOPE: The People-to-People Health Foundation, Inc.
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