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A Weekly Health Policy Round Up From Health Affairs            

**March 15, 2020**

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THIS WEEK ON THE BLOG

COVID-19
Health Care Priorities For A COVID-19 Stimulus Bill: Recommendations To
The Administration, Congress, And Other Federal, State, And Local
Leaders From Public Health, Medical, Policy, And Legal Experts

By Howard P. Forman, Elizabeth Fowler, Megan L. Ranney, Ruth J. Katz,
Sara Rosenbaum, Kavita Patel, Timothy Stoltzfus Jost, Abbe R. Gluck,
Christen Linke Young, Erica Turret, Suhas Gondi, Adam Beckman (3/12/20)

As experts in public health, medicine, policy, and law, and with prior
expertise in developing federal health legislation and public health
initiatives, we hereby present a framework designed to protect the
health of all Americans in the face of this unprecedented epidemic. Read
More >>

COVID-19: A Stress Test For A US Health Care System Already Under Stress

By Mahshid Abir, Christina Cutter, and Christopher Nelson (3/11/20)

Cross-sector collaboration will be essential to best prepare for the
stress test that COVID-19 could pose to America's emergency
preparedness response and health care systems.
Read More >>

Mapping Misinformation In The Coronavirus Outbreak

By Ana Santos Rutschman (3/10/20)

In this post, the author surveys some of the most pervasive areas of
tentacular coronavirus-related misinformation that has proliferated
online-as well as the responses of social media companies like
YouTube, Facebook, Pinterest, and TikTok, which may ultimately prove
inadequate given the magnitude of the problem. Read More >>

Could-Or Should-The Government Impose A Mass Quarantine On An
American City?

By Lawrence O. Gostin (3/10/20)

I can imagine most Americans abiding by their part of the social bargain
by sheltering in place. But will government uphold its part? As of now,
we have no plan, no protocol, and few resources. Read More >>

What COVID-19 Means For America's Incarcerated Population-And How To
Ensure It's Not Left Behind

By Oluwadamilola T. Oladeru, Adam Beckman, and Gregg Gonsalves (3/10/20)

We must remember the millions of incarcerated people who cannot plan for
themselves yet remain inextricably tied to the core of our public health
system. Read More >>

AFFORDABLE CARE ACT

The following Health Affairs Blog posts are part of a short series, "The
ACA at 10: Health Care Revolution
," published with support
from the Solomon Center for Health Law and Policy at Yale Law School
and the Healthcare Transformation
Institute at the University of Pennsylvania's Perelman School of
Medicine, Department of Medical Ethics & Health Policy
.

The Affordable Care Act Made Health Care (Slightly) More Affordable

By Carrie Colla and Jonathan Skinner (3/13/20)

In this post, we draw heavily on our recent contribution to a
forthcoming volume, "The Trillion Dollar Experiment," to estimate the
health care cost savings from the Affordable Care Act (ACA) over the
past decade, and then examine the lessons of the ACA to better
understand effective approaches for slowing the growth of health care
spending. Read More >>

Evaluating The ACA's Delivery System Reforms

By Ezekiel J. Emanuel, Amol S. Navathe, and Cathy Zhang (3/13/20)

The Affordable Care Act included a number of types of delivery system
reforms (DSRs), such as changing payments to health care providers and
requiring greater reporting of quality and cost performance to the
public. Most DSRs targeted uncoordinated or inefficient care under the
traditional fee-for-service system. None of the programs has been a
clear home run, but many have made major steps in the right direction.
Read More >>

CONSIDERING HEALTH SPENDING

Prices Are Not "Reimbursements"

By Shivani A. Shah and Michael E. Chernew (3/13/20)

We should set prices (and methods of payment) to balance access and
quality goals with budgetary concerns. Read More >>

HEALTH REFORM

Congressman Fortney Hillman "Pete" Stark: Remembering A Health Policy
Giant

By Cybele Bjorklund (3/9/20)

His work has had profound effects on the US health care system and
provided critically important protections and assistance to virtually
all Americans and others residing here.
Read More >>

MEDICARE

The Part D Senior Savings Model: Reducing Out-of-Pocket Costs For
Insulin In Medicare Part D

By Seema Verma (3/11/20)

The Centers for Medicare and Medicaid Services (CMS) strongly encourages
sponsors of enhanced Part D plans and manufacturers of insulin to
participate in the Part D Senior Savings Model. The Part D Senior
Savings Model could lower beneficiary out-of-pocket costs next year
while allowing CMS to assess the impact of this change on overall
medical spending and health outcomes. Read More >>

Medicare For All: If Not Now, When?

