A Weekly Health Policy Round Up From Health Affairs
 
 
 
 
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 >>

HA Event: Military Health Systems
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                               

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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 >>

HA 38/8 DataGraphic: Military Health

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.

Narrative Matters: Healing Veterans

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!

 
 
 
 
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.

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