A Weekly Health Policy Round Up From Health Affairs
 
 
 
 
 
A Weekly Health Policy Round Up From Health Affairs            

July 12, 2020

IN THE JOURNAL
Health Affairs March 2020

NEW ISSUE:
FOOD, INCOME, WORK & MORE

The July issue of Health Affairs contains articles examining programs and initiatives outside the health care system that affect people’s health—factors that promote a culture of health.

The culture of health content in the July issue was supported by the Robert Wood Johnson Foundation.

Read the July 2020 table of contents.

Fast-Track Ahead of Print

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 >>

CULTURE OF HEALTH


Impact Of The Healthy, Hunger-Free Kids Act On Obesity Trends
By Erica L. Kenney, Jessica L. Barrett, Sara N. Bleich, Zachary J. Ward, Angie L. Cradock, and Steven L. Gortmaker

The Healthy, Hunger-Free Kids Act of 2010 established policies to improve the nutritional quality of food served through subsidized and free breakfast and lunch programs. Using national data from the period 2003–18, Erica Kenney and coauthors estimate the extent to which childhood obesity trends were affected by the law. For children in poverty the odds of having obesity increased each year leading up to the law but began decreasing after its implementation. Read More >>


HA 39/7 Kenney et al.

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 >>


LEADING TO HEALTH: DETERMINANTS OF HEALTH

Community Workers Lend Human Connection To COVID-19 Response
By Rob Waters

Systems are investing in workers who come from the communities they serve to meet patient needs that extend well beyond clinic walls. Read More >>

This article appears in Health Affairs’ series on Leading To Health.

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THIS WEEK ON THE BLOG

COVID-19

Health Care Workers In Crisis—Efforts Toward Normalizing A Sustainable Workplace Culture
By Rebekah E. Gee, William R. Boles, Jay A. Kaplan, Alexandra D. Drane, and Diane E. Meier (7/10/20)

Studies have documented that physicians and nurses experience higher rates of post-traumatic stress disorder and depression, especially among those who staff intensive care units and emergency departments. We must allow COVID-19 to be the catalyst for this necessary culture change to reduce the stressors that lead to burnout and harm to both health care workers and their patients. Read More >>


How Is Rural Philanthropy Responding To COVID-19? Under The Radar.
By Allen Smart (7/9/20)

Rural COVID-19 cases are growing at a quicker rate than urban cases are, and COVID-19's effects in rural areas are disproportionately on communities of color. With fewer nonprofit and governmental resources available now, rural funders are particularly vital because of their role in immediate response to COVID-19 and also because of their helping rural communities to face the longer-term consequences. Examples of private and government funding in response to this crisis are included. Read More >>


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 (7/9/20)

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 >>


Can Contact Tracing Work At COVID Scale?
By Amit Kaushal and Russ B. Altman (7/8/20)

Large-scale contact tracing needs to track down as many leads as possible while minimizing the disruption to healthy peoples’ lives. We need a data infrastructure to calibrate these efforts.
Read More >>


Re-Envisioning Clinical Trials During The COVID-19 Pandemic
By Deborah Plana, Andrea Arfè, and Michael S. Sinha (7/8/20)

Existing research efforts are largely being set aside in favor of a new, urgent goal: testing, treating, and preventing the disease caused by the novel SARS-CoV-2 coronavirus.
Read More >>



How To Implement Contact Tracing That Works—Without Exacerbating Health Inequities
By E. Jennifer Edelman, Christopher A. Cole, and Marjorie S. Rosenthal (7/7/20)

While contact tracing will be a critical part of the response to gain control of COVID-19, its implementation should be informed by lessons from HIV. Proactive efforts such as those we’ve outlined here must be used to avoid exacerbating the unacceptable growing health inequities among racial and ethnic minorities. Read More >>



COVID-19 Effects On Care Volumes: What They Might Mean And How We Might Respond

By Michael Chernew, A. Mark Fendrick, Kyle Armbrester, and François de Brantes (7/6/20)

How might the decline in care utilization connected to COVID-19 affect the health of patients, and what might differential utilization rates and associated outcomes tell us about the value of particular treatments and ways to make care more efficient?
Read More >>

SYSTEMS OF CARE

Look Beyond Hotspotting To Focus On A Broader Population’s Unmet Social Needs

By Joshua Seidman, Rina Bardin, Amanda Napoles, and Mali Khan (7/10/20)

Although the Camden Coalition relies almost exclusively on hospital claims data, additional data sources are often required to identify underlying risk factors, which may provide a deeper understanding of who truly requires intensive intervention. Read More >>


ACCESS TO CARE


Measure The Impact Of The ONC’s New Interoperability Rules Now
By Mark Savage, Aaron Neinstein, and Julia Adler-Milstein (7/7/20)

The new regulations published by the Office of the National Coordinator for Health Information Technology take significant steps toward interoperability, but without near-term proxy measures now—and more robust, improved measures soon—we risk stumbling forward in the dark.
Read More >>


Private Equity And Right To Try: A Dangerous Combination
By Holly Fernandez Lynch, Kelly McBride Folkers, and Arthur L. Caplan (7/6/20)

Two years after the federal Right to Try Act was signed into law, it’s barely been used at all. A new for-profit cancer clinic is aiming to change that. However, this initiative poses serious concerns for patients and illustrates the flaws of right to try.
Read More >>


MEDICAID

CMS’s Proposed Medicaid Best Price Loophole For Value-Based Purchasing Of Drugs
By Peter B. Bach (7/6/20)

Before the administration creates a huge loophole in Medicaid best price for value-based purchasing agreements for drugs, it should ask if it’s even a good policy idea to encourage them. Probably not, but if so, how can the administration’s proposal do less damage to the Medicaid program? Read More >>



QUALITY OF CARE


Transforming Health Care Measurement By Partnering With Patients And Caregivers

By Hala Durrah, Karen Frazier, Stephen Hoy, Mary Lavelle, Dilani Logan, and
Ellen Schultz (7/6/20)


In a high-performing health care system, measurement drives progress toward safe, effective, efficient, timely, equitable, and patient-centered care. It identifies priority areas for improvement, promotes accountability, and more. However, to make sure that measurement reflects what patients say they want and need, researchers must partner with patients and caregivers and value their experiences, these authors say. They describe foundation-supported work to put patient-centered measurement into practice in the real world. Read More >>

Health Affairs COVID-19 Resource Center
 
 
 
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.  

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