A Weekly Health Policy Round Up From Health Affairs
 
 
 
 
 
A Weekly Health Policy Round Up From Health Affairs            

March 8, 2020
Health Affairs February 2020

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."

Advertisement: Wharton/Penn Medicine, Leadership in a New Era of Health Care
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 >>

HA 39/3 Glied et al.
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
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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

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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 >>


 
 
 
About Health Affairs

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