From Health Affairs Today <[email protected]>
Subject COVID-19: Rethinking Testing, Health Care Financing; ACA Round-Up: COVID-19 Delays, New COBRA Guidance, And More; Opioid Addiction Treatment
Date May 5, 2020 8:03 PM
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**The Latest Research, Commentary, and News from Health Affairs**

**Tuesday, May 5, 2020**

SPONSORED BY THE PRIMARY CARE DEVELOPMENT CORPORATION  

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Primary Care In COVID-19 Relief, Response, Resiliency Webinar Series

What does primary care need to strengthen COVID-19 response? How can
primary care reboot and reopen? Join the Primary Care Development
Corporation (PCDC) and special guests in a free, 3-part webinar series
to share insights and conversation on primary care's role in the
"new normal" and what primary care needs to sustain essential
services going forward and reopen even stronger.

Register Now >>

TODAY ON THE BLOG
COVID-19

Everyone Is Talking About Testing, But They're Thinking About It All
Wrong
By
Arthur L. Kellermann, Craig Goolsby, and Thomas D. Kirsch

If testing is increased in an uncoordinated manner, it will boost counts
of infected people but fail to generate the insights we need to tailor
our countermeasures and start reopening our economy. Read More >>

Could Coronavirus Cause The Collapse Of Our Health Care Financing
System?

By M. Gregg Bloche and Daniel Wikler

When normal politics resumes, we can and should debate the question of
whether COVID-19 has exposed flaws in our private coverage system so
profound that we need to replace it, or back it up, with a public
payment scheme. Meanwhile, let's make sure that money doesn't stand
in the way of saving lives. Read More >>

FOLLOWING THE ACA

ACA Round-Up: COVID-19 Delays, New COBRA Guidance, And More

By Katie Keith

In response to the COVID-19 crisis, the Centers for Medicare and
Medicaid Services (CMS) continues to delay enforcement of regulatory
requirements and to issue guidance for insurers that offer Affordable
Care Act plans. In a recent COVID-19 rule, CMS announced it would delay
enforcement of parts of the program integrity rule and offer flexibility
to states with the Basic Health Program. Read More >>

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IN THE JOURNAL

OPIOID USE DISORDER

Self-Help Groups And Medication Use In Opioid Addiction Treatment: A
National Analysis

By Hefei Wen, Benjamin G. Druss, and Brendan Saloner

People who receive treatment for opioid use disorder may participate in
self-help programs, receive medication, or both. Analyzing discharge
data from opioid treatment programs, Hefei Wen and coauthors find that
for most patients, medication is not part of their treatment, and only
one out of ten patients combine self-help programs and medication. Read
More >>

Impact Of Long-Term Buprenorphine Treatment On Adverse Health Care
Outcomes In Medicaid

By Hillary Samples, Arthur Robin Williams, Stephen Crystal, and Mark
Olfson

Hillary Samples and coauthors examine the effects of longer-duration
buprenorphine treatment among Medicaid enrollees. Comparing people who
sustained treatment for at least 15 months with those treated for 6-9
months, the authors find that the former have "significantly lower
probability of all-cause inpatient use, all-cause emergency use,
opioid-related hospital use, all overdose events, and prescription
opioid use in the follow-up period than in the treatment period." Read
More >>

Read the May 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Improving Outcomes

It is at the state level where perhaps the most significant breakthrough
opportunities for innovation are now emerging and where new initiatives
that explicitly embrace improved outcomes, not just processes, stand to
exert the most beneficial impact. Health Affairs Blog author Harris
Allen outlines a proposal for enacting such an initiative that seeks to
accommodate political sensitivities in Georgia
.

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About Health Affairs

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