Today in the Journal and on the Blog
 
 
 
 
 
HA Podcast: Coronavirus
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 >>


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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 >>

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.

 
 
 
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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