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A Weekly Health Policy Round Up From Health Affairs
July 19, 2020
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FAST TRACK AHEAD OF PRINT
COVID-19 FEATURE TOPIC—NYC Health + Hospitals
The COVID-19 Shadow Pandemic: Meeting Social Needs For A City In Lockdown
By Jenifer Clapp, Alessandra Calvo-Friedman, Susan Cameron, Natalie Kramer, Samantha Lily Kumar,
Emily Foote, Jenna Lupi, Opeyemi Osuntuyi, and Dave A. Chokshi
Addressing patients’ social needs is key to helping patients heal from coronavirus disease 2019 (COVID-19), preventing the spread of the virus, and reducing its disproportionate burden on low-income communities and communities of color. Read More >>
Coping With Trauma, Celebrating Life: Reinventing Patient And Staff Support During The COVID-19 Pandemic
By Eric Wei, Jeremy Segall, Yvette Villanueva, Linh B. Dang, Vladimir I. Gasca, M. Pilar Gonzalez, Matilde Roman, Ivelesse Mendez-Justiniano, Andrea G. Cohen, and Hyung J. Cho
The COVID-19 pandemic presented unprecedented challenges to the New York City Health + Hospitals (NYC H+H) system. Besides ramping up capacity and adapting operations quickly to handle the patient surge, NYC H+H had to find new ways to provide emotional and psychological support for patients, families, and staff. Read More >>
Using Information Technology To Improve COVID-19 Care At New York City Health + Hospitals
By R. James Salway, David Silvestri, Eric Wei, and Michael Bouton
As the COVID-19 pandemic surged in New York City, the city’s public hospital system, New York City Health + Hospitals (NYC H+H), recognized that innovative technological solutions were needed to respond to the crisis. Read More >>
COVID-19
COVID-19 And Racial/Ethnic Disparities In Health Risk, Employment, And Household Composition
Thomas M. Selden and Terceira A. Berdahl
Thomas Selden and Terceira
Berdahl used data from the Medical Expenditure Panel Survey to explore potential explanations for racial-ethnic disparities in COVID-19 hospitalizations and mortality. Read More >>
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CULTURE OF HEALTH
The Association Of A Sweetened Beverage Tax With Changes In Beverage Prices And Purchases At Independent Stores
By Sara N. Bleich, Hannah G. Lawman, Michael T. LeVasseur, Jiali Yan, Nandita Mitra, Caitlin M. Lowery, Ana Peterhans, Sophia Hua, Laura A. Gibson, and Christina A. Roberto
A number of countries around the world and cities in the US have adopted sugar-sweetened beverage taxes with the goal of reducing consumption and raising revenue. Sara Bleich and coauthors examine data from Philadelphia, focusing on sales at small, independent stores, which can receive frequent visits by residents, particularly in low-income communities. Read More >>
Cost-Effectiveness Of A Workplace Ban On Sugar-Sweetened Beverage Sales: A Microsimulation
Model
By Sanjay Basu, Laurie M. Jacobs, Elissa Epel, Dean Schillinger, and Laura Schmidt
Another approach to reducing consumption of sugar-sweetened beverages is to ban their sale at the workplace. Sanjay Basu and coauthors simulate the effect if such a ban were adopted statewide in California, based on results from a ban implemented at the University of California San Francisco. Read
More >>
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The Health Effects Of Expanding The Earned Income Tax Credit: Results From New York CityBy Emilie Courtin, Kali Aloisi, Cynthia Miller, Heidi L. Allen, Lawrence F. Katz, and Peter Muennig
Federal and state Earned Income Tax Credits supplement the earnings of low-wage workers and have been shown through observational studies to have modest positive health effects. Emilie Courtin and coauthors use experimental data to assess the health effects of Paycheck Plus in New York City, which supplemented the relatively small Earned Income Tax Credits
available to adults without dependent children. Read More >>
Tackling Social Determinants Of Health Around The Globe
By Alan R. Weil
Alan Weil spoke with Sir Michael Marmot, who has led efforts around the world to get policy makers to understand and act on the role social factors play in health and health equity.
Read More >>
Increases In Women’s Political Representation Associated With Reductions In Child Mortality In Brazil
By
Philipp Hessel, María José González Jaramillo, Davide Rasella, Ana Clara Duran, and Olga L. Sarmiento
Philipp Hessel and coauthors investigate the association between female political participation in Brazil and under-five mortality rates, as well as potential connections to the rollout of a conditional cash transfer program and a primary health care program.
Read More >>
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THIS WEEK ON THE BLOG
COVID-19 FEATURE TOPIC—NYC Health + Hospitals
Using Interfacility Transfers To ‘Level-Load’ Demand From Surging COVID-19 Patients: Lessons From NYC Health + Hospitals
By Leon Boudourakis, David M.
