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A Weekly Health Policy Round Up From Health Affairs
August 18, 2019
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FOLLOWING THE ACA
CMS Issues New Reports On Marketplace Enrollment
By Katie Keith (8/13/19)
Yesterday, CMS released two new reports on ACA Marketplace enrollment and trends. The first report includes a full year of Marketplace enrollment data for the 2018 plan year and preliminary effectuated Marketplace enrollment data for the 2019 plan year. The second report discusses trends in both on- and off-Marketplace enrollment for 2018. Read More >>
PUBLIC HEALTH
The Trump Administration’s New Public Charge Rule: Implications For Health Care & Public Health
By Wendy E. Parmet (8/13/19)
Although recent discussions about the Trump administration’s immigration policies have focused on the treatment of undocumented migrants and asylum-seekers at the border and in detention, the administration has also sought to curtail legal immigration and make conditions more onerous for noncitizens who are lawfully present. Unless halted by litigation, the rule will take effect on October 15, creating punishing new challenges for immigrant patients and their health care providers. Read More
>>
MEDICARE
Evaluating Medicare Programs Against Saving Taxpayer Dollars
By Hayden Rooke-Ley, Travis Broome, Farzad Mostashari, and Sean Cavanaugh
(8/16/19)
In this review, we show that the Medicare Advantage program is likely costing Medicare relative to traditional Medicare—and it is certainly falling well short of the 5 percent savings target articulated in the earliest versions of the program (Medicare+Choice). Read More >>
HEALTH INFORMATION TECHNOLOGY
Health Information Exchange After 10 Years: Time For A More Assertive, National Approach
By Michael Hochman, Judith Garber, and Edmondo J. Robinson (8/14/19)
After years of frustration, it is time for the Office of the National Coordinator for Health Information Technology (ONC) to provide clinicians, health systems, and patients with the tools they need to exchange health data effectively and efficiently.
Read More >>
CONSIDERING HEALTH SPENDING
Surprise Billing: Choose Patients Over Profits
By Hunter Kellett, Alexandra Spratt, and Mark E. Miller (8/12/19)
Surprise billing is unfair and unjust, and should be eliminated from the US health care system. Read More >>
BEHAVIORAL HEALTH CARE
Building Resilience For Greater Health And Performance: Learning From The Military
By Joachim Roski, Bruce L. Gillingham, Jeffrey Millegan, Derik R. Zitelman, Sonja V. Batten, and Eileen M. Delaney (8/12/19)
By learning which DoD programs or initiatives are particularly effective, the civilian sector can more quickly build successful efforts to strengthen resilience in all Americans. Read More >>
SYSTEMS OF CARE
States Chart A Policy Path To Improve Palliative Care Services Across The Care Continuum
By Trish Riley and Kitty Purington (8/13/19)
These recommendations offer an initial framework for states to advance the uptake and quality of palliative care services in their delivery systems.
Read More >>
ORGANIZATION OF CARE
Adopting Agile Principles In Health Care
By Bradley H. Crotty, Melek Somai, and Narath Carlile (8/15/19)
The Agile approach—if embraced by health care organizations—will enable new Agile health practices, allow care to be more adaptive and responsive to new knowledge, improve care processes to deliver more value, and allow more effective adoption of new technologies to improve patient care. Read More
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HEALTH AFFAIRS EVENTS
MILITARY HEALTH SYSTEMS
September 12, 2019
9:00 am – 12:00 pm Eastern
Reserve Officers Association – Washington, DC
REGISTRATION NOW OPEN
August Issue Table of Contents
The August 2019 issue of Health Affairs examines the health systems that serve 1.4 million active duty service members; provide care and coverage for another 8.1 million reservists,
retirees, and family members; and provide care for 9.0 million veterans. As the Military Health System (MHS) goes through a major restructuring, it also faces pressures and opportunities similar to those in the civilian sector.
Join us on September 12 when panels of authors will present their work and participate in a robust discussion on:
- The Role Of The Military Health System In Ensuring Readiness And Supporting Skills For Battlefield Support;
and
- The Complex Relationship Between Military Treatment Facilities And Purchased Civilian Care
Get event-specific emails delivered directly to your inbox.
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IN THE JOURNAL
AHEAD OF PRINT
The Relationship Between Health Spending And Social Spending In High-Income Countries: How Does The US Compare?