By Adam Gaffney (3/9/20)

Above all, we can be sure of one thing: not bothering to push for
Medicare for All today will guarantee that it doesn't happen tomorrow.
Read More >>

PHARMACEUTICALS AND MEDICAL TECHNOLOGY
Quality: The Often Overlooked Critical Element For Assuring Access To
Safe And Effective Drugs

By Janet Woodcock and Michael Kopcha (3/13/20)

Part of our preparation includes addressing key technical and regulatory
issues ahead of time so as not to hinder promising technologies; we want
to make sure the technologies are not only adopted but that they deliver
on the promise of a higher level of manufacturing quality in the
pharmaceutical industry.
Read More >>

Antibiotic Resistance And Animal Consumption: The Case For Duration
Limits In Food-Producing Animals

By Karin Hoelzer (3/12/20)

Following a troubling return to rising antibiotic sales, it's time for
the Food and Drug Administration to ensure judicious use of these drugs.
Read More >>

PUBLIC HEALTH

Energizing Public Policy Regarding Selected Dietary Supplements: The
Case For Education And Restriction

By Arnold R. Eiser, Anita Ho, and Simon Outram (3/10/20)

Protecting the public health, especially that of American youth, from
those products most likely to do harm requires an understanding of the
gaps in supervision of the supplement industry and new public health
measures to minimize those gaps. Read More >>

SUBSTANCE ABUSE

Contingency Management: A Highly Effective Treatment For Substance Use
Disorders And The Legal Barriers That Stand In Its Way

By Joseph E. Glass, Edward V. Nunes, and Katharine A. Bradley (3/11/20)

An urgent exception needs to be made to recognize that when used to
promote important therapeutic behaviors such as adherence to effective
medication or objective evidence of abstinence from drugs, incentives
offered as part of contingency management are part of an effective
treatment, not an inducement. Read More >>

HEALTH PHILANTHROPY

People Post: Foundation Staff And Board Members' Arrivals And
Departures; Job Opening

By Lee-Lee Prina (3/11/20)

Read about staff and board changes at foundations around the United
States. And a program officer position is open. Read More >>

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IN THE JOURNAL

EYE ON HEALTH REFORM

The ACA At The Supreme Court And Beyond

By Katie Keith

Katie Keith provides an update on Texas v. United States, a case
concerning the constitutionality of the Affordable Care Act (ACA) that
was originally filed by twenty Republican state attorneys general and
others after Congress eliminated the individual mandate penalty in late
2017. Keith reports that after the case wound its way through district
and circuit courts, the US Supreme Court agreed to consider the case in
its next term. Keith also reviews the status of the two other
ACA-related appeals before the Supreme Court in its current term. Read
More >>

AFFORDABLE CARE ACT

The ACA And The Courts: Litigation's Effects On The Law's
Implementation And Beyond

By Timothy Stoltzfus Jost and Katie Keith

The Affordable Care Act's legacy extends beyond its provision of
health insurance to millions of previously uninsured people and its
improved consumer protections. It has also had a significant impact on
the US legal system. Litigation over the law began on the day of its
enactment and has been a constant in the decade since. Read More >>

DataGraphic

We bring this month's content together in a DataGraphic with a
timeline of major events in the ACA's ten-year history combined with
key findings from the research.Read More >>

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How The ACA Dented The Cost Curve

By Melinda Beeuwkes Buntin and John A. Graves

Health spending growth has been low by historical standards since the
Affordable Care Act's enactment, but is that due to the law? Melinda
Beeuwkes Buntin and John Graves note that specific provisions can be
shown to have affected the cost trajectory, even as the overall effect
on health spending is "nearly impossible" to discern.Read More >>

Transforming Medicare's Payment Systems: Progress Shaped By The ACA

By Michael E. Chernew, Patrick H. Conway, and Austin B. Frakt

Michael Chernew and colleagues view the Affordable Care Act's payment
reforms as "modestly successful" in achieving savings while
sustaining or improving the quality of care.
Read More >>

A Ten-Year Engagement: The Media And The ACA

By Julie Rovner

Julie Rovner discusses the challenges of covering the complex policies
and politics of the Affordable Care Act. 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.

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