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A Weekly Health Policy Round Up From Health Affairs            

**September 8, 2019**

IN THE JOURNAL

NEW ISSUE:
NEIGHBORHOODS & HEALTH,
MEDICAID & MORE

The September issue of

**Health Affairs** includes a cluster of studies on the culture of
health: how neighborhood characteristics affect health and local efforts
can respond to health care challenges. Other topics in the issue include
Medicaid, hospitals, disparities, and global health policy.

The culture of health content in the September issue was supported by
the Robert Wood Johnson Foundation.

Read the September 2019 table of contents
.

From the Editor-in-Chief

CULTURE OF HEALTH

Gentrification And The Health Of Low-Income Children In New York City

By Kacie L. Dragan, Ingrid Gould Ellen, and Sherry A. Glied

Kacie Dragan and coauthors analyze the health of children born in
gentrifying neighborhoods in New York City as they reached ages 9-11.
Read More >>

Cooling The Hot Spots Where Child Hospitalization Rates Are High: A
Neighborhood Approach To Population Health

By Andrew F. Beck, Kristy L. Anderson, Kate Rich, Stuart C. Taylor,
Srikant B. Iyer, Uma R. Kotagal, and Robert S. Kahn

In 2015 Cincinnati Children's Hospital Medical Center began an
initiative designed to reduce the number of children hospitalized in
targeted neighborhoods with elevated rates of pediatric hospitalization.
Andrew Beck and colleagues describe the comprehensive approach the
initiative took to addressing children's medical and social needs and
report an almost 20 percent decline in the hospitalization rate in those
neighborhoods. Read More >>

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Can Medicaid Expansion Prevent Housing Evictions?

By Heidi L. Allen, Erica Eliason, Naomi Zewde, and Tal Gross

Medicaid coverage has been shown to reduce the financial burden on
low-income families, leading Heidi Allen and coauthors to explore
whether that translates into lower rates of housing evictions. Using the
natural experiment of phased-in Medicaid expansion by counties in
California, they find that "for every thousand new enrollees, there were
approximately twenty-two fewer evictions per year." Read More >>

LEADING TO HEALTH: CULTURE OF HEALTH

For The Uninsured In Memphis, A Stronger Safety Net

By Bara L. Vaida

A new model moves high-need patients out of the emergency department and
into a rich network of social supports. Read More >>

This article appears in Health Affairs' series on Leading to Health
.

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HEALTH AFFAIRS EVENTS

MILITARY HEALTH SYSTEMS

September 12, 2019:  Reserve Officers Association - 1 Constitution
Avenue NE Washington, DC
9:00 am - 12:00 pm Eastern
Register Today
Table of Contents

Join us on September 12 and participate in a robust discussion on:
* The Role Of The Military Health System In Ensuring Readiness And
Supporting Skills For Battlefield Support; and

* The Complex Relationship Between Military Treatment Facilities And
Purchased Civilian Care                        
      

Speakers:
* Terry Adirim, Deputy Assistant Secretary of Defense for Health
Services Policy and Oversight, Office of the Assistant Secretary of
Defense for Health Affairs, U.S. Department of Defense, on A Military
Health System For The 21st Century

* Amelia M. Bond, Assistant Professor, Healthcare Policy and Research,
Weill Cornell Medical College, on Utilization Variation In Military
Versus Civilian Care: Evidence From TRICARE

* Peter A. Learn, Associate Chair of Surgery for Quality and Patient
Outcomes, Department of Surgery, Uniformed Services University of the
Health Sciences on A Collaborative To Evaluate And Improve The Quality
Of Surgical Care Delivered By The Military Health System

* Jeremy C. Pamplin, Director, Telemedicine and Advanced Technology
Research Center, Medical Research and Development Command, and Associate
Professor of Medicine, Uniformed Services University of the Health
Sciences, on Military Telehealth: A Model For Delivering Expertise To
The Point Of Need In Austere And Operational Environments

* Jonathan Woodson, Director, Institute for Health System Innovation &
Policy, Boston University, on Readiness Of Medical Providers In The
Military Health System: Overview Of Operational And Policy
Considerations

Getevent-specific emails
delivered directly to your inbox.

