From Health Affairs Today <[email protected]>
Subject COVID-19: The Infection Fatality Rate, Senator Bill Cassidy On Exposure Registries, Fraud, Learning From Self-Triage Websites; Contraceptive Mandate Rules; Neonatal Abstinence Syndrome
Date May 7, 2020 8:09 PM
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**The Latest Research, Commentary, and News from Health Affairs**

**Thursday, May 7, 2020**

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FAST TRACK AHEAD OF PRINT

Estimating The Infection Fatality Rate Among Symptomatic COVID-19 Cases
In The United States

By Anirban Basu

Ascertaining the infection fatality rate (IFR) of COVID-19 infections is
essential in combating this pandemic. Anirban Basu selected 116
counties, spanning 33 states, with a total of 40,835 confirmed cases and
1,620 confirmed deaths through April 20, 2020, to calculate that the IFR
in the US is 1.3 percent, with significant variations across counties.
Read More >>

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

The Need for "Exposure Registries" For Novel Coronavirus

By Bill Cassidy

To save lives and reopen the economy as soon as possible, the United
States should expand existing information systems, to make use of novel
coronavirus (nCV) exposure history to aid in the public health response.
We have both the technical capability and the privacy infrastructure
necessary to create nCV "exposure registries" that are effective and
in accordance with the rights of Americans. Read More >>

The COVID-19 Epidemic As A Catalyst For Health Care Fraud

By Michael Adelberg and Melissa Garrido

There are compelling health policy arguments for relaxing regulatory
processes and requirements during a national emergency-strong action
is necessary to address the COVID-19 crisis. Yet while leaders across
the federal agencies are focused on consumer-facing COVID-19 scams,
there is not yet corresponding concern on payer-facing fraud and waste.
Read More >>

Getting The Most Out Of Self-Triage Websites: Experiences With COVID-19
And Principles For The Future

By Justin D. Schrager, Alexander P. Isakov, David W. Wright, and Annay
Q. Yaffee

We describe the steps that our group used to develop its self-triage
website, and we examine what can be done in the short term to marry the
data from the disparate self-triage systems to enhance and improve our
nation's response to COVID-19. We also discuss what can be done in the
longer term so that we don't engage in duplicative effort when the
next pandemic inevitably comes. Read More >>

FOLLOWING THE ACA

Supreme Court: No Clear Consensus On Contraceptive Mandate Rules

By Katie Keith

On May 6, 2020, the Supreme Court heard one hour of oral argument over
the validity of Trump-era rules to expand exemptions to the
contraceptive mandate for religious or moral reasons. This post focuses
on the questions asked by the justices and potential outcomes of the
case.
Read More >>

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IN THE JOURNAL

BEHAVIORAL HEALTH CARE

State Policies That Treat Prenatal Substance Use As Child Abuse Or
Neglect Fail To Achieve Their Intended Goals

By Danielle N. Atkins and Christine Piette Durrance

In response to the opioid crisis, some states have taken the approach of
considering substance use during pregnancy to be a form of child abuse.
Danielle Atkins and Christine Durrance examine hospital discharge data
and find that in states with these policies, there is no reduction in
neonatal abstinence syndrome, while there are lower rates of admission
to substance use programs by pregnant women. Read More >>

MATERNAL & CHILD HEALTH

Neonatal Abstinence Syndrome In The United States, 2004-16

By Ashley A. Leech, William O. Cooper, Elizabeth McNeer, Theresa A.
Scott, and Stephen W. Patrick

Ashley Leech and colleagues report that after almost two decades of
increases, rates of neonatal abstinence syndrome reached a plateau in
2014. Read More >>

Read the May 2020 Table of Contents
.

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**A CLOSER LOOK**-Family Caregivers
To identify, assess, and support family caregivers, we need to know who
they are, what they are doing (or are expected to do), and what
instruction and support they need. In a Health Affairs Blog post, Carol
Levine writes that policies designed to help family caregivers should be
based on a realistic assessment of what family caregivers do and what
they need
.

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