Silvestri, Shaw Natsui, R. James Salway, Mona Krouss, Amit Uppal, Alex Izaguierre, Mathew Siegler, Sonya Sackner-Bernstein, Katelyn Prieskorn, Eric K. Wei (7/16/20)
Redistributing patients from greater- to lesser-impacted hospitals—so-called “level-loading” demand for inpatient capacity—may help systems reduce strain where it is most jeopardizing. Traditional interfacility transfer processes, however, may not be designed for transfers
of large numbers of patients per day, as may be necessary for effective level-loading during a disaster. Read More >>
How NYC Health + Hospitals Protected Its Workforce In The Face Of Shortage
By Syra Madad, Laura Iavicoli, Paul Albertson, Danielle Dibari, Priya Dhagat, Mary Fornek (7/16/20)
Through a rigorous stewardship of supply chain management, centralization, and various conservation strategies, NYC Health + Hospitals maintained supplies of vital equipment
and medical supplies such as PPE and ventilators despite numerous supply chain upheavals. Read More >>
Revisiting The Role Of Law And Politics In Pandemic Response At NYC Health + Hospitals
By Deborah Brown and Andrea G. Cohen (7/16/20)
The regulatory mindset that typically limits innovation can be turned on its head in an emergency or pandemic like the one we are confronting. In those unique, life-altering situations, there is a recognition from policy makers that providers must
be able to operate more freely, pivot and adjust to meet emergent needs, and keep our patients and communities safe. Read More >>
COVID-19
Supporting Health Care Delivery In Low-Income Areas During COVID-19
By Shivani A. Shah, Michael E. Chernew, and Nancy D. Beaulieu (7/17/20)
COVID-19 has created significant financial hardship for health care providers. In the course of crafting and implementing policy responses, it is important to consider their potential impact on the most vulnerable providers and the patients that depend on them. Read More >>
Early Impact Of CMS Expansion Of Medicare Telehealth During COVID-19
By Seema Verma (7/15/20)
Today, we share data highlighting the impact of telehealth on beneficiary access, following the expansion of telehealth for Medicare during the coronavirus pandemic. We also discuss how we are using this information to assess whether these expanded telehealth policies should remain in place beyond the COVID-19 public health emergency. Read More >>
Creating Incentives To Narrow The Gap In Health Outcomes: Expanding Value Assessment To Incorporate Health Inequality
By Jason Shafrin and Meena Venkatachalam (7/15/20)
Treatments developed for patient populations with disproportionately poor outcomes should be valued more than those for individuals who already can expect good health outcomes.
Read More >>
Socially Relevant Variables In US State COVID-19 Surveillance Reporting: A Report Card
By Marion Boulicault, Ann Caroline Danielsen, Joseph Bruch, Amelia Tarrant, Alexander Borsa, Sarah S. Richardson (7/14/20)
To understand disparities in COVID-19 incidence and outcomes, socially relevant variables such as age, gender/sex, race/ethnicity, and comorbidity status must be analyzed in correspondence with one another. Only with data on a range of variables and the interplay between them can we effectively respond to the pandemic. Read More >>
For Pediatric Primary Care Providers, Federal Relief Funds During The Pandemic May Be Inadequate
By Kao-Ping Chua (7/14/20)
The substantial delay in support for pediatric primary care providers during the pandemic raises troubling questions about the degree to which the federal government prioritizes pediatric primary care. A more inclusive approach to allocating relief funds would go a long way toward putting these questions to rest. Read More >>
1,000 Serious Illness Conversations: Delivering On What Matters Most During The Pandemic And Beyond
By Juliet Jacobsen and Vicki A. Jackson (7/15/20)
In addition to rethinking how hospice is provided, we need to think beyond the period of time encompassed by hospice—the last six months of life—to better align care with the values and goals of medically complex patients with uncertain prognoses. Read More
>>
Asian Americans Facing High COVID-19 Case Fatality
By Brandon W. Yan, Fiona Ng, Janet Chu, Janice Tsoh, and Tung Nguyen (7/13/20)
In San Francisco, a steady trend in COVID-19 deaths
has gone largely unnoticed until recently: Asian Americans consistently account for nearly half of COVID-19 deaths. For a city that is one-third Asian American, the disproportionate number of deaths appears striking, yet this highlights an even more worrisome statistic: Asian Americans experience a four-times higher case fatality rate than that of the overall population. Read More >>
In The Shadows Of COVID-19, A Devastating Epidemic Rages On
By Marcus Plescia and Elizabeth Ruebush (7/13/20)
As the health care system responds to surges of COVID-19 cases across the country, a new Centers for Disease Control and Prevention analysis reminds us that there’s another epidemic that doesn’t show signs of slowing down: sexually transmitted infections. Read More >>
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FOLLOWING THE ACA
New Proposed Rule On Grandfathered Plans; Court Strikes Abortion Double Billing Rule
By Katie Keith (7/13/20)
On July 10, the federal government proposed allowing grandfathered group plans to impose higher cost-sharing requirements without losing grandfathered status. Separately, a Maryland district court vacated and enjoined the Department of Health and Human Services from enforcing its “double billing” rule, under which insurers must send and enrollees must pay
two separate monthly bills, one for abortion services and one for all other services. Read More >>
(7/17/20)
In April, three winning poems from Health Affairs’ second poetry contest were published in the journal. Here we feature some of our other favorites from the contest on the Blog.
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.
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