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

**Wednesday, September 18, 2019**

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TODAY ON THE BLOG

ACCESS TO CARE

Road To Universal Coverage: Addressing The Premium Affordability Gap

By Jen Mishory and Katie Keith

Current proposals to expand access to coverage-such as state or
federal public options, Medicaid or Medicare buy-in proposals, and
single-payer plans-reflect a range of strategies to make premiums more
affordable. This post discusses the impact that these different
approaches would have on premium affordability for low- and
middle-income families and individuals. Read More >>

MATERNAL AND CHILD HEALTH

Caught In The Crossfire Of The Trump Administration's New SNAP
Proposal: 500,000 Children

By Swapna Reddy, Gregory Sprout, Maureen McCoy, Sarah Martinelli, and
Jessica Lehmann

The Trump administration's new proposal would restrict flexibility for
states to grant eligibility for the Supplemental Nutrition Assistance
Program (SNAP) through criteria that differ from federal standards. This
measure would, by extension, have widespread eligibility implications
for the National School Lunch Program (NSLP). Read More >>

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IN THE JOURNAL

HOSPITALS

Emergency Department Closures And Openings: Spillover Effects On Patient
Outcomes In Bystander Hospitals

By Renee Y. Hsia and Yu-Chu Shen

Renee Hsia and Yu-Chu Shen analyze how health outcomes for heart attack
patients change when an emergency department opens or closes. They find
that an ED closure requiring patients to travel an additional thirty
minutes to a hospital already operating at or near capacity is
associated with lower rates of timely treatment, higher rates of
readmission, and an 8 percent increase in the likelihood of dying within
one year. Read More >>

Read the September 2019 Table of Contents

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**HEALTH AFFAIRS EVENTS**

PAST EVENT:  HEALTH SPENDING - MOVING FROM THEORY TO ACTION

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**A CLOSER LOOK**- Medicaid

As part of a proposal to shift its Medicaid program into a block grant,
Tennessee is seeking to create a closed prescription drug formulary. In
April 2018, Nicholas Bagley and Rachel Sachs wrote

about a similar effort in Massachusetts that was ultimately rejected by
federal regulators.

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About Health Affairs

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