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

**Wednesday, May 13, 2020**

TODAY ON THE BLOG
COVID-19

How To Maintain Momentum On Other Public Health Initiatives Even As
COVID-19 Rages: Lessons From Pakistan

By Hina Khalid and Erika G. Martin

As low- and middle-income countries (LIMCs) respond to the COVID-19
pandemic, it is imperative to ensure that other public health priorities
continue to receive necessary support to maintain progress. Ongoing
investments in more general health system strengthening can help LIMCs
be more prepared to respond to future public health crises. Read More >>

COVID-19 Testing: Lessons From The HIV Testing Experience

By Ronald O. Valdiserri, Gary R. West, and David R. Holtgrave

Policy makers and legislators must embrace a broad vision that extends
beyond diagnostic testing when developing and funding strategies in
response to the COVID-19 pandemic. There is benefit in considering how
the cumulative experience of implementing public health HIV testing
programs might inform the direction of future programs to test for
SARS-CoV-2, especially in terms of the systems and structures necessary
to support widespread testing for prevention purposes. Read More >>

MEDICARE

Medicare's Reliance On Acute Hospitalization Rates Could Undercut The
Impact Of Its Primary Care First Program

By Leah M. Marcotte, Amol S. Navathe, Jonathan Staloff, and Joshua M.
Liao

Given the potential for primary care reform to improve outcomes, it is
critical that policy and practice leaders avoid unintended consequences
of program participation, engagement, and success. Read More >>

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IN THE JOURNAL

CONSIDERING HEALTH SPENDING

Wide State-Level Variation In Commercial Health Care Prices Suggests
Uneven Impact Of Price Regulation

By Michael E. Chernew, Andrew L. Hicks, and Shivani A. Shah

Michael Chernew and coauthors find that "prices charged for health
care services in the commercial market are well above those paid by
Medicare." Using IBM MarketScan data, they report overall
commercial-to-Medicare payment ratios of 2.16 for outpatient facility
services, 2.06 for inpatient hospital services, and 1.63 for
professional services. These ratios varied significantly across states,
implying that using Medicare payment rates as a benchmark would have
differential effects in different markets. Read More >>

Physician Prices And The Cost And Quality Of Care For Commercially
Insured Patients

By Mark A. Unruh, Yongkang Zhang, Hye-Young Jung, Manyao Zhang, Jing Li,
Eloise O'Donnell, Fabrizio Toscano, and Lawrence P. Casalino

Using data from the Health Care Cost Institute, Mark Unruh and coauthors
analyze the relationship between physician prices and the cost and
quality of care for commercially insured patients. Read More >>

These articles appear in the series Considering Health Spending
.

Read the May 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Civil Commitment

The need to strike a proper balance between guarding civil liberties
while ensuring public welfare is an important discussion, especially in
light of what appears to be an increasing number of high-profile
tragedies that might call for commitment law reform. John Snook examines
the realcivil commitment crisis and how to solve it
in
a Health Affairs Blog post from May 2018.

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About Health Affairs

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