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

**Friday, November 20, 2020**

TODAY ON THE BLOG

PUBLIC HEALTH

What History Can Tell Us About Who Will Lead HHS In A Biden
Administration

By Richard Sorian

The person who answers this call to serve the new president, his
administration, and the American people would do best to study the work,
accomplishments, and criticisms of past HHS secretaries to help
determine the best way forward. Read More >>

DISPARITIES

Bridging The Black Mental Health Access Gap

By Victor Agbafe, Will Boles, and Rebekah E. Gee

We must address mental health gaps with an antiracist mindset. Only then
can we begin to solve the mental health divide and take meaningful steps
to heal our nation's psyche.
Read More >>

FOLLOWING THE ACA

Honoring Tim Jost, The Affordable Care Act Advocate

By Mark Regan

Tim knows insurance regulation, and Tim knows the Affordable Care Act
(ACA). That combination made it possible for him to lead the private
effort to support the government's position in the King v. Burwell
premium tax credits litigation. It has also made it possible for him to
support the recent private effort to defend the ACA in California v.
Texas. Read More >>

IN THE JOURNAL

PHARMACEUTICALS & MEDICAL TECHNOLOGY

Net Spending On Retail Specialty Drugs Grew Rapidly, Especially For
Private Insurance And Medicare Part D

By Steven C. Hill, G. Edward Miller, and Yao Ding

A wide range of medications are classified as specialty drugs, including
most injectables, biologics, and other drugs requiring specialized
administration. According to one source, they accounted for
approximately half of total US spending on retail, mail-order, and
provider-administered drugs in 2018. Specialty drugs are expensive, but
spending can be difficult to measure because of large manufacturer
rebates. To get a clearer picture on net spending for retail specialty
drugs, Steven Hill and coauthors from the Agency for Healthcare Research
and Quality (AHRQ) looked at data from the Medical Expenditure Panel
Survey (MEPS) and SSR Health for the period 2010-17. Read More >>

Read the November 2020 Table of Contents
.

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**A CLOSER LOOK**-Transgender Patients

Often overlooked even within non-heterosexual communities are those who
identify as transgender. What is it like to experience a health system
that doesn't take the time to meet the unique needs of those who are
not their assigned gender? Reread this 2017 Narrative Matters essay:
"'Go Back to California': When Providers Fail Transgender Patients
."

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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
through healthaffairs.org , Health Affairs
Today , and Health Affairs
Sunday Update .  

Project HOPE is a global health and
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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

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