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A Weekly Health Policy Round Up From Health Affairs
September 27, 2020
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FAST TRACK AHEAD OF PRINT
COVID-19
The Impact Of The COVID-19 Pandemic On Hospital Admissions In The United States
By John D. Birkmeyer, Amber Barnato, Nancy Birkmeyer, Robert Bessler,
and Jonathan Skinner
John D. Birkmeyer and coauthors compared medical admissions trends from February to July 2020 with trends during the same weeks in 2019. The authors reviewed non-COVID-19 and total medical hospital admissions and electronic medical and billing records for Sound Physicians, a large, nationally distributed medical group specializing in hospital-based medicine. The sample included some one million medical admissions. Read More >>
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SPONSORED BY THE HEALTHCARE ANCHOR NETWORK
IT IS UNDENIABLE: RACISM IS A PUBLIC HEALTH CRISIS. As members of the Healthcare Anchor Network and leaders of 39 healthcare organizations addressing the disproportionate Black and Brown mortality of the COVID-19 pandemic, we say without hesitation that Black Lives Matter.
Systemic racism results in generational trauma and poverty, while also unquestionably causing higher rates of illness and death in Black and Indigenous communities and communities of color. We stand united as frontline organizations against racism, injustice, and inaction and commit to specific steps to help overcome the healthcare disparities in the communities we serve. Read the full statement.
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IN THE JOURNAL
MEDICAID
Medicaid Work Requirements In Arkansas: Two-Year Impacts On Coverage, Employment, And Affordability Of Care
By Benjamin D. Sommers, Lucy Chen, Robert J. Blendon, E. John Orav, and Arnold M. Epstein
Benjamin Sommers and coauthors review
coverage losses in Arkansas from June 2018 to April 2019 among nonexempt Medicaid participants ages 30–49. Those within this demographic were required to work or engage in work-related activities a minimum of 20 hours each week to maintain coverage. Read More >>
Medicaid Expansion Improved Perinatal Insurance Continuity For Low-Income Women
By Jamie R. Daw, Tyler N. A. Winkelman, Vanessa K. Dalton, Katy B. Kozhimannil, and Lindsay K. Admon
Jamie Daw and coauthors analyze survey data from the 2012–17 Pregnancy Risk Assessment Monitoring System. Their study reveals important information about the insurance experience of low-income women in states that expanded Medicaid across the preconception, delivery, and postpartum time points relative to women in nonexpansion states. Read More >>
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LEADING TO HEALTH: DETERMINANTS OF HEALTH
Forged By AIDS, Storied NYC Residence Boosts Aging In Place
By Rob Waters
Rob Waters authors September’s addition to our Leading to Health series, which focuses on health system transformations. This time he focuses on how two communities—Manhattan Plaza and Penn South, both forged by HIV/AIDS and driven by a mission of justice—have enabled aging in place. Read More >>
OPIOID USE DISORDER
Regulating Opioid Supply Through Insurance Coverage
By M. Christopher Auld, Jill R. Horwitz, Benjamin Lukenchuk, and Lynn McClelland
Christopher Auld and coauthors find that requiring physicians to receive prior authorization for OxyContin prescriptions in Manitoba, Canada, significantly decreased OxyContin prescriptions, especially for opioid-naïve patients, with only modest substitution of other opioids. Read More >>
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NARRATIVE MATTERS:
PHARMACEUTICALS & MEDICAL TECHNOLOGY
Challenges In Ensuring The Quality Of Generic Medicines
By Kevin A. Schulman
A refill of a generic attention deficit hyperactivity disorder prescription leads to new side effects and raises questions about the quality of generic drugs.
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THIS WEEK ON THE BLOG
FOLLOWING THE ACA
Administration Health Care Executive Order
By Katie
Keith (9/25/20)
On September 24, 2020, President Donald J. Trump issued a new health care executive order. The order ostensibly focuses on protecting people with preexisting conditions and eliminating surprise medical bills but will have little or no immediate effect. Read More >>
After Justice Ginsburg’s Loss, What A New Court Could Mean For The ACA
By Katie Keith (9/20/20)
The loss of Justice Ginsburg has led to a flood of questions about what comes next for the Court and the country. Who will be nominated to fill her seat? Will a new justice be seated
by the time the Court is scheduled to hear California v. Texas on November 10? How does the new makeup of the Court, without Justice Ginsburg, affect the potential outcome in Texas? And what is the role of Congress in addressing the lawsuit? Read More >>
PHARMACEUTICALS AND MEDICAL TECHNOLOGY
Administration Finalizes Drug Importation Plans, But Legal And Practical Questions Remain
By Rachel Sachs (9/25/20)
Yesterday, the Trump administration released a final rule aiming to permit states or other specific actors to establish programs to import prescription drugs from Canada. This rule is one element of the Trump administration’s broader agenda on drug pricing, but it faces several large obstacles which are likely to derail its implementation. Read More >>
Average International Market Pricing For US Pharmaceuticals—Lessons From Europe
By Marc A. Rodwin (9/24/20)
While officials from both parties agree that the US should use an international price index to cap the prices of pharmaceuticals, European nations use their price index somewhat differently than in US proposals. To be most effective, US proposals should be modified to reflect real purchase prices and be employed as part of a broader cost-control strategy. Read More >>
COVID-19
A New "PPE" For A Thriving Community: Public Health, Primary Care, Health Equity
By John M. Westfall, Stephen Petterson, Kyu Rhee, Irene Dankwa-Mullan, William Kassler, Amol Rajmane, and Glen Mays (9/25/20)
Public health, primary care, and health equity each
have unique and synergistic impact on a community’s response to COVID-19. Historically, primary care and public health have only tangentially worked together. Now, however, there is growing appreciation of the need for primary care and public health to collaborate if we hope to improve the health of our nation. 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.
Health Affairs, 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814, United States
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