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A Weekly Health Policy Round Up From Health Affairs
July 12, 2020
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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.
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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 >>
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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 >>
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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 >>
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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 >>
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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 >>
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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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