📢 New Word Count For Research Articles Takes Effect 4/1 📢
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Thursday, March 28, 2024 | The Latest Research, Commentary, and News from Health Affairs
Dear John,
Volume 2, Issue 3, of Health Affairs Scholar explores oncologic drug repository programs, health care financing, racial disparities in medical crowdfunding, the economic impact of recent legislation on ICU care, and more.
Be sure to check out the full issue ([link removed] ) and upcoming research in the advance articles ([link removed] ) section of the journal on the Health Affairs Scholar website ([link removed] ) .
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Health Affairs Scholar Volume 2, Issue 3, Highlights
A study by Natalie K. Heater and coauthors discusses state legislation around cancer drug repository programs ([link removed] ) and the challenges many states face in supporting active programs.
The authors highlight Iowa’s statewide, mail order oral anticancer drug program as a “…uniquely effective and efficient program that should be replicated across the country”.
Through their analysis the authors offer recommendations across several domains to enhance and expand state programs, underscoring their pivotal role in providing accessible and affordable cancer care.
Two studies examine the role of payment in treatment outcomes for opioid use disorders.
Arthur R. Williams and colleagues examine how insurance status and payment source impact outcomes for patients with opioid use disorder ([link removed] ) using telehealth services in the United States.
They found that patients with in-network benefits were 50 percent more likely to be retained in care compared to those who paid cash. Importantly, this difference persisted when restricting the analysis to insured patients and comparing those with in-network and out-of-network coverage.
Their findings highlight the importance of insurance coverage and suggest that Medicaid disenrollment following the phase-out of the COVID-19 public health emergency, and insurance plans’ reluctance to work with telehealth providers may impede efforts to address the ongoing opioid crisis.
Emma E. McGinty and coauthors explore how restrictive payment policies for medication for opioid use disorders (MOUD) contribute to inadequate treatment ([link removed] ) for an estimated 75–90 percent of patients.
Through a policy analysis and interviews with payment policy experts, the authors found that Medicare, Medicare Advantage, and Medicaid generally cover various MOUD formulations, while private insurance coverage varies, often excluding methadone.
Experts cautioned against rigid reimbursement models and advocated for value-based payment models and increasing payment for MOUD provided in office settings and opioid treatment programs. The authors conclude that implementing a value-based payment model would rely on validating performance metrics and building providers' capacity to track and report performance data.
Also included in the issue:
- A commentary by Rita Hamad underscores the significant contributions immigrants make to society ([link removed] ) and urges policy makers to support safety-net policies and investments that provide essential services to aid their successful transition.
- A study by Sara Machado, Beatrice Perez, and Irene Papanicolas investigates the racial disparities in medical crowdfunding for organ transplant candidates ([link removed] ) .
- A brief report by Sneha Kannan and Zirui Song examines the economic implications of the No Surprises Act ([link removed] ) , which prohibits balance billing by ICU specialists for emergency and most non-emergency care, and the potential impact it may have on the care patients receive.
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Medicaid Financing Requires Reform: The North Carolina Case Study ([link removed] )
Ann Kempski and Ge Bai
Research Funding Is Needed To Support An Effective, Equitable, And Sustainable Public Health System ([link removed] )
Kate Froeb et al.
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Health Affairs is implementing a new word limit for journal research articles.
Beginning with submissions received on or after April 1, 2024, the word limit will change from 5,000 words, including endnotes, to 3,250, excluding endnotes.
Research papers using both qualitative and quantitative methods will be allowed a word count of 4,000 (excluding endnotes).
For more on this change, check out an article from Editor-in-Chief Alan Weil.
Learn More
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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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