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

**Wednesday, July 1, 2020**

TODAY ON THE BLOG
COVID-19

Expand COVID-19 Testing With Real-Time Processing Through Community
Pharmacies

By S. Lawrence Kocot

The Emergency Prescription Assistance Program was designed to be
flexible. It could be expanded and leveraged by states to increase the
current capacity for local community diagnosis testing for COVID-19 and
to facilitate the eventual distribution of COVID-19 vaccines. Read More
>>

COVID-19 And The Financial Viability Of US Rural Hospitals

By Ge Bai and Gerard F. Anderson

COVID-19 imposes financial challenges on rural hospitals that were
already struggling prior to the pandemic. Structural changes, notably
paying for standby services, are needed to fundamentally improve rural
hospital financial viability. Read More >>

HEALTH CARE FINANCE

Why States' 'Netflix Model' Prescription Drug Arrangements Are No
Silver Bullet

By Harry Liu and Andrew Mulcahy

Despite the buzz and catchy notion, it's hard to come up with a
theoretical case that supports subscription models over traditional
price negotiation between payers and manufacturers over a per-dose or
per-unit price. Read More >>

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FOLLOWING THE ACA

Access To ACA Coverage In The COVID-19 Crisis

By Katie Keith

The Centers for Medicare and Medicaid Services reports increased
marketplace enrollment during the pandemic through existing special
enrollment periods (SEPs), but many believe a broad SEP that would allow
any uninsured person to enroll is necessary to meet the enormous need.
Read More >>

MONTHLY GRANTWATCH ROUND-UP

The COVID-19 Crisis: An Opportunity To Build A Fairer, Healthier Nation

By Nadia J. Siddiqui, Dennis P. Andrulis, Derek A. Chapman, Kimberly
Wilson, Beth Jacob, Gail C. Christopher, and Naima Wong Croal (6/24/20)

Creating conditions for all communities to thrive is central to
containing the immediate spread and adverse outcomes of COVID-19, and to
building a country better prepared to respond to future crises. The
Health Opportunity and Equity (HOPE) Initiative, funded by the Robert
Wood Johnson Foundation, provides an interactive data tool showing where
the US and states are doing well, and could do better, on reaching
health equity goals. Now focused on COVID-19 and health inequities, HOPE
uses data from The COVID Tracking Project for its analyses.
Read More >>

Expanding Access To Treatment For Opioid Use Disorder: The Pandemic
Presents A Learning Opportunity

By Karen Scott (6/12/20)

A national funder that launched in 2018 decided that its first priority
should be making it easier for people with opioid use disorder to access
evidence-based treatment services. The foundation wanted to focus on
groups with the highest risks of overdose deaths, including people
leaving correctional facilities, postpartum women, and residents of
remote, rural, and inner-city areas. Then COVID-19 hit. The foundation
has adapted to the pandemic and aims to learn from it. Read More >>

The Movement Toward Equity: One Philanthropy's Shifting Role In
Catalyzing Change

By Kristy Klein Davis (6/3/20)

The Missouri Foundation for Health is carving out a unique niche for
itself as a "changemaker" in that state. It is working "collaboratively
to build communities where inequities in health and well-being are
nonexistent," says its chief strategy officer. For example, the
foundation has been working to eliminate "the root causes of infant
mortality, including dismantling structural racism embedded in our
health care systems." Read M
ore
>>

What Have Foundations Been Doing In The Fight Against COVID-19? Part III

By Lee-Lee Prina (5/28/20)

During this difficult time, foundations around the country have come
forward to help-with funding for a variety of purposes, including
useful surveys and publications. In this small sampling, read about the
varied ways foundations are aiding people around the world, the US,
their state, or their region. This is Part III of a GrantWatch series.
Read More >>

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IN THE JOURNAL

ACCOUNTABLE CARE

Accountable Care Organizations' Increase In Nonphysician Practitioners
May Signal Shift For Health Care Workforce

By David J. Nyweide, Woolton Lee, and Carrie H. Colla

Both the number and the size of accountable care organizations (ACOs) in
the Medicare Shared Savings Program have been increasing. The number of
ACOs rose from 220 in 2013 to 548 in 2018, while the average number of
participating clinicians in ACOs increased from 263 to 653. Although
increases occurred for primary care physicians (from an average of 141
to 251) and medical specialists (from an average of 76 to 157), the
increase for nonphysician practitioners (from an average of 47 to 245)
was the largest. Read More >>

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GRANTWATCH

Funders' Efforts: Aging And Health, COVID-19

By Lee L. Prina

The June 2020 GrantWatch column offers a sampling of how foundations are
helping older people. The John A. Hartford Foundation, for example,
awarded a large grant aiming "to improve the quality of care and
outcomes for older adults in retail clinic settings." You can also read
about the SCAN Foundation's work related to California's Master Plan for
Aging. (Gov. Gavin Newsom announced that plan in June 2019.) Content on
falls prevention, as well as COVID-19, is also included. In the Key
Personnel Changes section, read about Bruce Chernof's upcoming
retirement from the SCAN Foundation, and more in the column. Read More
>>

Read the June 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

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IN THE MEDIA

Fast Track Ahead of Print article, "Community Use Of Face Masks And
COVID-19: Evidence From A Natural Experiment Of State Mandates In The US
," is
featured in today's Washington Post.

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**A CLOSER LOOK**-End-Of-Life Expenditures

Health care spending in the months before death varies across geographic
areas but is not associated with outcomes. Using data from the
prospective multiregional Cancer Care Outcomes Research and Surveillance
Consortium (CanCORS) study, Health Affairs authors assessed the extent
to which such variation is explained bydifferences in patients'
sociodemographic factors, clinical factors, and beliefs; physicians'
beliefs; and the availability of services
.

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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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