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

**Monday, September 14, 2020**

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TODAY ON THE BLOG

MEDICARE

Sharing Drug Rebates With Medicare Part D Patients: Why And How

By Steven M. Lieberman, Paul B. Ginsburg, and Erin Trish

The growth in rebates has affected Medicare Part D patients. The
challenges in the Medicare program regarding rebates differ from the
challenges in commercial insurance, where some major steps have already
been taken. Legislation should require that an approximation of the
rebate amount for a drug is credited to patients. Read More >>

2019 Medicare Shared Savings Program ACO Performance: Lower Costs And
Promising Results Under 'Pathways To Success'

By Seema Verma

Centers for Medicare and Medicaid Services Administrator Seema Verma
takes readers through the latest results for accountable care
organizations in the Medicare Shared Savings Program and describes how
she and the administration view those results.
Read More >>

FOLLOWING THE ACA

CDC 2019 Coverage Numbers Show Increase In Uninsurance Rate, With
Caveats

By Katie Keith

Although the CDC cautions against making direct comparisons between 2019
and prior years due to methodological changes, the uninsured rate for
2019 is up from 2018 both overall (10.3 percent versus 9.4 percent) and
among non-elderly adults (14.7 percent versus 13.3 percent). Read More
>>

IN THE JOURNAL

EYE ON HEALTH REFORM

A Hot Summer Brings More ACA Litigation

By Katie Keith

One week after the 2020 election, all eyes will be on the US Supreme
Court as the justices hear the oral arguments for

**California v. Texas**, the case testing the constitutionality of the
Affordable Care Act. Katie Keith has covered the many twists and turns
this case has taken for the past two-plus years after Congress's
zeroing out of the individual mandate in the Tax Cuts and Jobs Act of
2017. Read More >>

AFFORDABLE CARE ACT

Marketplace Premiums Rise Faster For Tobacco Users Because Of Subsidy
Design

By Karina C. Manz, Teresa M. Waters, and Cameron M. Kaplan

Karina Manz and coauthors examined individual premiums based on age,
tobacco use, and geographic premium rating area for all health plans
available through the federal health insurance Marketplace to describe
trends over time in premium prices and affordability for tobacco users
compared with nonusers. Read more >>

Read the September 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Diseases Of Despair

Before COVID-19 and the mental health challenges brought by social
distancing, America was starting to fight the opioid epidemic through
community efforts. In their 2018 blog post, Benjamin F. Miller and
Larissa Estes discussed advantages and successes of community efforts to
address the social determinants of health that underlie addiction.
Reread and consider how COVID-19 and social distancing have impacted
community-based health solutions
.

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About Health Affairs

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at the intersection of health,
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Today , and Health Affairs
Sunday Update .  

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published Health Affairs since 1981.

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