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

**Wednesday, January 6, 2021**

TODAY ON THE BLOG

HEALTH CARE FINANCE

How Can State Legislation Promote Value In Health Care? Three Innovative
Models

By Roslyn Murray, Suzanne F. Delbanco, and Jaime S. King

A small number of states have made progress in advancing value-based
payment through legislation to create Medicaid accountable care
organizations (ACOs) and establish new regulatory authorities. These
initiatives can serve as helpful models for new state efforts to support
the sustainability of physician practices, ease the pandemic-induced
strain on state budgets, and improve health care value for all who use
and pay for health care services.
Read More >>

IN THE JOURNAL

COVID-19

An Overview Of Vaccine Development, Approval, And Regulation, With
Implications For COVID-19

By Aaron S. Kesselheim, Jonathan J. Darrow, Martin Kulldorff, Beatrice
L. Brown, Mayookha Mitra-Majumdar, ChangWon C. Lee, Osman Moneer, and
Jerry Avorn

Aaron Kesselheim and coauthors review the extensive process followed by
the Food and Drug Administration in approving a vaccine and point out
the unique benefit-risk balance necessitated by "the fact that the new
product will be administered to very large numbers of healthy people in
a short period of time." Read More >>

COVID-19 Vaccine To Vaccination: Why Leaders Must Invest In Delivery
Strategies Now

By Rebecca L. Weintraub, Laura Subramanian, Ami Karlage, Iman Ahmad, and
Julie Rosenberg

Rebecca Weintraub and coauthors point out that "the COVID-19 vaccine
portfolio requires urgent, unprecedented investment in the delivery
strategies and systems needed to generate vaccine demand and facilitate
vaccine allocation, distribution, and verification of coverage." Read
More >>

Clinical Outcomes Of A COVID-19 Vaccine: Implementation Over Efficacy

By A. David Paltiel, Jason L. Schwartz, Amy Zheng, and Rochelle P.
Walensky

David Paltiel and coauthors use modeling to show that vaccine
distribution and uptake, along with levels of community infection
leading up to administration, will have at least as much influence on
the ultimate burden of COVID-19 as the effectiveness of the vaccine
itself.
Read More >>

Read the January 2021 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Health Priorities In 2021

As a new administration prepares to enter the White House this month,
and COVID-19 vaccines continue to be distributed, albeit slowly, many
people in government, health care service, and policy communities are
forming US health priorities for 2021. There is no doubt that achieving
herd immunity for COVID-19 is high on the list, but with many other
health issues exacerbated by the virus and inequities laid bare,
questions remain about where to focus efforts to rebuild population
health in the wake of a global pandemic. Revisit a January 2019 blog
post by Lisa Simpson that discusses three health priorities that
demanded action heading into 2019
.

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About Health Affairs

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