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

**Friday, February 28, 2020**

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TODAY ON THE BLOG

HEALTH REFORM

The ACA At 10: Health Care Revolution

By Ezekiel J. Emanuel and Abbe R. Gluck

How should we evaluate the ACA decade? We invited an all-star group of
former government officials, lawyers, commentators, and highly respected
academic researchers to evaluate the impact of the ACA and speculate
about the future. This series of blog posts represents some of the
responses. This post discusses the contents of the blog series as well
as the thoughts of other authors included in the forthcoming book The
Trillion Dollar Revolution. Read More >>

Present At The Creation: Launching The ACA-2010 To 2014

By Kathleen Sebelius and Nancy-Ann DeParle

The ACA is not perfect-no major law is-but it was worth fighting
for. Read More >>

HEALTH INFORMATION TECHNOLOGY

To Measure The Burden Of EHR Use, Audit Logs Offer Promise-But Not
Without Further Collaboration

By Genna Cohen, Llewelyn Brown, Megan Fitzgerald, and Anita Somplasky

Additional efforts to make audit-log data more comparable across vendors
could make it possible to use system-generated data to measure the
effect of these initiatives-without adding to burden in the process.
Read More >>

SYSTEMS OF CARE

Slouching Towards Disruptive Innovation

By James C. Robinson

Clay Christensen, perhaps the most influential business school professor
of our era, passed from the world earlier this year. Christensen
articulated the concept of "disruptive innovation," in which outsiders
with low-performance but low-price products compete for consumers poorly
served or not served at all by industry insiders, and then gradually
improve performance while retaining lower prices and thereby seize the
heights as well as the depths of their markets. Read More >>

SPONSORED BY THE UNIVERSITY OF PENNSYLVANIA

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Leadership In A New Era Of Health Care

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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IN THE JOURNAL
AFFORDABLE CARE ACT

Changes In Health Insurance Coverage, Access To Care, And Income-Based
Disparities Among US Adults, 2011-17

By Kevin N. Griffith, David K. Jones, Jacob H. Bor, and Benjamin D.
Sommers

The Affordable Care Act increased insurance coverage and access to care,
according to numerous national studies. However, the administration of
President Donald Trump implemented several policies that may have
affected the act's effectiveness. Kevin Griffith and coauthors used
survey data for 2011-17 from the Behavioral Risk Factor Surveillance
System to assess changes in access to care among nonelderly adults from
before to after the change in administration in 2017. Read More >>

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HOT ARTICLES IN FEBRUARY

Evidence-Based Community Health Worker Program Addresses Unmet Social
Needs And Generates Positive Return On Investment

By Shreya Kangovi, Nandita Mitra, David Grande, Judith A. Long, and
David A. Asch

Implications Of The Rapid Growth Of The Nurse Practitioner Workforce In
The US

By David I. Auerbach, Peter I. Buerhaus, and Douglas O. Staiger

Quantifying Health Systems' Investment In Social Determinants Of
Health, By Sector, 2017-19

By Leora I. Horwitz, Carol Chang, Harmony N. Arcilla, and James R.
Knickman

Upstream With A Small Paddle: How ACOs Are Working Against The Current
To Meet Patients' Social Needs

By Genevra F. Murray, Hector P. Rodriguez, and Valerie A. Lewis

There's No Algorithm For Empathy

By Hannah B. Wild

A CLOSER LOOK-Drug Overdoses

****

The number of Americans dying from drug overdoses has risen rapidly, but
the contribution of nonopioid drugs to this growth is not well
understood. In this Health Affairs article from July 2019, Christopher
J. Ruhm calculated levels of and increases in overall nonopioid fatal
overdose rates
and
those for subgroups stratified by manner of death, sex, race/ethnicity,
and age. Policies designed to curb the opioid epidemic are probably
helpful in reducing nonopioid deaths, but targeted interventions may
also be needed.

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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.

Health Affairs, 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814, United States

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