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**The Latest Research, Commentary, and News from Health Affairs**

**Monday, April 20, 2020**

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TODAY ON THE BLOG
COVID-19

Emerging Health Workforce Strategies To Address COVID-19

By Candice Chen, Patricia Pittman, Sara Westergaard, Edward Salsberg,
and Clese Erikson

A number of emerging strategies from Washington State, New York,
California, and others stand as a potential road map for those that
follow. Read More >>

How To Read National Health Expenditure Projections In Light Of
COVID-19: Uncertain Long-Run Effects, But Challenges For All

By Michael E. Chernew

The ultimate impact on national spending will depend largely on how much
of the ultimate COVID-19 costs, which are uncertain but potentially
substantial, are offset by a long-run decline in non-COVID-19 spending
and how other system reactions play out. Read More >>

Social Distancing And Challenges With Multidisciplinary, Integrated Care

By K. John McConnell

Are social distancing and integrated care compatible? While the two are
not necessarily at odds, social distancing favors physical separation
and a certain type of siloing (even if temporary), activities that may
run counter to the conceptual model of co-located, multidisciplinary
teams practicing with warm hand-offs and high-touch care. Read More >>

AFFORDABLE CARE ACT

Lessons From Covered California's First Five Years For Marketplaces
And The Employer Sector: Part 1

By Peter V. Lee, Elliott S. Fisher, and Kelly Green

This first part highlights key areas of progress and outlines persistent
challenges that require more work. Read More >>

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IN THE JOURNAL

INTEGRATING SOCIAL SERVICES & HEALTH

Project Nurture Integrates Care And Services To Improve Outcomes For
Opioid-Dependent Mothers And Their Children

By K. John McConnell, Menolly R. Kaufman, Jenny I. Grunditz, Helen
Bellanca, Amanda Risser, Maria I. Rodriguez, and Stephanie Renfro

K. John McConnell and coauthors report the effects of Project Nurture, a
program implemented in Oregon in 2015 that integrates maternity care and
substance use treatment and provides pregnant women with peer support,
clinical care, and links to social services. Among women covered by
Medicaid who had a hospital birth and an opioid use disorder diagnosis,
the authors find an 8.3-percentage-point reduction in the foster care
placement rate and a 7.2-percentage-point reduction in substantiated
reports of child maltreatment during a child's first twelve months of
life. Read More >>

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Read the April 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Male And Female Physicians

A large literature has documented differences in salary between male and
female physicians. While few observers doubt that women earn less, on
average, than men do, the extent to which certain factors contribute to
the salary difference remains a topic of considerable debate. A Health
Affairs article from earlier this year considers possible explanations
for the gender gap
.

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About Health Affairs

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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
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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

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