A Weekly Health Policy Round Up From Health Affairs
 
 
 
 
A Weekly Health Policy Round Up From Health Affairs            

September 8, 2019
H
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 >>

HA 38/9 Beck et al., Exhibit 3
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.


Order This Month's Issue
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

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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 >>

 
 
 
 
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.

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