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A Weekly Health Policy Round Up From Health Affairs
September 1, 2019
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FOLLOWING THE ACA
CMS Rejects Idaho Waiver As Incomplete
By Katie Keith (8/30/19)
Idaho failed to include sufficient analysis for CMS to assess the effects of the proposed waiver. Read More >>
HHS Walks Back New Policy On Drug Coupons
By Katie Keith (8/28/19)
Until the 2021 payment rule is issued and effective, the Departments of Labor, Health and Human Services (HHS), and Treasury will not take enforcement action against an insurer or plan that excludes the value of drug manufacturers’ coupons from the annual limitation on cost sharing, including when no medically appropriate generic equivalent is available.
Read More >>
CMS Approves Reinsurance Waivers in DE, RI
By Katie Keith
(8/27/19)
Delaware and Rhode Island were the final two states awaiting approval of a Section 1332 waiver for the 2020 plan year. In addition to summarizing the programs in Delaware and Rhode Island, this post highlights some of the variation among the twelve states with an approved state-based reinsurance program. Read More >>
CONSIDERING HEALTH SPENDING
The New Hospital Price Disclosure Rule Is Important, But Only A First Step
By James C. Capretta (8/26/19)
Prices need to be based on standardized, episode-based services that are defined in ways that are meaningful to
consumers. Read More >>
WORKFORCE IN THE COMMUNITY
Developing The Workforce The Country Needs
Through Geriatric Workforce Enhancement Programs
By Jennifer Jurado Severance and Janice Knebl (8/30/19)
Funding for current and additional GWEPs is necessary for a sustained commitment to geriatrics education and better care for a growing population of older adults. Read More >>
PHARMACEUTICALS AND MEDICAL
TECHNOLOGY
Prescription 2020: Democratic Candidates And Drug Pricing
By Rohan Chalasani, Julie M. Donohue, and Walid F. Gellad (8/29/19)
Most revealing of the issue’s salience in the approaching presidential race is that every Democratic presidential hopeful from the Senate has sponsored legislation centered on lowering prescription drug costs, and the remaining candidates have pushed their own proposals on the campaign trail. Read More >>
HIV/AIDS
PrEP School: A Field Manual For The Battle Over HIV Prevention Drug
Pricing
By Rochelle P. Walensky and A. David Paltiel
Donations, US Preventive Services Task Force endorsements, and generic equivalents may each result in modest near-term incremental benefits but they will certainly serve as no substitute for a good old-fashioned price cut. Read More >>
SYSTEMS OF CARE
An International Perspective On The Paradoxes Of US Health Care
By Angèle Malâtre-Lansac (8/28/19)
What are the most surprising aspects of the US system through the lenses of ten observers from Australia, France, Germany, the Netherlands, New Zealand, Norway, and England?
Read More >>
ACCESS TO CARE
Applying Sutton’s Law To Alternative Payment Models For The Seriously Ill
By Joan M. Teno,
Jennifer Bunker, and Pedro Gozalo (8/27/19)
There is a sizable population with both high needs and the potential for cost avoidance that would benefit from enhanced continuity of care and expanded access to palliative care as proposed in this new alternative payment model. Read More >>
HEALTH PHILANTHROPY
People Post: Foundation Staffers’ Goings and Comings; Job Openings
By Lee-Lee Prina (8/29/19)
Who has a new job or has received a promotion in health philanthropy? Read news from foundations around the country. Also, read about job openings at foundations in Maine and New Jersey. Read More >>
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HEALTH AFFAIRS EVENTS
AGING AND HEALTH: IMPROVING CARE FOR OLDER ADULTS
New Event!
September 24, 2019
10:00 am – 12:00 pm Eastern
National Press Club – Washington, DC
Registration Now Open
Join Health Affairs and The John A. Hartford Foundation for a robust policy conversation featuring authors from the journal’s Aging & Health series, as well as other experts in the field, to discuss topics including:
- Moving Serious Illness Care from Hospital to Home
- Disparities in Home- and Community-Based Care
- Impact of Caregiving on Spouses and Need for Support
In addition to Terry Fulmer, President of The John A. Hartford Foundation, speakers include:
- Timothy G. Ferris, CEO, Massachusetts General Physicians Organization
- Ann Hwang, Director, Center for Consumer Engagement in Health Innovation, Community Catalyst
- R. Tamara Konetzka, Professor of Health Services Research, Department of Public Health Sciences
and Department of Medicine, The University of Chicago Biological Sciences, on “A National Examination of Long-term Care Setting, Outcomes, and Disparities among Elderly Dual-Eligibles” (July 2019)
- Bruce Leff, Professor of Medicine and Director, Center for Transformative Geriatric Research, Division of Geriatric Medicine, Johns Hopkins
University School of Medicine
- Katherine A. Ornstein, Assistant Professor, Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai @IcahnMountSinai, on “Spousal Caregivers Are Caregiving Alone In The Last Years Of Life” (June 2019)
- Brad Stuart, Chief Medical Officer, Coalition to Transform Advanced Care, on “A Large-Scale Advanced Illness Intervention Informs
Medicare’s New Serious Illness Payment Model” (June 2019)
- Jennifer Wolff, Eugene and Mildred Lipitz Professor and Director of the Roger C. Lipitz Center for Integrated Health Care, Johns Hopkins School of Public Health
Get event-specific emails delivered directly to your inbox.
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Assessing Low-Value Health Care Services In The Military Health System
By Tracey Pérez Koehlmoos, Cathaleen King Madsen, Amanda Banaag, Adil H. Haider, Andrew J. Schoenfeld, and Joel S. Weissman
Tracy Pérez Koehlmoos and colleagues examined the provision of low-value care in the Military Health System, comparing care delivered in civilian health care facilities (purchased care) to care delivered in Department of Defense–controlled health care facilities (direct care). Read More
>>
Post-Deployment Screening In The Military Health System: An Opportunity To Intervene For Possible Alcohol Use Disorder
By Rachel Sayko Adams, Erich J. Dietrich, Joshua C. Gray, Charles S. Milliken, Natalie Moresco, and Mary Jo Larson
Army active duty soldiers are routinely screened for possible alcohol use disorder in pre- and post-deployment health surveillance surveys. Rachel Adams and coauthors examined the likelihood of having a follow-up behavioral health visit or receiving an alcohol use disorder diagnosis among soldiers returning from deployments associated with the Afghanistan or Iraq operations in fiscal years 2008–13, based on their post-deployment screening results.
Read
More >>
ENTRY POINT
Back At Home, A New Purpose For Battlefield Skills
By T. R. Goldman
A pilot program will allow returning military medics and corpsmen, guided by an algorithm, to expand
access to care. Read More >>
Listen to the author
describe the program in a WTOP interview here.
GRANTWATCH
Foundations’ Work To Help Military And Veterans
By Lee L. Prina
The August 2019 GrantWatch column provides examples of foundations that fund in the area of veterans’ and military health. These include the New York State Health
Foundation, United Health Foundation, and others. In the Key Personnel Changes section, read about a physician and combat veteran who will become the new leader of the Advancing a Healthier Wisconsin Endowment in September and about a new role for John R. Lumpkin, formerly of the Robert Wood Johnson Foundation. Read More >>
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BOOK REVIEW
Reinhardt’s Final Work
By Jeff Goldsmith
Jeff Goldsmith reviews Priced Out, Uwe Reinhardt's final book, calling it "an unsparing and sobering analysis of the United States’ unfinished health policy agenda." 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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