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The Latest Research, Commentary, and News from Health Affairs
Monday, July 8, 2019
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IN THE JOURNAL
EYE ON HEALTH REFORM
ACA Heads Back To Supreme Court
Katie Keith previews a case the Supreme Court has agreed to hear in
the next term, Moda Health Plan, Inc. v. United States. The case concerns whether insurance companies should be fully reimbursed by the Department of Health and Human Services (HHS) for losses during the first years of the Affordable Care Act (ACA) Marketplaces. Keith traces the history of the risk corridors program, which was one of the ACA’s premium stabilization efforts, and the paths the insurance companies’ legal challenges have taken since 2016, following HHS’s reduced risk corridor payments to those companies. Read More >>
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Hot Articles in June
Care For America’s Elderly And Disabled People Relies On Immigrant Labor
By Leah Zallman, Karen E. Finnegan, David U. Himmelstein, Sharon Touw, and Steffie Woolhandler
Impact Of Physicians, Nurse Practitioners, And Physician Assistants On Utilization And Costs For Complex Patients
By Perri A. Morgan, Valerie A. Smith, Theodore S. Z. Berkowitz, David Edelman, Courtney H. Van Houtven, Sandra L. Woolson, Cristina C. Hendrix, Christine M. Everett, Brandolyn S. White, and George L. Jackson
Home Health Care For Children With Medical Complexity: Workforce Gaps, Policy, And Future Directions
By Carolyn C. Foster, Rishi K. Agrawal, and Matthew M. Davis
Community Care For High-Need Patients
A Large-Scale Advanced Illness Intervention
Informs Medicare’s New Serious Illness Payment Model
By Brad Stuart, Elizabeth Mahler, and Praba Koomson
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TODAY ON THE BLOG
MEDICAID
For An Option To Address Social Determinants Of Health, Look To Medicaid
By Karen DeSalvo and Michael O. Leavitt
Partnerships between state Medicaid programs and key stakeholders, such as MCOs, health care providers, and consumers, to pilot and evaluate strategies to address SDOH pose a unique opportunity to develop promising models. Read More >>
FOLLOWING THE ACA
ACA Round-Up: Texas v. U.S., Montana Waiver, Risk Adjustment Report, and More
By Katie Keith
Recent days have brought a flurry of activity in Texas v. United States, the lawsuit challenging the validity of the ACA. Montana’s reinsurance waiver was deemed complete, and
New Jersey and Pennsylvania passed legislation to transition to state-based marketplaces. Finally, CMS released its summary risk adjustment report for 2018 detailing about $10.4 billion in transfers. Read More >>
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HEALTH AFFAIRS EVENTS
SAVE THE DATES
Military Health Briefing – September 12
Aging and Health Briefing – September 24
Violence and Health Briefing – October 10
Culture of Health Briefing – November 7
Rural Health Briefing – December TBD
Get notified when there’s more information available on these events.
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A CLOSER LOOK— Acupuncture
Medicare is considering whether to pay for acupuncture to treat chronic low-back pain. A Health Affairs Blog post on Choosing Wisely discussed encouraging low-tech, high-touch care like acupuncture that has been shown to be effective for certain chronic conditions.
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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.
Health Affairs, 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814, United States
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