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A Weekly Health Policy Round Up From Health Affairs
August 11, 2019
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IN THE JOURNAL
NEW ISSUE: MILITARY HEALTH SYSTEMS
As the Military Health System (MHS) goes through a major restructuring, it also faces pressures and opportunities similar to the civilian sector. The August issue of Health Affairs examines the health systems that serve 1.4 million active duty service members; provide insurance
coverage for another 8 million reservists, retirees, and family members; and provide care for 9 million veterans.
This issue was supported by the Uniformed Services University of the Health Sciences and the New York State Health Foundation.
Read the August 2019 table of contents and listen to a two-minute introduction to the issue from Editor-in-Chief Alan Weil.
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The US Military Health System: Promoting Readiness And Providing Health Care
By Terri Tanielian and Carrie Farmer
Terri Tanielian and Carrie Farmer describe the evolution of coverage for military service members and their families from the 1880s to the current TRICARE program. Read More >>
A Military Health System For The Twenty-First Century
By Terry Adirim
Terry Adirim discusses the 2017 National Defense Authorization Act requirement to consolidate the direct care system currently operated separately by the Army, Navy, and Air Force, under a single authority. Read More >>
Readiness Of Medical Providers In The Military Health System: Overview Of Operational And Policy Considerations
By Paul J. Hutter, Joachim Roski, Jonathan Woodson, Allen Middleton, Robert Kneeland, Averston Worthy, Derik Zitelman, Thomas Trinh, Shaun Dela Cruz, and Elaine Cooper
An essential component of the MHS is its ability to deploy medical personnel on a moment’s notice to remote, often austere, settings. Paul Hutter and coauthors describe the challenge of gaining and maintaining the skills
necessary to treat battlefield wounds when most training and medical practice occurs in traditional clinical settings, where patients generally are treated for fairly routine conditions. Read More >> |
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GOVERNMENT PROGRAMS & POLICIES
Veterans Health Administration Investments In Primary Care And Mental Health Integration Improved Care Access
By Lucinda B. Leung, Lisa V. Rubenstein, Jean Yoon, Edward P. Post, Erin Jaske, Kenneth B. Wells, and Ranak B. Trivedi
Lucinda Leung and coauthors report on results from the national Primary Care–Mental Health Integration initiative of the Veterans Health Administration, which embedded specialists, care managers, or both in primary care clinics to care for veterans with psychiatric illness.
Read More >>
The Opioid Epidemic In Veterans Who Were Homeless Or Unstably Housed
By Amanda M. Midboe, Thomas Byrne, David Smelson, Guneet Jasuja, Keith McInnes, and Lara K. Troszak
Amanda Midboe and coauthors report on a retrospective observational study to examine opioid use disorder in a national sample of veterans who accessed specialized homeless programs in the Veterans Health Administration. Read More >>
DETERMINANTS OF HEALTH
Finding Shelter And Support Along The Road To Better Health
By Brian Rinker
In this month’s Leading to Health, Brian Rinker reports on how Sacramento is using California’s Whole Person Care program to help its homeless population. Read More >>
This article appears in Health Affairs’ series on Leading to Health.
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HEALTH AFFAIRS EVENTS
HEALTH SPENDING: MOVING FROM THEORY TO ACTION
NEW SPEAKERS ANNOUNCED
Wednesday, September 11, 2019
9:00 am – 3:00 pm Eastern
National Press Club – Washington, DC
REGISTRATION
OPEN
Eighteen months ago, Health Affairs teamed with the National Pharmaceutical Council and Anthem, Inc. to launch a multi-year project to promote an evidence-based conversation about health spending. To continue the discussion, Health Affairs and the National
Pharmaceutical Council are hosting a forum with the following speakers:
- Mandy Cohen, Secretary, North Carolina Department of Health and Human Services
- Patrick Conway, President and CEO, Blue Cross and Blue Shield of North Carolina
- Robert W. Dubois, Executive Vice President and Chief Science Officer, National Pharmaceutical Council
- Christopher F. Koller, President, Milbank Memorial Fund
- Reed Tuckson, Managing Director, Tuckson Health Connections, LLC
- NEW! Otis Brawley, Bloomberg Distinguished Professor, Johns Hopkins University
- NEW! Dan
Ollendorf, Director, Value Measurement and Global Health Initiatives, Center for the Evaluation of Value and Risk in Health (CEVR), Tufts University Medical Center
- NEW! Surya Singh, President, Singh
Healthcare Advisors
- NEW! Adaeze Enekwechi, President,
IMPAQ
- NEW! Ceci Connolly, President and CEO, Association of Community Health Plans
Be part of the conversation on September 11.
