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**The Latest Research, Commentary, and News from Health Affairs**
**Friday, May 15, 2020**
TODAY ON THE BLOG
COVID-19
The Role Of Hospital Infection Control In Flattening The COVID-19 Curve:
Lessons From South Korea
By Ron C. Li and Doo Ryeon Chung
The role of hospitals in the fight against COVID-19 must be expanded
from treating sick patients to also serving the public health mission of
preventing future disease outbreaks. These efforts need to be
coordinated at scale to not just flatten the curve but also to keep it
flat.
Read More >>
MEDICAID
Overlap Plans Could Become An Important Option To Promote Continuity Of
Care And Contain Health Care Costs During A Recession
By Katherine Hempstead and Joanna Seirup
As Medicaid enrollment grows during the COVID-19 pandemic, overlap plans
(plans offering both Marketplace and Medicaid managed care coverage) may
play an increasingly important role in advancing continuity of care and
containing growth in premium costs in many counties across the country.
Read More >>
MEDICARE
Adapting Medicare Advantage Bidding For COVID-19-Related Uncertainty
On Claims: A Proposal
By Steven M. Lieberman
Establishing temporary high-cost reinsurance and risk corridors-now
available to stand-alone prescription drug plans but not Medicare
Advantage (MA) plans-would significantly mitigate risk and limit
disruption in the MA market until the impacts of COVID-19 become better
understood.
Read More >>
FOLLOWING THE ACA
Risk Corridors Litigation: The Gift That Keeps On Giving
By Katie Keith
On April 27, the Supreme Court ruled 8-1 that insurers were entitled to
more than $12 billion in unpaid risk corridors payments. One might think
that such a resounding decision would close this chapter in Affordable
Care Act litigation. But things are rarely so simple with the ACA.
Read More >>
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IN THE JOURNAL
PRIMARY CARE
Medicare's Care Management Codes Might Not Support Primary Care As
Expected
By Sumit D. Agarwal, Michael L. Barnett, Jeffrey Souza, and Bruce E.
Landon
To compensate physicians and their practices for activities that occur
outside of traditional face-to-face visits, the Centers for Medicare and
Medicaid Services introduced two new payment codes to the Medicare
Physician Fee Schedule for services related to transitional care
management (TCM) and chronic care management (CCM). Rates of adoption of
these codes have been low. To understand the patterns of adoption, Sumit
D. Agarwal and coauthors compared characteristics of the practices that
billed for these services to those of the practices that did not and
determined the extent to which a practice other than the beneficiary's
usual primary care practice billed for the services. Read More >>
Read the May 2020 Table of Contents
.
Subscribe to Health Affairs for full journal access.
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IN THE MEDIA
Yesterday's Fast Track Ahead of Print article, "Strong Social Distancing
Measures In The United States Reduced The COVID-19 Growth Rate
," is
featured in today's Washington Post.
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**A CLOSER LOOK**-TRICARE
TRICARE provides health care benefits to nearly two million children of
active duty, retired, National Guard, and reserve service members. Child
health advocates and congressional reports have raised questions
regarding the adequacy of these benefits compared with other sources of
children's health insurance. To help address these questions, Joseph
S. Zickafoose, Amanda Lechner, and Thomas Williams compared TRICARE
benefits with benefits from Medicaid and Marketplace plans
because they represent alternative sources of coverage for many of the
families enrolled in TRICARE.
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About Health Affairs
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