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**The Latest Research, Commentary, and News from Health Affairs**

**Wednesday, June 17, 2020**

TODAY ON THE BLOG
COSTS & SPENDING

CMS's Proposed Rule On Value-Based Purchasing For Prescription Drugs:
New Tools For Negotiating Prices For The Next Generation Of Therapies

By Seema Verma

A proposed rule released today by the Centers for Medicare and Medicaid
Services aims to empower commercial plans to negotiate value-based
purchasing arrangements for prescription drugs while extending these
discounts to Medicaid programs. The proposed rule is designed to ensure
that the Medicaid Best Price accurately captures both the prices that
are paid in new types of payment models and the circumstances in which
those prices are paid. Read More >>

COVID-19

A Systematic Approach To Mitigate The Spread Of COVID-19 In Immigration
Detention Facilities

By Parsa Erfani, Caroline Lee, Nishant Uppal, and Katherine Peeler

The COVID-19 pandemic is exposing the dangerous conditions under which
detained immigrants are being held. The release of detainees from
facilities is of the highest priority. However, mass testing of
detainees, improving access to health care, and establishing an
ombudsman office to inspect facilities and respond to misconduct are all
necessary while litigation is pending. Read More >>

How States Are Facilitating Medicaid Enrollment During COVID-19-And
How They Can Do Even More

By Rebecca Landucci, Jennifer E. Moore, Clare C. Brown, Caroline E.
Adams, Nicole Truhe, and Mark Larson

As the pandemic continues to impact rates of unemployment, many will
rely on Medicaid as a critical source of health coverage and access to
care. Given the large number of potential applicants, states have an
opportunity to adopt strategies to make the application and enrollment
processes easier and more efficient for potential applicants. Read More
>>

COVID-19 Leads To 50 Percent Fewer ED Encounters At Major Hospitals In
New Orleans

By Rebekah E. Gee, Scott Mackey, Pete Croughan, and Will Boles

Clinicians in many places (including New Orleans) are seeing an alarming
trend right now-fewer visits to the emergency department. The need to
mobilize means for widespread awareness of both COVID-19 and the effects
of delayed care is urgent. Read More >>

FOLLOWING THE ACA

EEOC Will Advance New Wellness Regulations

By Katie Keith

In a public meeting on June 11, 2020, the Equal Employment Opportunity
Commission (EEOC) voted, by 2-1, to advance a new notice of proposed
rulemaking on wellness programs. The EEOC intends to move forward with
the proposed rule after parts of its last regulation were invalidated in
court and even as the value of wellness programs has been refuted in
several recent studies. This post summarizes the status of regulations
for wellness programs, the comments made during the public meeting, and
what to expect next. Read More >>

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IN THE JOURNAL

PHARMACEUTICALS & MEDICAL TECHNOLOGY

Estimating The Cost Of Delayed Generic Drug Entry To Medicaid

By Chintan V. Dave, Michael S. Sinha, Reed F. Beall, and Aaron S.
Kesselheim

Chintan Dave and coauthors find that of sixty-nine brand-name drugs that
were expected to lose market exclusivity in the period 2010-16,
generic entry was delayed by at least one calendar quarter for
thirty-one, usually at least in part because of patent litigation. Total
estimated costs to the Medicaid program over this period due to delays
were in excess of $700 million. Read More >>

Read the June 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Rural Health Access

The insufficient health resources in rural areas lead to inadequate care
in all fields of medicine. In a November 2019 post on Health Affairs
Blog, Robert Brodell takes a closer look at the disparities within
dermatology
,
suggesting that the gap can be bridged through applying innovative
approaches such as rural residencies, community clinics, and
teledermatology.

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About Health Affairs

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