From Health Affairs Today <[email protected]>
Subject COVID-19: Hospital Infection Control In South Korea; Medicaid: Overlap Plans Promote Continuity Of Care; Adapting Medicare Advantage Bidding For COVID-19–Related Uncertainty; Risk Corridors Litigation; Medicare’s Care Management Codes
Date May 15, 2020 7:29 PM
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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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