Dear John,

Every month, we will highlight articles, papers, podcasts, and more that were released last month.

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Growth In Number Of Practices And Clinicians Participating In Concierge And Direct Primary Care, 2018–23

Jane M. Zhu et al.

From 2018 to 2023, concierge and direct primary care practices grew substantially, alongside shifts toward corporate ownership and more advanced practice clinicians.

Medical Debt In The US: Associations With Cancer Screening, Mortality, And Health Status

Odysseas P. Chatzipanagiotou et al.

Higher county-level medical debt is linked to lower cancer screening rates, higher cancer mortality, and worse overall health outcomes.

Hospital Finances, Operations, And Patient Experience Remain Stable After Oregon’s Hospital Payment Cap Was Implemented

Roslyn C. Murray et al.

Oregon’s 2019 hospital payment cap saved $50 million annually without significantly affecting hospital finances, operations, or patient care.

Read the December Issue

In Public Health, Non-Governmental Actors Are Rising To Meet The Moment

Karen Hacker and Anne Morris Reid

The public health system in the United States depends on a wide range of actors beyond the government who will continue to play pivotal roles in the future of public health for the nation.

The Costs Are Too Damn High: Responding To Affordability Pressures In ACA Markets

Scott Heiser et al.

How can we make the ACA work better for the people that depend on it?

A MAHA Check-Up: Is The United States Getting Healthier?

Ada Peters and Richard Hughes IV

This article examines proposed strategies to address chronic disease and their potential implications for U.S. metabolic health.

Private Equity’s Impact on the Practice of Medicine

Health Affairs held a virtual event with a panel of experts exploring some of the most recent research on private equity, implications for health care clinicians and patients, and what policy makers at the state and federal levels should be doing in response to private equity’s increasing role. 

Consumer Debt, Race, And Health: Can Debt Relief Be A Solution For Reducing Racial Health Disparities?

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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.

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