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

**Thursday, November 12, 2020**

TODAY ON THE BLOG

FOLLOWING THE ACA

Supreme Court Arguments: Even If Mandate Falls, Rest Of Affordable Care
Act Looks Likely To Be Upheld

By Katie Keith

On November 10 the Supreme Court heard oral argument over the
constitutionality of the individual mandate and the fate of the entire
ACA. The Justices' comments and questions suggest that the rest of the
ACA will be upheld even if the mandate is found unconstitutional. Read
More >>

COSTS & SPENDING

Understanding The Latest ACO "Savings": Curb Your Enthusiasm And Sharpen
Your Pencils-Part 1

By J. Michael McWilliams and Alice Chen

Did the Medicare Shared Savings Program (MSSP) save Medicare $1.2
billion in 2019? No-not even close. Might the true net savings be
close to zero? Quite possibly. Is the MSSP headed in the right
direction? No. Can reforming MSSP design make the program more
successful? Yes. Read More >>

Evaluation Of Medicare Alternative Payment Models: What The Data Show

By Clifton Gaus and David Pittman

We believe the data in Medicare are clear: The success of total cost of
care, population-health models such as Medicare accountable care
organizations far outpaces the performance of narrowly focused
alternative payment models. Read More >>

COVID-19

What The New Administration Must Do On Day One To Tackle COVID-19

By Terry A. Adirim

To turn the tide on the COVID-19 pandemic, the new administration will
have to do a number of things beginning on January 20, 2021. First and
foremost, a comprehensive response strategy and detailed plan must be
communicated across the federal government, among states and local
communities, and to the public. Read More >>

IN THE MEDIA

Alan Weil was interviewed yesterday by
KDFW-TV (Fox), on its morning news program, about the future of the
Affordable Care Act (ACA) . The
discussion included Weil's take on Tuesday's oral arguments at the
US Supreme Court for Texas v. California, which focuses on the
constitutionality of the ACA.

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IN THE JOURNAL

AGE-FRIENDLY HEALTH

Cognitive Assessment At Medicare's Annual Wellness Visit In
Fee-For-Service And Medicare Advantage Plans

By Mireille Jacobson, Johanna Thunell, and Julie Zissimopoulos

The Medicare annual wellness visit-a preventive care visit free to
Medicare beneficiaries enrolled in Part B-requires detection of
cognitive impairment. Mireille Jacobson and coauthors surveyed an
internet panel of adults ages sixty-five and older who were enrolled in
fee-for-service Medicare or Medicare Advantage to measure the use of
that benefit and the receipt of structured cognitive assessment by 2019.
Read More >>

Read the November 2020 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-National Family Caregivers Month

November is National Family Caregivers Month, a month dedicated to
supporting caregivers and celebrating their invaluable contributions.
There are currently more than 50 million Americans who are unpaid
caregivers to family, friends, and neighbors. In a blog post from 2019,
Carol Levine suggests a "21st century job description for family
caregiving."

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About Health Affairs

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