Get event-specific emails delivered directly to your inbox.
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THIS WEEK ON THE BLOG
FOLLOWING THE ACA
ACA Litigation Round-Up: Contraceptive Mandate, Section 1557, And MoreBy Katie Keith (8/6/19)This post provides a brief status update on litigation over the "take care" case, Section 1557, the health
insurance tax, and the provider conscience rule. Read More >> ACA Litigation Round-Up: AHPs, Short-Term Plans, CSRs, And Risk Adjustment
By Katie Keith (8/5/19)
This post covers pending ACA litigation and provides a brief status update on lawsuits over non-ACA plans, cost-sharing reductions, and the risk adjustment program. Read More >>
PHARMACEUTICALS AND MEDICAL TECHNOLOGY
The Economics Of Biologic Drugs: A Further Response To
Bach et al.
By Alex Brill and Benedic Ippolito (8/8/19)
We begin by commenting on expectations for biologic prices in a market with biosimilar competition before responding to some of Bach et al.’s new arguments and explaining why we remain steadfast that biologic drugs as a group are not natural monopolies, that the early evidence from biosimilar entry is encouraging, and that a host of policy
options other than price controls can be considered to lower costs within this market. Read More >>
ACCESS TO CARE
Language Access Rights Under Threat
By Kathy Ko Chin (8/9/19)
If finalized after the comment period ends on August 13, this regulation will turn back the clock and progress on civil rights and language access. The Health Care Rights Law is clear: language should not be a barrier to accessing health coverage or services. Read More >>
A Mapping Tool To Address Health And Education Disparities And Improve Access To School-Based Health Care
By Hayley Love, John Schlitt, Nirmita Panchal, and Jené Grandmont (8/9/19)
The tool is designed for diverse audiences who are interested in making data-driven decisions to address health
and education disparities and improve access to care for children and adolescents. Read More >>
Who Will Be Our Moral Conscience Now? A Tribute To Uwe Reinhardt
By Janet Currie, Katherine Ho, B. Rose Kelly, and Ilyana Kuziemko (8/8/19)
One thing that most people can agree on is that everyone, regardless of income or socioeconomic status, should have access to necessary care. We can honor Uwe’s legacy by keeping this mantra forever at the forefront of our work. Read More >>
PRIMARY CARE
The Importance Of Primary Care—And Of Measuring It
By Hoangmai Pham and Ann Greiner (8/6/19)
A standard, publicly reported measure of primary care for the US would not only allow us to make comparisons among states, health plans, and accountable care organization but would catalyze research quantifying the value of primary care. Read More >>
WORKFORCE IN THE COMMUNITY
ADOLESCENTS
The Forgotten Billion In Universal Health Coverage And Three Ways To Make Them A
Priority
By Stefan Germann (8/7/19)
The CEO of Fondation Botnar, a funder based in Switzerland, cites research showing that between 2003 and 2015, just 1.6 percent of global health aid was targeted to specific health issues affecting young people. If we are to truly realize universal coverage and achieve health equity, we can no longer ignore this funding neglect. He urges all to commit to three measures, including investment in new technologies, to bring young people's health issues to the forefront. Read More >>
QUALITY OF CARE
Fixing Clinical Practice Guidelines
By Gilbert Benavidez and Austin Frakt (8/5/19)
Any guideline-promulgating body must use a universal methodology to facilitate the job of holding guidelines to a rigorous standard. 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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