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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
MARKETSThe Value Of Short-Term Health Plans: Rebutting The Energy And Commerce Democratic Staff ReportBy Brian Blase and Doug BadgerShort-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 >>
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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 >>
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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 >>
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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.
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