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Sunday, July 7, 2024 | The Latest Research, Commentary, and News from Health Affairs
Dear John,
The July issue of Health Affairs ([link removed] ) covers topics ranging from Medicare payment models to physician revenue to the effects of an accelerated drug approval program.
It also contains two sets of projections from the US government:
- Jacqueline Fiore and colleagues at the Centers for Medicare and Medicaid Services provide ten-year projections of national health expenditures ([link removed] ) .
- Jessica Hale and colleagues at the Congressional Budget Office provide ten-year projections of sources of health insurance coverage ([link removed] ) .
health-affairs-43-07-order-issue_eNewsletter-banner ([link removed] )
Medicare
Shriram Parashuram and coauthors estimate that the Next Generation Accountable Care Organization model ([link removed] ) reduced per beneficiary spending on Medicare Parts A and B by about 2 percent, although those savings were more than offset by shared savings and other incentive payments.
Medicare Advantage (MA) plans have a financial incentive to identify as many diagnoses as possible among their enrollees.
Paul Jacobs examines in-home health risk assessments and chart reviews ([link removed] ) and finds that encounter-based risk scores for MA enrollees were 7.4 percent higher in 2021 when diagnoses from these sources were included.
In a Policy Insight, Robert Berenson and Kevin Hayes argue that the Medicare Physician Fee Schedule and Alternative Payment Models (APMs) are “intrinsically linked,” warranting efforts to fix the flaws in the fee-for-service payment system. ([link removed] )
“Value,” they conclude, “must be sought in both the fee schedule and APMs.”
Read the Issue
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health-affairs-journal-accountablt-care-parashuram_enewsletter ([link removed] )
COVID-19
More than 200,000 nursing home residents and staff died during the COVID-19 pandemic.
Tamara Konetzka and coauthors describe lessons learned from how the pandemic affected nursing homes ([link removed] ) .
They summarize policy responses that worked, the roles of community prevalence and planning, the structural characteristics of facilities, and shorter-term solutions to improve nursing home outcomes in the future.
Melissa Barber and coauthors analyze how COVID-19 affected exports of active pharmaceutical ingredients ([link removed] ) (APIs) from India.
Overall, volume dropped dramatically with small changes in prices, with the exception of “sharp price increases for APIs for some repurposed medicines, particularly those with significant social media attention (hydroxychloroquine and ivermectin).”
Peter Smulowitz and coauthors explore the extent and causes of emergency department ([link removed] ) (ED) and hospital overcrowding during the pandemic.
Analyzing Medicare data, they find widespread reductions in overall ED visits between 2019 and 2022, suggesting that overcrowding was primarily due to constraints in hospital capacity, likely as a result of staffing shortages and the limited ability to discharge patients.
Yuping Tsai and coauthors examine data on a Health Resources and Services Administration program that reimbursed providers for COVID-19 vaccines administered to uninsured adults ([link removed] ) .
They find that it accounted for nearly thirty-nine million doses, or 5.7 percent of all doses administered to US adults.
Ravi Parikh and coauthors examine commercial claims data ([link removed] ) and find that “the COVID-19 pandemic was associated with a substantial decline in physician gross revenue in 2020 compared with 2018–19, ranging from −1.8 percent to −18.2 percent across specialties.”
Revenue began to return to baseline for some, but not all, specialties in 2021.
Order the Issue
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A Health Podyssey: Renee Hsia on Inequities in Cardiac Intervention Availability ([link removed] )
Health Affairs' Editor-in-Chief Alan Weil interviews Renee Hsia of the University of California San Francisco on her recent paper that explores the structural inequities in the adoption of percutaneous coronary intervention (PCI) services by US hospitals.
Health Affairs This Week: Scene Report from AcademyHealth's ARM Conference ([link removed] )
Health Affairs' Jeff Byers chats with Senior Editors Kathleen Haddad and Meg Winchester about their recent trip to AcademyHealth's 2024 Annual Research Meeting (ARM) in Baltimore and the main takeaways that the two found regarding private equity, opioid use, and solutions-orientated research.
health-affairs-event-lunch-learn-generic-insider-2023_eNewsletter (1) ([link removed] )
Join us this Wednesday, July 10, for a Lunch & Learn event discussing health and health care policy decisions that are expected in the closing days of the Supreme Court’s 2023-2024 term.
This event is exclusive to our Health Affairs Insiders.
Become an Insider today ([link removed] ) to stay up-to-date on what health care experts are thinking and talking about.
Join Us
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The Future Of FDA Advisory Committees: Protecting Public Health And Preserving Public Trust ([link removed] )
Reshma Ramachandran et al.
Estimating Overpayments To MA Plans: MedPAC Critics Get It Wrong ([link removed] )
Steven M. Lieberman et al.
Moyle Review ‘Improvidently Granted,’ But Justices’ Positions On EMTALA, Emergency Abortions On Display ([link removed] )
Sara Rosenbaum
Using Executive Orders To Affirmatively Advance Racial Equity ([link removed] )
Kellee White Whilby
Prioritizing Services And Procedures For Value Assessment ([link removed] )
Peter J. Neumann et al.
Avian Influenza: Supporting A Robust Public Health Response From The Ground Up ([link removed] )
Joshua M. Sharfstein and Nicole Lurie
New Anti-Obesity Medications Should Be Considered Preventive Health Care ([link removed] )
William Walters and Richard Hughes IV
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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.
Sign up for all of our newsletters ([link removed] ) , including Health Affairs Today and Health Affairs Sunday Update.
Project HOPE ([link removed] ) 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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