THIS WEEK ON THE BLOG

PAYMENT

To Address Surprise Medical Billing, Use What Works

By Senators Bill Cassidy and Maggie Hassan (9/5/19)

Under the Stopping the Outrageous Practice of Surprise Medical Bills Act
of 2019, we create a balance of power between all stakeholders while
taking the patient out of the middle, and offering the provider a
reasonable, defined rate with a safety valve of an arbitration system
circumscribed by explicit criteria. Read More >>

CONSIDERING HEALTH SPENDING

Putting The Costs And Benefits Of New Gene Therapies Into Perspective

By Joshua T. Cohen, James D. Chambers, Madison C. Silver, Pei-Jung Lin,
and Peter J. Neumann (9/4/19)

Despite many challenges, advancing these approaches will help ensure
that we reward those therapies that fulfill the promise of cell and gene
therapy, while limiting the resources spent on therapies that fail to
pan out. Read More >>

The Case For Market-Based Price Caps

By Michael E. Chernew, Maximilian J. Pany, and Richard G. Frank (9/3/19)

Failure to act will lead to a much more draconian intervention. It is
thus in many providers' interest not only to support action but to
help shape that action so that it will allow them to continue serving
their mission while being effective at eliminating some of the extreme
abuses we are now experiencing. Read More >>

MARKETS

A Single Public Plan Option Versus A Multiplan Approach: A Colorado Case
Study

By Billy Wynne and David Anderson (9/4/19)

This analysis suggests that a single public option plan program design
would provide greater stability for the existing, non-public option plan
market than would a multiple public option plan program design. Read
More >>

WORKFORCE IN THE COMMUNITY

Shifting the Burden? Consequences Of Postacute Care Payment Reform On
Informal Caregivers

By Paula Chatterjee, Allison K. Hoffman, and Rachel M. Werner (9/5/19)

Future policies must mitigate the burdens, inequities, and economic
insecurities that result for families and friends who provide
post-discharge care-these are the societal costs of caring for
patients at home. Read More >>

MEDICARE

Relatively Modest Health Reform May Create More Value Than 'Medicare
for All'

By Jeff C. Goldsmith (9/5/19)

Political leaders should close gaps in social care, expand the
public-health primary care infrastructure, and execute limited coverage
expansion for mid-life Americans. Read More >>

ACCESS TO CARE

What Can The National Weather Service Teach Us About Disseminating
Health Care Price Information?

By John D. Freedman, Linda R. Green, and Ateev Mehrotra (9/6/19)

If successful, this challenge will help move us to a future where there
is a robust "secondary market" of data disseminators who help patients
get the price information they need.
Read More >>

PHARMACEUTICALS AND MEDICAL INNOVATION

It's Time For Congress To Go All In On Drug Pricing Reform

By John Arnold (9/6/19)

Prescription drug spending is rising rapidly and is expected to grow
faster than any other major health care goods or services over the next
decade. With the divisions in Congress, seemingly only "must-pass bills"
get done these days. A comprehensive drug pricing bill is exactly that:
must-pass legislation. Read More >>

QUALITY OF CARE

Scientific Excellence Is Just The First Step To Optimal Care

By Richard I. Levin and Brianne Alcala (9/5/19)

The Arnold P. Gold Foundation, a nonprofit, has championed
humanism-that is, putting human interests, values, and dignity at the
core of health care-for years. Health care companies have been slow to
incorporate humanism, though. And payments for care, which often include
incentives for improved outcomes, don't acknowledge such critical
factors as careful listening and compassion, which have been shown to
affect healing. Five corporations have joined the Gold Corporate Council
to promote humanism. 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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