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

**Tuesday, November 10, 2020**

TODAY ON THE BLOG

COSTS & SPENDING

How ACOs In Rural And Underserved Areas Responded To Medicare's ACO
Investment Model

By Lauren M. Scarpati, J. Michael McWilliams, Heather McPheron, Betty T.
Fout, and Matthew J. Trombley

To help establish accountable care organizations (ACOs) in more areas of
the country, the Centers for Medicare and Medicaid Services developed
the ACO Investment Model (AIM) to provide participating ACOs with
up-front and ongoing monthly payments. Our evaluation thus highlights
that, in spite of a lack of geographic proximity, AIM ACOs overall were
able to significantly reduce costs. Read More >>

Watch Health Affairs Blog for Katie
Keith's analysis of today's Supreme Court oral arguments in California
v. Texas, a challenge to the validity of the Affordable Care Act.

IN THE JOURNAL

CONSIDERING HEALTH SPENDING

Getting The Price Right: How Some Countries Control Spending In A
Fee-For-Service System

By Michael K. Gusmano, Miriam Laugesen, Victor G. Rodwin, and Lawrence
D. Brown

Fee-for-service payment is routinely blamed for excess US health
spending. Michael Gusmano and coauthors analyze how physician fees are
set in France, Germany, and Japan-countries that pay physicians
fee-for-service. Although their approaches differ, all three countries
set fees through centralized negotiation within the context of spending
constraints. Read More >>

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New podcast!

Health Affairs Editor-in-Chief Alan Weil interviews Michael K. Gusmano,
lead author of today's featured journal article.

What can the US learn from three countries-France, Germany, and
Japan-that appear to achieve economic sustainability in a
fee-for-service system? Is policy importation even possible?

Listen here.

Read the November 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Family Caregivers

November is National Family Caregivers Month. Over the past few years,
the role of family caregivers has grown in importance, especially in
regard to patient-centered care. Read a 2016 blog post by Everette James
and Meredith Hughes discussing the intersection of family caregivers and
patient-centered care
.

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About Health Affairs

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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
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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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