From Health Affairs Today <[email protected]>
Subject Using County Health Rankings To Spur Competition; Silver Loading; ACA Round-Up; ACA’s Contraceptive Coverage Requirement
Date September 10, 2019 7:57 PM
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**The Latest Research, Commentary, and News from Health Affairs**

**Tuesday, September 10, 2019**

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TODAY ON THE BLOG

POPULATION HEALTH

How States Can Use County Health Rankings To Make Population
Health-Not Process-Their Bottom Line

By Harris Allen

Georgia would be the first state to use county health rankings data to
structure explicit county competitions.
Read More >>

                                               
                           
PAYMENT

There's No Pain-Free Way To Get Beyond Silver Loading

By Stan Dorn

Until further research demonstrates the effects of such alternative
policies and identifies win-win solutions with outcomes that far surpass
the results described here, policy makers should think long and hard
before discarding the silver-loaded fruits of actuarial wisdom.
Read More >>

FOLLOWING THE ACA

ACA Round-Up: Health Insurance Tax, Mental Health Parity, and SEPs

By Katie Keith

Federal regulators have recently released an estimate of the health
insurance tax plan for year 2020, frequently asked questions on mental
health parity, and special enrollment periods for those affected by
Hurricane Dorian. Read More >>

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IN THE JOURNAL

ACCESS & USE

ACA's Contraceptive Coverage Requirement: Measuring Use And
Out-Of-Pocket Spending

By Carol S. Weisman, Cynthia H. Chuang, Ashley H. Snyder, Guodong Liu,
and Douglas L. Leslie

The ACA requires most private health insurance to cover contraception
without cost sharing. Long-acting reversible contraceptives (LARCs) are
among the most effective-and have the highest upfront costs for people
without health insurance. Carol Weisman and coauthors examined trends
in LARC insertions and out-of-pocket spending for LARCs before and after
the ACA requirement was implemented, using data from the Truven Health
MarketScan claims database for the period 2006-16. Read More >>

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Read the September 2019 Table of Contents

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HEALTH AFFAIRS EVENTS

HEALTH SPENDING:  MOVING FROM THEORY TO ACTION

TOMORROW! September 11, 2019
NEW TIME! 10:00 am - 3:30 pm Eastern (9:30 am breakfast)
National Press Club - 529 14th St NW, Washington, DC
REGISTRATION OPEN

Eighteen months ago, Health Affairs teamed with the National
Pharmaceutical Council and Anthem, Inc., to launch a multiyear project
to promote an evidence-based conversation about health spending. To
continue the discussion, Health Affairs and the National Pharmaceutical
Council are hosting a forum with the following speakers:

* James C. Capretta, Resident Fellow and Milton Friedman Chair, American
Enterprise Institute

* Elizabeth Mitchell, President and CEO, Pacific Business Group on
Health

* Robin Gelburd, President, FAIR Health

* Mandy Cohen, Secretary, North Carolina Department of Health and Human
Services

* Patrick Conway, President and CEO, Blue Cross and Blue Shield of North
Carolina

* Robert W. Dubois, Executive Vice President and Chief Science Officer,
National Pharmaceutical Council

* Christopher F. Koller, President, Milbank Memorial Fund

* Reed Tuckson, Managing Director, Tuckson Health Connections, LLC

* Otis Brawley, Bloomberg Distinguished Professor, Johns Hopkins
University

* Dan Ollendorf, Director, Value Measurement and Global Health
Initiatives, Center for the Evaluation of Value and Risk in Health
(CEVR), Tufts University Medical Center

* Surya Singh, President, Singh Healthcare Advisors

* Adaeze Enekwechi, President, IMPAQ

* Ceci Connolly, President and CEO, Association of Community Health
Plans

Be part of the conversation on September 11.

**A CLOSER LOOK**-HIV

Cabell County, West Virginia, has seen a sharp rise in new HIV cases
among its residents. Seventy-four cases have been reported since January
2018, mostly among drug users sharing needles. In a 2015 Health Affairs
Blog post, Preeti Malani described the factors driving a similar spike
in Indiana

and the importance of allowing evidence-based policies to guide the best
approach to confronting the outbreak.

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