By Irene Papanicolas, Liana Woskie, Duncan Orlander, E. John Orav, and Ashish Jha
In this study, being released ahead of print, Irene Papanicolas and coauthors evaluated data from the Organization for Economic Cooperation and Development (OECD) on 35 OECD member states spanning the period 1980–2015, to answer three questions: How does
the US compare to other OECD countries in terms of social spending? Do countries that spend less on social services spend more on health care? Is there any evidence that increases in social spending over time are associated with decreases in health care spending? Read More >>
MILITARY HEALTH SYSTEM
No Racial Disparities In Surgical Care Quality Observed After Coronary Artery Bypass Grafting In TRICARE Patients
By Muhammad Ali Chaudhary, Elzerie de Jager, Nizar Bhulani, Nicollette K. Kwon, Adil H. Haider,
Eric Goralnick, Tracey Pérez Koehlmoos, and Andrew J. Schoenfeld
Muhammad Chaudhary and coauthors analyze data from TRICARE and find no difference in quality-of-care metrics between African American and white patients receiving coronary artery bypass grafting. Read More >>
A Collaborative To Evaluate And Improve The Quality Of Surgical Care Delivered By The Military Health System
By Peter A. Learn, Mollie J. Mullen, Pierre F. Saldinger, Peter Kreishman, Paul R. Cordts, Clifford Y. Ko, M. Margaret Knudson, and Eric A. Elster
Peter Learn and coauthors describe the MHS’s participation in the American College of Surgeons’ National Surgical Quality Improvement Program. One-third of military hospitals participated in 2014, with all forty-six qualifying hospitals participating in 2018. Read More >>Prevalence Of Unplanned Readmissions Among Patients Of Military Treatment Facilities
By Craig Holden, Kimberley Marshall-Aiyelawo, Chantell
Frazier, Joseph Dorris, Tara Fowler, Mitchell Mismash, Jenifer Meno, and Koji Nishimura
Craig Holden and coauthors examine unplanned readmission rates in military health facilities. They find a significant reduction in seven-day readmission rates for medical and surgical services in fiscal years 2011–18, consistent with broad efforts in the health care system to reduce readmissions. Read More >>
Utilization Variation In Military Versus Civilian Care: Evidence From TRICARE
By Amelia M. Bond and Stephen D. Schwab
Amelia Bond and Stephen Schwab compared geographic variation in health care use (a common proxy for efficiency) between patients with a military system and those with a civilian system primary care provider—both of which are offered in TRICARE Prime, a health plan that resembles a health maintenance organization. Read More >>
Contribution Of Care Source To Cancer Treatment Cost Variation In The US Military Health System
By Yvonne L. Eaglehouse, Mayada Aljehani, Matthew W. Georg, Olga Castellanos, Jerry S. H. Lee, Seth A. Seabury, Craig D. Shriver, and Kangmin Zhu
Using information from linked
cancer registry and administrative databases, Yvonne Eaglehouse and colleagues examined how care source contributed to cancer treatment cost variation in the Military Health System for patients who were diagnosed with colon, female breast, or prostate cancer. Read More >>
Military Telehealth: A Model For Delivering Expertise To The Point Of Need In Austere And Operational Environments
By Jeremy C. Pamplin, Konrad L. Davis, Jennifer Mbuthia, Steven Cain, Sean J. Hipp, Daniel J. Yourk, Christopher J. Colombo , and Ron Poropatich
Jeremy Pamplin and colleagues describe military telehealth as it relates to care in austere and operational environments, and suggest implications for policy, particularly with respect to the current emphasis on telehealth solutions that might not be feasible in those settings. Read More >>
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Call For Submissions: Narrative Matters Poetry Contest 2019The Narrative Matters section of Health Affairs is seeking poetry submissions
for an upcoming issue of the journal.
We are holding a poetry contest, from July 1 to August 31, looking for well-crafted poems that touch on topics related to health and health policy. Three winning poems will be announced in September. Winning poets will receive a monetary prize—$500 for first place, $300 for second, and $100 for third—as well as publication in Health Affairs, and two copies of the issue containing the winning poem.
All entries will be read and judged by Health Affairs staff.
- Limit 3 poems submitted per person. Each poem—in pdf or word doc format—should be submitted as a separate entry through our submission portal here.
- Poems must be no longer than a single-spaced page, with double spaces between stanzas
- Font size no smaller than 11 point.
- Poems must be written in English.
- Poems must be previously unpublished.
- Poems themselves should contain no personal identifiers.
You can read some earlier poems published by Health Affairs, including the winners of the 2015 Narrative Matters poetry contest, poems
by patients and consumers, poems on vulnerable populations, and poems on the cancer experience.
We look forward to reading your submissions!
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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.
Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.
Copyright © Project HOPE: The People-to-People Health Foundation, Inc.
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