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

**Monday, August 24, 2020**

TODAY ON THE BLOG

COVID-19

Expanding Community-Based Immunization To Meet Today's Vaccine
Challenges

By Purva Rawal, Jennifer Rak, Elizabeth Docteur, and Lu Zawistowich

To ensure timely and equitable access to vaccines during the COVID-19
pandemic, the health care delivery system must reconfigure resources and
make additional investments in three existing community-based sites that
policy makers and stakeholders should build on through additional
support and partnership. Read More >>

IN THE JOURNAL

RESEARCH ARTICLE: AFFORDABLE CARE ACT

Costs Are Higher For Marketplace Members Who Enroll During Special
Enrollment Periods Compared With Open Enrollment

By Laura F. Garabedian, Robert LeCates, Alison Galbraith, Dennis
Ross-Degnan, and J. Frank Wharam

Adverse selection, the phenomenon in which people are more likely to
enroll in a health insurance plan when they have a medical need, has the
potential to threaten the stability of the Affordable Care Act (ACA)
exchanges, or Marketplaces. This study examines the trends among those
who enrolled during a special enrollment period in a Marketplace of a
large national insurer. Read More >>

Read the August 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Opioid Addiction

Opioid addiction doesn't only begin at home. Mukul Mehra explains that
the first step toward addiction often begins in the hospital.

Opioid addiction is then further complicated by a multitude of issues
like access to care, withdrawal, electronic medical records, and
ensuring high-quality care within a patient's hospital stay.

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About Health Affairs

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Sunday Update .  

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