From Health Affairs Today <[email protected]>
Subject Surgical Outcomes In Primary Care Shortage Areas
Date March 7, 2024 9:06 PM
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📢 Eye on the IRA / Request for Submissions 📢

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Thursday, March 7, 2024 | The Latest Research, Commentary, and News from Health Affairs

Dear John,

ICYMI, John Bowblis of Miami University appeared on A Health Podyssey to discuss his recent paper that explores trends in the use of staffing agencies among nursing homes.

This paper was featured in our current issue focusing on nursing homes, Medicaid, physicians, and more. Check out the entire issue here ([link removed] ) !

Listen
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Disparities In Elective Surgical Care Access

Access-sensitive surgical conditions are diagnoses that require surgery that is ideally elective, but might result in emergency surgery when access to care is limited.

In their new article in the March issue of Health Affairs, Sara Schaefer and colleagues at the University of Michigan compare rates of elective versus emergency surgery among patients ([link removed] ) with three access-sensitive surgical conditions living in Health Professional Shortage Areas (HPSAs).

They find that Medicare beneficiaries in more-severe primary care shortage areas had higher rates of emergency surgery and were more likely to have serious complications and readmissions.

The authors conclude that improving primary care access could have broader impacts on health outcomes among the Medicare population.

Read the Article
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Building Weatherproof Health Systems ([link removed] )

Charles Sanky et al.

health-affairs-eye-on-ira-2024_eNewsletter-banner ([link removed] )

In August, 2022, President Biden signed into law the Inflation Reduction Act of 2022 ([link removed] ) , which includes key provisions designed to:

- reduce drug spending by the federal government
- lower prescription drug cost for Medicare beneficiaries

These provisions will unleash forces that will ripple throughout pharmaceutical markets, affecting the behavior of consumers, manufacturers, public and private payers, and other stakeholders in the complex pharmaceutical supply chain.

In particular, Medicare’s newly granted ability to negotiate with manufacturers ([link removed] ) for specific high-cost drugs will have major impacts on markets, with spillover effects for US private payers and non-US purchasers.

Some of the effects are already being felt, as CMS announced the first ten drugs eligible for negotiation in late 2023.

With support from the National Pharmaceutical Council ([link removed] ) , Health Affairs has begun a new initiative – “Eye on the IRA ([link removed] ) ” – to help our readers keep up with news and research regarding implementation of this sweeping piece of legislation.

The multiyear initiative consists of two key parts:

- The Health Affairs IRA Observatory and Related Publications ([link removed] ) – an expert working group of pharmaceutical market stakeholders will inform and guide Health Affairs in identifying newsworthy developments in IRA implementation, providing evidence and information that forms the basis for analyses, written by editorial staff and published in Health Affairs.
- A forthcoming Eye on the IRA series of peer-reviewed journal articles featuring empirical research about the legislation’s effects. Please see the call for papers ([link removed] ) .

Learn More
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With today's featured journal article focusing on physician shortages and access to care, the full story is just a few clicks away by exploring our archive of podcasts on these topics.

Take a look below at a few highlighted episodes:

- A Health Podyssey: Rebecca Gourevitch on Home Visits' Impact on Prenatal Care ([link removed] ) (September 2023)
- Health Affairs This Week: LGBTQ+ Health Care Policies: Two Steps Forward, Two Steps Backward? ([link removed] ) (June 2023)
- Pathways: A Disproportionate Share: The Future of Safety Net Hospitals & Payment Policies ([link removed] ) (January 2023)
- A Health Podyssey: Michael Barnett on Mental Health Care Delivery ([link removed] ) (September 2022)
- A Health Podyssey: The Health Benefits of Paid Sick Leave Reach Farther Than You Think ([link removed] ) (October 2021)

health-affairs-43-03-order-issue_eNewsletter-banner ([link removed] )

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About Health Affairs

Health Affairs is the leading peer-reviewed journal ([link removed] ) at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online.

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