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The Latest Research, Commentary, and News from Health Affairs
Thursday, May 21, 2020
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FAST TRACK AHEAD OF PRINT
Disparities In Outcomes Among COVID-19 Patients In A
Large Health Care System In California By Kristen M. J. Azar, Zijun Shen, Robert J. Romanelli, Stephen H. Lockhart, Kelly Smits, Sarah Robinson, Stephanie Brown, and Alice R. Pressman
As the COVID-19 pandemic spreads throughout the United States, there is growing evidence that racial and ethnic minorities and socioeconomically disadvantaged groups bear a disproportionate burden of illness and death. Kristen Azar and coauthors analyzed the medical records of COVID-19 patients at Sutter Health, a large integrated health network in Northern California, to measure potential disparities. After analyzing 1,052 confirmed COVID-19 cases from January 1 to April 8, 2020, the authors observed that, compared with non-Hispanic white patients, African Americans had 2.7 times the odds of hospitalization, after adjusting for
age, gender, comorbidities, and income. Read More >>
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TODAY ON THE BLOG COVID-19
Independent Primary Care Practices Are Small Businesses, Too By Donna
R. Shelley, Ji Eun Chang, Alden Lai, Ann M. Nguyen, and Carolyn A. Berry
Missing from state and national discussions about the impact of COVID-19 on hospitals and small businesses is discussion of the impact on smaller independent primary care practices and how to aid them. Despite recent trends, independent primary care practices continue to play a major role in US health care delivery—more than half of primary care visits occur in these practice settings. Read More >>
After COVID-19: How To Rejuvenate Primary Care For The Future By Thomas Bodenheimer and Brian Yoshio Laing
Ending the hegemony of the face-to-face visit and rebalancing the appointment template toward 50 percent distance visits are likely to improve patient access while reducing work and burnout. Read More >>
PRIMARY CARE
Primary Care Is Hurting: Why Aren’t Private Insurers Pitching In? By Leemore Dafny and J. Michael McWilliams
We propose a simple solution that would deliver funds where needed, and promptly: Insurers could multiply their reimbursements for primary care by a common factor, such as 1.5. This “primary care boost” should extend through the end of 2020 and be retroactive to March 15, to compensate providers who remained open in spite of lower revenues, higher costs, and the risks to themselves and their families. Read More
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ORAL HEALTH CARE
Connecting Low-Income Children To Dental Care: An Innovative Partnership In Washington State By Vanetta Abdellatif and Kimberly Craven
For more than 20 years, the Access to Baby and Child Dentistry (ABCD) program, in Washington State, has connected Medicaid-enrolled children under age six to dental care in their local communities. Washington is "a national leader" in the percentage of these young children receiving dental care. Arcora Foundation has been a long-time supporter of ABCD, a public–private partnership, which continues to shift its focus and dollars from treatment to prevention. Read More >>
FOLLOWING THE ACAACA Round-Up: NH 1332 Waiver, Risk Adjustment, And Quality Reporting By Katie Keith
The Centers for Medicare and Medicaid Services continues to issue new guidance and materials on coronavirus effects on Affordable Care Act implementation. This post summarizes New Hampshire’s application for a waiver under Section 1332, new materials on the risk adjustment program, and additional coronavirus-related delays to ACA programs. Read More >>
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A CLOSER LOOK—Vulnerable Populations
Understanding regional variation in the effect of the Affordable Care Act (ACA) on health insurance coverage among vulnerable populations such as American Indian and Alaska Native adults has important policy implications. Leah Frerichs and coauthors examined regional differences in coverage among American Indians and Alaska Natives before and after the ACA in a Health Affairs research article.
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About Health Affairs
Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday
Update.
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