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

**Thursday, July 9, 2020**

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FAST TRACK AHEAD OF PRINT

COVID-19

Shelter-In-Place Orders Reduced COVID-19 Mortality And Reduced The Rate
Of Growth In Hospitalizations

By Wei Lyu and George L. Wehby

By April 6, 2020, 42 US states plus the District of Columbia had adopted
shelter-in-place orders (SIPOs), also known as stay-at-home orders, to
mitigate the COVID-19 pandemic. Wei Lyu and George L. Wehby examined
daily death and hospitalization growth rates for states with SIPOs
compared to states without SIPOs. According to the authors, the daily
mortality growth rate for states with SIPOs declined by an average of
6.1 percentage points after 42 days from the date the SIPO was enacted.
From these estimates, the authors project 250,000-370,000 deaths were
averted by May 15. Read More >>

IN THE JOURNAL

CULTURE OF HEALTH

Among Low-Income Women In San Francisco, Low Awareness Of Paid Parental
Leave Benefits Inhibits Take-Up

By Julia M. Goodman, Holly Elser, and William H. Dow

In 2017 San Francisco supplemented a statewide paid family leave program
to provide full wage replacement for six weeks after birth. However,
Julia Goodman and coauthors find little use of the program by low-income
women. Read More >>

Read the July 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

TODAY ON THE BLOG

COVID-19

Economic Principles To Guide The Allocation Of COVID-19 Provider Relief
Funds

By Zack Cooper and Neale Mahoney

Economic theory and analysis of provider revenue data suggest that
distributing COVID-19 provider aid proportional to historical revenue is
inefficient. Instead, we should target the funding to providers at
greatest risk of closure and encourage precautionary investments and
treatment of COVID-19 patients. Read More >>

Incorporating Mental Health And Substance Abuse Screening Into COVID-19
Contact Tracing

By John M. Westfall, Megan Coffman, Lauren Hughes, and Yalda Jabbarpour

It is essential to contain the COVID-19 infection through robust contact
tracing. We call on those implementing COVID-19 contact tracing to train
this workforce to also address the projected rise in mental illness and
substance use disorder. Read More >>

PUBLIC HEALTH

Public Health: Swimming Upstream In Search Of Influence

By Walter Zelman and Gregory D. Stevens

Why is public health so underfunded and, presumably, so undervalued? And
what might be done to increase both the value of public health in the
opinions of the public and policy makers and their subsequent readiness
to increase support for public health efforts and funding?
Read More >>

FOLLOWING THE ACA

Supreme Court Upholds Broad Exemptions To Contraceptive Mandate-For
Now

By Katie Keith

On July 8, 2020, the Supreme Court upheld two Trump-era rules expanding
religious and moral exemptions to the Affordable Care Act's
contraceptive mandate. The challenge, Little Sisters of the Poor v.
Pennsylvania, was the third time in six years that the Supreme Court has
ruled on the scope of the contraceptive mandate, and it may not be the
last. Read More >>

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**A CLOSER LOOK**-Medicaid Expansion

Ongoing debate over the merits of Medicaid expansion in southern states
has focused, in part, on whether the safety net provides sufficient
access for uninsured low-income Americans. John A. Graves and coauthors
ultimately found that Medicaid expansion slowed rates of health decline
for low-income adults in southern states
,
as examined in a Health Affairs 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 .  

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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