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

**Wednesday, December 16, 2020**

AHEAD OF PRINT

National Health Care Spending In 2019: Steady Growth For The Fourth
Consecutive Year

By Anne B. Martin, Micah Hartman, David Lassman, Aaron Catlin, and The
National Health
Expenditure Accounts Team

A new analysis from the Office of the Actuary at the Centers for
Medicare and Medicaid Services (CMS) estimates that in 2019 health care
spending in the United States increased 4.6 percent to $3.8 trillion, or
$11,582 per person. The 4.6 percent growth rate in 2019 was similar to
the rate in 2018 (4.7 percent) and was consistent with the average
annual spending growth rate of 4.5 percent that has been observed since
2016. Faster growth in personal health care spending was offset by a
decline in the net cost of health insurance.
Read More >>

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Read the December 2020 Table of Contents
.

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TODAY ON THE BLOG

TELEHEALTH

Our Health Care System Wasn't Designed To Support Telehealth. Now
It's Time For A Makeover

By Sean Cavanaugh

Today, a lot of people in health care are asking: What is the future for
telehealth? By examining its initial design, we can find clues as to the
best path forward for virtual care. Read More >>

GLOBAL HEALTH

In Global Efforts To End HIV And Advance Reproductive Health,
President-Elect Joe Biden Should Seize The Opportunity For Bold
Leadership

By Monica Kerrigan

The Trump era and the COVID-19 pandemic have threatened to reverse
decades of progress in global efforts to end HIV and advance
reproductive health, but they leave us with an opportunity for positive
disruption. To achieve success, the Biden administration must not play
it safe-they must go above and beyond what has been done before, and
they must start now. Read More >>

****COVID-19

COVID-19 Shocks The US Health Sector: A Review Of Early Economic Impacts

By George Miller, Corwin Rhyan, Ani Turner, and Katherine Hempstead

Early analysis of 2020 Bureau of Economic Analysis data suggests ways
that next year's report from the CMS actuaries will look different
from this year's-or any year's before that-with hospital
spending down while prices are up, home health care substituting for
nursing home care, and some professional services in dire straits. Read
More >>

**A CLOSER LOOK**- Water Pollution And Flint

Water pollution is not only harmful to human and environmental health,
but it is also worsened by hurricanes and flooding made more severe by
climate change. The populations most directly impacted by water
pollution tend to be those without the resources to avoid it. In a
September blog post about the Flint water crisis settlement, Wendy E.
Parmet discussesthe roots of the city's water problem as economic and
political
.
Following the 2008 financial crisis, "Governor Rick Synder appointed
an emergency manager to oversee Flint's affairs and cut costs,
effectively robbing the citizens of their right to self-govern,"
Parmet explains. "This led to the disastrous decision in 2014 to cut
water costs by changing Flint's water supply from the Detroit Water
and Sewage District to the Flint River," which corroded lead pipes and
resulted in high lead levels in the blood of the city's children.

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About Health Affairs

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at the intersection of health,
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Today , and Health Affairs
Sunday Update .  

Project HOPE is a global health and
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published Health Affairs since 1981.

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