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

December 27, 2020
IN THE JOURNAL

CLIMATE & HEALTH

Community-Driven Approaches To Climate Change

There is an urgent need to build climate-resilient communities and health systems, but these solutions must be tailored to the specific values and needs of individual communities. Paul J. Schramm and coauthors discuss how Indigenous communities are adapting to climate change; and Christopher J. Boyer and coauthors offer considerations for implementing climate and health strategies in Pacific Island countries.


Health Risks Due To Climate Change

Climate variability and change are harming human health. The health risks associated with a changing climate create new inequities and exacerbate those that already exist, explain Kristie Ebi and Jeremy Hess in an overview piece on the topic. In a related article, Ebi and coauthors describe detection and attribution methods used by climatologists to study climate change and discuss why this field of study should be applied to understand how climate change is affecting health.
Ebi also joins us for a conversation on this week’s podcast.

GRANTWATCH

Climate Change And Health: Recently Funded Projects
By Lee L. Prina

The December 2020 GrantWatch column provides a sampling of foundations that have funded efforts on climate change's relation to health. Equity is an important facet of both a program funded by the Robert Wood Johnson Foundation and an initiative funded by the Kresge Foundation. Also, read about the 2019 Climate Campaign, funded by four foundations. Its aim was "to demonstrate that reframing climate change as a health crisis could move Americans to support stronger climate action from their elected representatives." The column has some "people news," too—find out who now leads the bioethics-focused Greenwall Foundation, and more. Read More >>

NARRATIVE MATTERS

Climate Migration And The Future Of Health Care
By Katharine Lawrence

In this month’s Narrative Matters essay, physician Katharine Lawrence reports that she’s witnessed how the health impacts of climate change can manifest in a clinic visit. She writes about treating two patients forced from their home countries by extreme weather associated with climate change.
Read More >>

Narrative Matters: Climate Migration
THIS WEEK ON THE BLOG

COVID-19

Legal Challenges To Allocating New COVID-19 Antibody Therapies To Those Who Need Them Most
By Katherine E. Goodman, Anthony D. Harris, and Diane E. Hoffmann (12/24/20)

Two new monoclonal antibody treatments were recently authorized to treat COVID-19, but the majority of COVID-19 patients will not be able to access them. While certain groups have been hardest hit by the pandemic, there are legal challenges to prioritizing them during treatment allocation. Read More >>



FOLLOWING THE ACA

HealthCare.gov Enrollment Rises; More Enrollment Data  
By Katie Keith (12/21/20)

On December 18 the Centers for Medicare and Medicaid Services released its final open enrollment snapshot for the 2021 open enrollment period. Two fewer states, New Jersey and Pennsylvania, used HealthCare.gov for 2021. When enrollment in those states is accounted for, enrollment through HealthCare.gov increased by about 6.6 percent from 2020—the first time we have seen an increase in enrollment under the Trump administration. Read More >>


LEGAL & REGULATORY ISSUES

Health Care In The Next Congress—Policy Positions Of The Incoming 2021 House Of Representatives
By John Connolly, Pranay Nadella, and David Grande (12/24/20)

Analysis of policy platforms of the incoming House of Representatives suggests that we should expect continued protections for preexisting conditions, partisan squabbling over lowering drug prices, preservation of the ACA, and an intra-party battle among Democrats over health insurance reform. Read More >>



HEALTH PROFESSIONALS

To Limit The Harms Of Step Therapy, Implement Robust Standards And Protect Physician Autonomy
By Jessica Burgy and Mark G. Lebwohl (12/22/20)

Step therapy protocols should be nationally recognized and always based on clinical guidelines developed by independent medical experts to ensure that they are safe for patients. States should establish basic exemption requirements and require a transparent process by insurers to ease the burden on patients and physicians. Read More >>


DISPARITIES

Race And Ethnicity Must Be Included In Employee Health Data Analyses
By Bruce W. Sherman, Irene Dankwa-Mullan, Hema Karunakaram, Leah Kamin, Tiffani J. Bright, and Kyu Rhee (12/21/20)

Organizations should use employee race and ethnicity data to evaluate their health benefit offerings. A commitment to racial equity and social justice in the workplace includes using race and ethnicity data to identify disparities, understand employee needs, and promote interventions that can close health gaps along racial and ethnic lines. Read More >>


CLINICAL CARE

The CMS Oncology Care Model Is Falling Short Of Its Promise. Could Oncology Hospital At Home Be The Remedy?
By Jackson T. Bowers, Callie A. Scott, Kathi H. Mooney, Sandra G. Jost, Nina R. O’Connor, and Justin E. Bekelman (12/23/20)

Spurred by the COVID-19 pandemic, payers have shown willingness to engage in innovative Hospital at Home models. As waivers permitting these models expire, policy makers must replace them with long-term payment structures to support this type of patient-centered, high-value care, particularly in oncology. Read More >>


HEALTH PHILANTHROPY

People Post: Foundation Staffers’ Comings And Goings, Honors; Job Openings At Foundations

By Lee-Lee Prina (12/22/20)

Read news from the past few months at foundations that fund in health: new hires, staff who have moved on, a key foundation staffer named to the Biden-Harris Transition's COVID-19 Advisory Board, a foundation president elected to the National Academy of Medicine, and more. Also, read about two current job openings at foundations. Read More >>


Podcast: Health Affairs This Week

The COVID-19 pandemic defined the majority of the year 2020. But it wasn't the only story to follow this year, especially in the field of health policy.

In a special extended episode of Health Affairs This Week (the first of two end-of-year episodes), Leslie Erdelack, Chris Fleming, and Rob Lott discuss some of the stories you may have missed in health policy if you focused most of your attention on the pandemic. The group highlights the Affordable Care Act turning 10, antitrust regulations, and environmental rollbacks.

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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