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A Weekly Health Policy Round Up From Health Affairs            

**March 8, 2020**

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IN THE JOURNAL

NEW ISSUE:

THE AFFORDABLE CARE ACT
TURNS 10

President Barack Obama signed the Affordable Care Act (ACA) into law on
March 23, 2010, expanding insurance coverage and changing how health
care is paid for and delivered. The March issue of Health Affairs
provides a comprehensive review of what the law has accomplished and
what remains to be done as the ACA turns 10.

The March issue was supported by The Commonwealth Fund and the Robert
Wood Johnson Foundation.

Read the March 2020 table of contents.

Listen to a two-minute introduction of the issue from Editor-in-Chief
Alan Weil.

Read "From the Editor in Chief."

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AFFORDABLE CARE ACT

How Have ACA Insurance Expansions Affected Health Outcomes? Findings
From The Literature

By Aparna Soni, Laura R. Wherry, and Kosali I. Simon

Aparna Soni and coauthors review well-constructed studies that looked at
the health effects of the Affordable Care Act. They find "promising
improvements" in certain health outcomes, while acknowledging the need
for ongoing research. Read More >>

Did The ACA Lower Americans' Financial Barriers To Health Care?

By Sherry A. Glied, Sara R. Collins, and Saunders Lin

The Affordable Care Act was designed to provide financial protection to
Americans in their use of the health care system. This required
addressing two intertwined problems: cost barriers to accessing coverage
and care, and barriers to comprehensive risk protection provided by
insurance. Sherry Glied and coauthors reviewed the evidence on whether
the law was effective in achieving these goals. Read More >>

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The ACA's Impact On Racial And Ethnic Disparities In Health Insurance
Coverage And Access To Care

By Thomas C. Buchmueller and Helen G. Levy

Thomas Buchmueller and Helen Levy show that the Affordable Care Act
narrowed but did not eliminate racial/ethnic disparities in coverage and
access.
Read More >>

Women's Coverage, Utilization, Affordability, And Health After The
ACA: A Review Of The Literature

By Lois K. Lee, Alyna Chien, Amanda Stewart, Larissa Truschel, Jennifer
Hoffmann, Elyse Portillo, Lydia E. Pace, Mark Clapp, and Alison A.
Galbraith

Women of working age faced specific challenges in obtaining health
insurance coverage and health care before the Affordable Care Act. This
literature review summarizes evidence on the law's effects on
women's health care and health and finds improvements in overall
coverage, access to health care, affordability, preventive care use,
mental health care, use of contraceptives, and perinatal outcomes.
Read More >>

HEALTH AFFAIRS EVENTS-The Affordable Care Act Turns 10

*As of today, our Health Affairs Briefing is proceeding as scheduled. We
are closely monitoring Coronavirus developments and will email
registrants if there are any changes to this event.*

This Week! View Agenda

Tuesday at 9:00 am - 1:00 pm Eastern
W Hotel Washington - 515 15th Street NW, Washington DC  20004
Register Now
  

The March 2020 issue of Health Affairs, "The Affordable Care Act Turns
10," offers must-read analyses of the ACA. Authors explain the law's
effects on coverage, costs, health status, and more. They also review
the political and legal issues that have shaped implementation and
consider what should come next. On March 10, Health Affairs will host a
special event to amplify the work. Order Issue

Getevent-specific emails

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THIS WEEK ON THE BLOG

FOLLOWING THE ACA

Supreme Court To Hear Challenge To ACA

By Katie Keith (3/2/20)

Today, the Supreme Court announced that it will hear the appeal of a
decision invalidating the now penalty-less individual mandate and, with
it, the entire Affordable Care Act (ACA). The Court will consider a
range of issues, from whether the plaintiffs have standing to whether
the rest of the ACA can be severed from the mandate. A decision will be
issued by late June 2021. Read More >>

CONSIDERING HEALTH SPENDING

Ten Things To Expect From The New Hospital Price Transparency Rule

By Cindy Ehnes, C. Duane Dauner, and Tom Dougherty (3/6/20)

CMS should abandon the price transparency rule, which is predicated on
an outmoded fee-for-service payment platform, and continue to pursue
health system reform through value-based payment strategies. Read More
>>

AFFORDABLE CARE ACT

The ACA, Repeal, And The Politics Of Backlash

By Jonathan Cohn (3/6/20)

The ACA on its tenth anniversary seems to be as stable politically as
government programs can be in this volatile era. The debates over
Obamacare may never stop, just like the debates over health care policy
will never stop. But they will never look quite the same either.
Read More >>

PHARMACEUTICALS AND MEDICAL TECHNOLOGY

Revocation Of Orphan Drug Designation For Extended-Release Buprenorphine
Injection: Implications And Next Steps

By Kao-Ping Chua and Rena M. Conti (3/5/20)

These are common-sense steps that will be good for orphan drug policy,
good for public health, and good for the millions of Americans with
opioid use disorder. Read More >>

Prescription Checkups As A Tool For Appropriate Deprescribing

By Maisha Draves, Lynn Deguzman, and Shannon Brownlee (3/3/20)

By incorporating an explicit focus on reducing medication overload using
a shared decision-making approach, medication reviews will often lead to
appropriate deprescribing-improving outcomes and decreasing medication
burden for patients. Read More >>

BEHAVIORAL HEALTH CARE

Two Dogmas Of Mental Health Policy

By Isabel M. Perera (3/2/20)

Real reform will require more generous allocation of resources to one of
the most neglected and needy areas of the health system. Read More >>

MATERNAL AND CHILD HEALTH

Keeping Moms Alive: Medicaid Policy Changes And Ideas For Systems
Transformation

By Katy Backes Kozhimannil and Marie Zimmerman (3/2/20)

We need to be having conversations about shifting institutional mindsets
and investing resources to improve health, starting at birth. Future
generations depend on it. Read More >>

ACCESS TO CARE

Paid Family And Medical Leave Gains Momentum

By Steven Findlay (3/3/20)

Paid-leave advocates should consider joining their struggle to the fight
for universal health care coverage, expanded access to care, and lower
costs. Read More >>

ORAL HEALTH

Lessons From Oral Health: Using Philanthropy As A Catalyst For Systems
Change

By Katie Eyes and Stacy Warren (3/3/20)

Oral health is a critical issue in North Carolina, with more than 2.4
million residents living in areas without enough dentists, according to
the Kaiser Family Foundation. Two foundations are jointly investing $35
million to address major gaps in oral health care in the state. The
authors say that partnership between the two foundations and
collaboration with others has been one key to creating momentum for
substantive change around oral health in the Tar Heel State. Read More
>>

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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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