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

**Thursday, September 19, 2019**

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TODAY ON THE BLOG

PHARMACEUTICALS & MEDICAL TECHNOLOGY

Understanding The House Democrats' Drug Pricing Package

By Rachel Sachs

In this post, I first summarize key provisions from the Democrats'
proposal, explaining how it aims to lower prescription drug prices.
Then, I situate this package from the Speaker within the broader set of
drug pricing reforms being considered by the federal government.
Finally, I present a key objection the package is likely to face from
the Republican caucus and consider questions that remain for the
substance of the package. Read More >>

FOLLOWING THE ACA

Section 1557 Litigation: Latest Developments

By Katie Keith

Judge O'Connor set a hearing on the motion to intervene for September
16 in Fort Worth, Texas. From here, he is expected to rule on the motion
to intervene and potentially on the request for summary judgment. Read
More >>

PATIENT-CENTERED CARE

Accelerating The Shift Toward Person-Generated Real-World Evidence

By Tanisha Carino and Mark McClellan

Gaps in evidence from traditional clinical trials, coupled with progress
in the availability and use of standardized electronic data, has led to
increasing interest in real-world data (RWD)-recently defined by the
FDA as "data relating to patient health status and/or the delivery of
health care routinely collected from a variety of sources." Read More >>

MEDICAID

What Some Researchers Get Wrong About Medicaid's Income Eligibility
Requirements

By Tricia Brooks

The bottom line is this-the National Bureau of Economic Research
working paper used as the basis for the recent Wall Street Journal
commentary is relying on unadjusted self-reported survey data as a proxy
for actual Medicaid income eligibility and enrollment. Read More >>

QUALITY OF CARE

Cultural Competence Is Key To Meeting Patients' Needs: One Perspective
From New York City

By Hewett Chiu

Cultural competence is essential to providing high-quality care and is a
bedrock for meeting the needs of an increasingly diverse patient
population. Throughout his career, this author has set out to change the
health care system at the community level to better meet the needs of
patients facing language or cultural barriers to care. Key to helping
him on this path was his participation in the United Health Foundation's
Diverse Scholars Initiative. Read More >>

HEALTH AFFAIRS EVENTS

AGING AND HEALTH:  IMPROVING CARE FOR OLDER ADULTS

NEXT WEEK! September 24, 2019
10:00 am - 12:00 pm Eastern
National Press Club - 529 14th Street NW, Washington, DC
Registration Open

On September 24, join Health Affairs and The John A. Hartford Foundation
for a robust policy conversation featuring authors from the journal's
Aging & Health series:

* Tamara Konetzka, Professor of Health Services Research, Department of
Public Health Sciences and Department of Medicine, The University of
Chicago Biological Sciences, on "A National Examination Of Long-term
Care Setting, Outcomes, And Disparities Among Elderly Dual-Eligibles"
(July 2019)

* Katherine A. Ornstein, Associate Professor of Geriatrics and
Palliative Medicine, and Research Director, Institute for Care
Innovations at Home, Icahn School of Medicine at Mount Sinai, on
"Spousal Caregivers Are Caregiving Alone In The Last Years Of Life"
(June 2019)

* Brad Stuart, Chief Medical Officer, Coalition to Transform Advanced
Care, on "A Large-Scale Advanced Illness Intervention Informs
Medicare's New Serious Illness Payment Model" (June 2019)

Getevent-specific emails
delivered directly to your inbox.

IN THE JOURNAL

THE PRACTICE OF MEDICINE

US Physicians' Reactions To ACA Implementation, 2012-17

By Lindsay Riordan, Rahma Warsame, Sarah Jenkins, Kandace Lackore, Joel
E. Pacyna, Ryan M. Antiel, Timothy Beebe, Mark Liebow, Bjorg
Thorsteinsdottir, Matthew Wynia, Susan Dorr Goold, Matthew DeCamp,
Marion Danis, and Jon Tilburt

There have been few analyses of physicians' views of the ACA, and none
examining changes over time. To fill this gap, Lindsay Riordan and
coauthors compared responses to their 2012 and 2017 surveys of US
physicians' perceptions and approval of the ACA.
Read More >>

The Practice Of Medicine series
is supported
by The Physicians Foundation.

Read the September 2019 Table of Contents

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**A CLOSER LOOK**-Flu

The Centers for Disease Control and Prevention estimates that last year
there were 37 million to 43 million flu illnesses in the US, and
36,400-61,200 flu-related deaths. This Health Affairs Blog

post from June of this year calls seasonal influenza vaccination "a tool
to advance epidemic and pandemic preparedness in low- and middle-income
countries."

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