A Weekly Health Policy Round Up From Health Affairs
 
 
 
 
 
A Weekly Health Policy Round Up From Health Affairs            

December 13, 2020
Health Affairs December 2020
IN THE JOURNAL

NEW ISSUE:
CLIMATE & HEALTH

The December issue of Health Affairs covers the intersection of climate change and health. This issue was supported by the Robert Wood Johnson Foundation and The Kresge Foundation.

Read the December 2020 table of contents.
ENVIRONMENTAL HEALTH

A key takeaway from this month's issue is that the health sector is a major contributor to greenhouse gas emissions. Experts agree that health care organizations should take steps to measure and reduce their carbon pollution, but where do we begin? Matthew J. Eckelman and coauthors provide new estimates of environmental emissions in the US health care sector to document the scope of the problem; Martin Hensher and Forbes McGain outline priorities for developing sustainability metrics; and Andrea MacNeill and coauthors propose solutions to transform the health care supply chain.


Health Affairs 39/12 DataGraphic

How Indigenous Communities Are Adapting To Climate Change: Insights From The Climate-Ready Tribes Initiative
By Paul J. Schramm, Angelica L. Al Janabi, Larry W. Campbell, Jamie L. Donatuto, and Shasta C. Gaughen

Climate change can interrupt traditional practices and ways of life for Indigenous communities. Based on lessons learned from the Climate-Ready Tribes Initiative, Paul Schramm and coauthors offer ideas for making climate and health policy more effective for tribes. Read More >>

Go in-depth and check out this week's new episode of A Health Podyssey featuring Shasta Gaughen, the Environmental Director for the Pala Band of Mission Indians.

Adding A Climate Lens To Health Policy In The United States
By Renee N. Salas, Tynan H. Friend, Aaron Bernstein, and Ashish K. Jha

In the face of the generational threat of climate change, health policy must be discussed, funded, and implemented through a climate lens. According to Renee Salas and coauthors, this means assessing the health risks driven by climate change and integrating them into policies to improve the nation’s health. Read More >>

AHEAD OF PRINT

Income-Related Inequality In Affordability And Access To Primary Care
In Eleven High-Income Countries

By Michelle M. Doty, Roosa S. Tikkanen, Molly FitzGerald, Katharine Fields,
and Reginald D. Williams II


A survey of noninstitutionalized adults in eleven countries shows that US residents with lower incomes rank last or near last on health status, material hardships, affordability, and some measures of primary care access. The Commonwealth Fund’s study collected representative samples of adults from Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the US between February and May 2020. Read More >>

THIS WEEK ON THE BLOG

COVID-19

COVID-19 Challenge Trials Would Save Lives And Avert Years In Poverty By Significant Margins
By Pedro Rosa Dias, Ara Darzi, and Nir Eyal (12/11/20)

Overall, even the most conservative estimates of the expected social value of accelerating vaccine trials through controlled human infection studies are dramatic. The risk to study volunteers would have to be colossal for faster designs to be rejected on the basis of plausible research ethics. It is not. Read More >>


FOLLOWING THE ACA

ACA Round-Up: Guidance For 2022, Funding For States, And More
By Katie Keith (12/11/20)

The Centers for Medicare and Medicaid Services (CMS) has released the 2022 draft letter to issuers in the federal Marketplace, key dates for calendar year 2021, a draft rate review timeline, and draft actuarial value (AV) calculator and AV calculator methodology for 2022. CMS also issued guidance regarding its evaluation of EDGE data submissions for 2020, a limited EDGE data set, and a $23.7 million funding opportunity for states. Read More >>


The Missing Piece In America’s COVID-19 Isolation And Quarantine Strategy: Wraparound Services
By Syra Madad, Jennifer B. Nuzzo, and Margaret Bourdeaux (12/10/20)

The goal is to remove as many barriers as possible to enable compliance. The more support we can offer to those needing to isolate or quarantine, the better our chances of getting out of this pandemic sooner. Read More >>


Increased Reimbursement May Help Overcome Barriers To Administration Of Seasonal And Routine Vaccines
By Emily Belowich, Kelsey Jones, Sheila Fifer, Penelope Solis, and Richard Hughes IV (12/9/20)

