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**The Latest Research, Commentary, and News from Health Affairs**

**Monday, August 17, 2020**

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TODAY ON THE BLOG

MARKETS

The Value Of Short-Term Health Plans: Rebutting The Energy And Commerce
Democratic Staff Report

By Brian Blase and Doug Badger

Short-term plans represent an important option for millions of Americans
harmed by federal policy over the past decade that has resulted in
reduced choice of health insurance plans and skyrocketing premiums and
deductibles. Eliminating this option would force those enrolled in
short-term plans to choose between paying much higher premiums for
ACA-compliant coverage and becoming uninsured. Read More >>

ACCESS TO CARE

How To Boost Health Insurance Enrollment: Three Practical Steps That
Merit Bipartisan Support

By Christen Linke Young, James C. Capretta, Stan Dorn, David Kendall,
and Joseph Antos

The US has a complex, enrollment-based health insurance system. It is
not easy to navigate in the best of times; in a pandemic, the challenge
is compounded. The practical steps recommended here would allow more
Americans to get and keep health insurance as they cope with difficult
transitions. Read More >>

FOLLOWING THE ACA

Federal Circuit: Insurers Owed Unpaid Cost-Sharing Reductions, Reduced
By Higher Premium Tax Credits From Silver Loading

By Katie Keith

The Federal Circuit panel agreed with the lower courts that the
government has an "unambiguous obligation" to make cost-sharing
reductions (CSR) payments to insurers, and that this obligation is
enforceable for damages in court. However, the panel limited the amount
of unpaid CSRs that insurers can recover based on premium loading,
necessitating complex calculations of damages by the lower courts. Read
More >>

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Gentrification And The Health Of Legacy Residents

By Ingrid Gould Ellen and Alexis Captanian

A new health policy brief

from Health Affairs

with support from the Robert Wood Johnson Foundation

examines the potential health impacts of urban gentrification on
original (or legacy) neighborhood residents. This brief joins Health
Affairs' ongoing series of policy briefs on social determinants of
health.

Gentrification is becoming more common in US cities; according to the
brief, the share of residents with college degrees living in formerly
low-income urban areas rose from 25 percent during the 1990s to 35
percent a decade later, with accompanying large rent increases. This
fact raises questions about the health impacts of gentrification on
original or "legacy" residents-those who stay in place as well as
those who move. As the brief points out, the evidence about
gentrification's impact on health is mixed, with much of the research
focusing on health-mediating factors, such as exposure to poverty,
rather than on specific health outcomes.Read More >>

IN THE JOURNAL

RESEARCH ARTICLE: PATIENT-CENTERED CARE

Veterans' Experiences With Outpatient Care: Comparing The Veterans
Affairs System With Community-Based Care

By Megan E. Vanneman, Todd H. Wagner, Michael Shwartz, Mark Meterko,
Joseph Francis, Clinton L. Greenstone, and Amy K. Rosen  

Timely access to outpatient care was a primary driver behind the
Department of Veterans Affairs' (VA's) increased purchase of
community-based care under the Veterans Access, Choice, and
Accountability Act of 2014, known as the Choice Act. Megan Vanneman and
coauthors compare veterans' experiences in VA-delivered and
community-based outpatient care after implementation of the act. Read
More >>

Read the August 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Public Health Preparedness

Fourteen years ago, Nicole Lurie, Jeffrey Wasserman, and Christopher D.
Nelson published this paper
in Health
Affairs. They identify key signs of change in public health agencies as
a result of public health preparedness. Yet they also point out new
challenges that arise in the preparedness mission. Give the article a
reread, and consider: How have public health preparedness and public
health agencies fared in the midst of COVID-19?

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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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