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

**Tuesday, January 5, 2021**

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IN THE JOURNAL

NEW ISSUE:
COVID-19 RESPONSE, MEDICAID & MORE

The January issue of Health Affairs includes a group of articles focused
on COVID-19 vaccines and therapeutics, as well as a range of other
topics including the effects of insurance coverage expansions, how much
people are willing to pay for higher-quality care, and some data on
surprise billing.

Read the January 2021 table of contents.

Read "From the Editor-in-Chief."

TODAY ON THE BLOG

PAYMENT

Despite Early Success, Vermont's All-Payer Waiver Faces Persistent
Implementation Challenges: Lessons From The First Four Years

By Adam Atherly, Eline van den Broek-Altenburg, Stephen Leffler, and
Claude Deschamps

There have been a number of notable initial successes with Vermont's
all-payer model. All hospitals in the state now participate, as do more
than half of primary care providers. However, there are a number of
practical challenges to implementing an all-payer program statewide.
Read More >>

HEALTH AFFAIRS BRANDED POST

Study Shows Improved Outcomes
In
Medicare Advantage As Compared To Traditional Fee-for-Service Medicare

By Allyson Y. Schwartz
Supported by Better Medicare Alliance

As Medicare Advantage now exceeds 40 percent of all Medicare enrollment,
and with continued robust growth year over year, interest in quality and
cost as compared to traditional fee-for-service Medicare grows as well.
Read More >>

**A CLOSER LOOK**-Sex Discrimination And Health Equity

Sex discrimination is a health equity issue. It not only plays a role in
the social determinants of health individuals experience such as income,
education, and emotional stress, but sex discrimination can also
determine who has access to certain health care services and resources.
In a January 2018

****Health Affairs Blog post, Kevin Costello and Maryanne Tomazic
discuss the ongoing journey of Section 1557, the primary
anti-discrimination provision of the Affordable Care Act
.
Section 1557 prohibits discrimination in certain health programs and
activities on the basis of sex and has been interpreted and challenged
in courts across the Obama and Trump administrations.

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HEALTH AFFAIRS PODCAST

Value-Based Care Isn't Transforming Health Care Spending

Alan Weil, Sherry Glied

Every year, Health Affairs publishes a retrospective look at national
health care spending. In 2020 Anne Martin and colleagues from the CMS
Office of the Actuary found that US health care spending increased 4.6%
to $3.8 trillion in 2019
.

The rate of health spending declined slightly from that of 2018, which
noted a growth rate of 4.7%. Hospital care, physician and clinical
services, and retail purchase of prescription drugs, which together
accounted for 61% of total national health spending, saw faster growth
rates in spending in 2019.

These figures predate the coronavirus, which has led to major changes in
health care delivery and spending.

In this week's episode of A Health Podyssey, Alan Weil invites Sherry
Glied, dean of the Robert F. Wagner Graduate School of Public Service at
New York University, to the program. They take a step back from the main
findings of the paper and discuss the relationship between
administrative costs and high health care prices.

Listen to Sherry Glied share why she thinks value-based care won't be
transformational and how public health is a desirable field to go into
now.

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.

Copyright © Project HOPE: The People-to-People Health Foundation, Inc.

Health Affairs, 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814, United States

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