The COVID-19 pandemic has exacerbated one of the country’s largest public health challenges: improving population health through routine and seasonal immunizations for diseases such as influenza and pneumonia. A study from the Centers for Disease Control and Prevention highlights that uptake rates plummeted for all recommended childhood vaccines in March and April of this year. Read More >>


Generic Drug Repurposing For Public Health And National Security: COVID-19 And Beyond
By Rena M. Conti, Susan Athey, Richard G. Frank, and Jonathan Gruber (12/8/20)

In this post, we propose that the federal government take the lead in promoting the deployment of drugs to prevent and treat COVID-19 but also the additional epidemics and pandemics that will, unfortunately, likely occur in the future. Read More >>


LEGAL & REGULATORY ISSUES

Updates To Stark Law Regulations Will Drive Value In The Health Care System
By Seema Verma and Kimberly Brandt (12/9/20)

The Stark Law addressed a legitimate problem. However, since the law was enacted in 1989, the regulations implementing it have become woefully outdated. Too often, they have hindered, rather than advanced, the cause of affordable, quality health care for patients. Read More >>


SOCIAL DETERMINANTS OF HEALTH

Building Health: Lessons From Seven Years Of The Healthy Futures Fund
By Carol Cahill, Chris M. Kabel, and Emily Bourcier (12/10/20)

Between 2012 and 2019, the Healthy Futures Fund (HFF), a collaboration of the Kresge Foundation, the Local Initiatives Support Corporation, and Morgan Stanley, invested $180 million to finance projects that embed health-enhancing features and services in real estate development. The fund experimented with two existing tax credit programs to finance those projects. Lessons from an evaluation of the HFF are especially timely given the increasing number of hospital systems and health plans investing in affordable housing and other forms of community development. Read More >>


MEDICAID

Making Care Work Pay: How A Living Wage For LTSS Workers Benefits All
By Christian Weller, Beth Almeida, Marc A. Cohen, and Robyn I. Stone (12/7/20)

Raising the pay of direct care workers would yield an impressive return on investment. Care recipients would receive more consistent and reliable care; workers would enjoy enhanced financial security; long-term services and supports (LTSS) providers would see fewer staffing shortages, reduced turnover, and higher productivity; and local economies would expand as direct care workers increased their spending and depended less on government assistance to make ends meet. Read More >>


ACCESS TO CARE

President-Elect Biden Can Take Administrative Action To Dramatically Cut Consumers’ Health Care Costs And Cover Millions Of Uninsured
By Stan Dorn and Frederick Isasi (12/7/20)

The Biden administration can make important progress by using its administrative authority to make individual health insurance substantially more affordable while extending health care to millions of hard-working families who are uninsured today. Read More >>


TELEHEALTH

As Value-Based Care And Telehealth Rise, Patient Experience Measurement Desperately Needs An Update For The Digital Age
By Sarah Hudson Scholle, Margaret E. O’Kane, and Paul Cotton (12/7/20)

There is broad and growing agreement about the need to develop better tools to measure patient experience. Fortunately, there is an array of digital tools to make this possible: They are readily available and widely used in other industries. Read More >>


WOMEN’S HEALTH

Despite Many States Doing What They Can, The Federal Government Must Act Now To Extend Postpartum Medicaid Coverage
By Emily Eckert (12/8/20)

It is essential that both federal and state governments implement policy solutions that preserve care for women in the postpartum period. Extension of Medicaid coverage for the full year after delivery is a critical step in our nation’s efforts to combat unacceptable maternal mortality and morbidity rates. Read More >>
HEALTH AFFAIRS BRANDED POST

Targeting Health Care’s “Triple Aim”: Leaders Equipped with Tech and Business Expertise
Supported by Stanford Medicine

For decades now, health care leaders and policy makers have sought to achieve health care’s “Triple Aim": reduce cost, broaden access, enhance quality care. Read More >>


Podcast: Health Affairs This Week

Listen to Health Affairs' Leslie Erdelack and Chris Fleming discuss why health policy is ready to enter the climate change discussion.

Listen here.
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About Health Affairs

Health Affairs is the leading peer-reviewed journal 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 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.

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