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A Weekly Health Policy Round Up From Health Affairs            

**August 25, 2019**

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THIS WEEK ON THE BLOG

FOLLOWING THE ACA

CMS Approves Montana Reinsurance Waiver, Issues New Direct Enrollment
Guidance

By Katie Keith (8/20/19)

This past Friday, CMS approved Montana's request to develop a
state-based reinsurance program under Section 1332 of the ACA. CMS also
recently released new guidance on direct enrollment (DE) compliance
reviews and continues to approve new enhanced direct enrollment (EDE)
entities.
Read More >>

CMS To Roll Out Nationwide Marketplace Quality Ratings

By Katie Keith (8/19/19)

On August 15, 2019, the Centers for Medicare and Medicaid Services
announced that the Marketplaces in all states will, for the first time,
display quality rating data for most qualified health plans (QHPs). Read
More >>

COSTS AND SPENDING

The Cadillac Tax Do-Over Challenge

By Karl Polzer (8/20/19)

In the long run, the cost containment war must be won for the US
employer-based coverage system to survive.
Read More >>

GLOBAL HEALTH

Controlling Ebola Requires A New Approach To Disease Outbreaks

By Pooja Yerramilli (8/19/19)

The international community must address the roots of the Ebola outbreak
and all other outbreaks going forward-with a commitment to consistent
peacekeeping, international aid, and strengthening health systems not
only in words but also in action. Read More >>

MEDICAID

The Latest Installment In The Saga Of The Medicaid Equal Access
Guarantee

By Sara Rosenbaum (8/23/19)

The newest chapter in the access saga means that in the wake of a
Supreme Court decision foreclosing private enforcement entirely, the
federal government has ended any agency commitment to a substantial
prospective administrative role in reviewing rate reductions before they
go into effect. Read More >>

ACCESS TO CARE

Democrats' Feud Over Health Care Has Deep Roots

By Richard Sorian (8/19/19)

As before, the primary phase of the campaign will help determine not
just the makeup of the Democratic ticket but also the party's desired
mix of ambition and pragmatism in its health care platform. Read More >>

STATE ISSUES

The State Of State Legislation Addressing Health Care Costs And Quality

By Roslyn Murray, Jaime S. King, Suzanne F. Delbanco, and Maclaine Lehan
(8/22/19)

While neither the federal nor state governments have cracked the code
yet on the right mix of laws to ensure high-quality, affordable health
care, states continue to be highly active, key players in developing
approaches to address some of our most vexing health care challenges.
Read More >>

RURAL HEALTH

Reflections On Public-Private Collaborations In Rural Health

By Faith Mitchell and Ann McMillan (8/22/19)

The rural landscape is complex, and no single agency or group can tackle
it alone. How can aligning efforts between the federal government and
health philanthropy yield better outcomes for rural communities? This
year's meeting held by Grantmakers In Health, the Federal Office of
Rural Health Policy, and the National Rural Health Association focused
on social determinants of health. Broadband expansion and affordable
housing were among the topics discussed. Read More >>

MATERNAL & CHILD HEALTH

As Advancements In Treatment Drive A Newborn Screening Evolution, Will
States And The Federal Government Be Able To Keep Up?

By Richard Hughes IV and Alessandra Fix (8/21/19)

To respond to advancements in science and technology, policy makers at
the state and federal levels must allocate more resources to newborn
screening programs, while working to identify and leverage systemwide
efficiencies.
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                               

Getevent-specific emails
delivered directly to your inbox.

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IN THE JOURNAL

MILITARY HEALTH SYSTEM

Provider Acceptance And Beneficiary Access Under TRICARE's PPO Health
Plan

By Yonatan Ben-Shalom, Eric Schone, and Richard Bannick

Yonatan Ben-Shalom and colleagues describe beneficiary access and
utilization and provider participation in TRICARE's PPO plans in Prime
and non-Prime markets, and compare individual market rankings for access
and acceptance. Read More >>

TRICARE For Children: Between Medicaid And Marketplace Plans For
Comprehensiveness And Cost Sharing

By Joseph S. Zickafoose, Amanda Lechner, and Thomas Williams

Almost two million children receive coverage through TRICARE. Joseph
Zickafoose and coauthors compare the comprehensiveness of this coverage
to that of Medicaid and Affordable Care Act Marketplace plans in five
large states. Read More >>

Navy Medicine Introduces Value-Based Health Care

By Alee Hernandez, Robert S. Kaplan, Mary L. Witkowski, C. Forrest
Faison III, and Michael E. Porter

In 2016 the surgeon general of the Navy launched a value-based health
care pilot project to explore whether multidisciplinary care teams and
measurement of outcomes could improve the readiness of active duty
personnel and lower the cost of delivering care to them, their
dependents, and local retirees. This article describes the formation of
the project's leadership structure, the selection of four conditions
to be treated, the creation of the care team for each condition, the
outcomes and costs measured, and the near-term changes in outcomes
during the twelve-month pilot period. Read More >>

The Impact Of Military Parents' Injuries On The Health And Well-Being
Of Their Children

By Elizabeth Hisle-Gorman, Apryl Susi, and Gregory H. Gorman

Children of parents who are injured while serving in the military are at
increased risk of various poor health outcomes. Elizabeth Hisle-Gorman
and coauthors examine data for children two years before and two years
after parental injuries and find that these children "received
decreased preventive health care and had increased health care visits
for injury, maltreatment, and mental health care and increased days on
psychiatric medications."
Read More >>

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NARRATIVE MATTERS

Healing Veterans Requires Caring For The Whole Person

By Wayne Jonas

A new, integrative approach to care is changing the way veteran and
military health care is practiced. Read More >>

Listen to the podcast here.

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Call For Submissions: Narrative Matters Poetry Contest 2019

The 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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mailto:[email protected]

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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