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

**Wednesday, January 13, 2021**

TODAY ON THE BLOG

HEALTH INFORMATION TECHNOLOGY

Improving Interoperability By Moving From Perfection To Pragmatism

By Julia Adler-Milstein, Aaron B. Neinstein, and Russell J. Cucina

When data are viewable but not combined, clinicians are less likely to
use data from outside sources. We posit that it is time to revisit the
decision of prioritizing perfection over pragmatism so as to shift to an
approach that achieves clinically functional interoperability by
combining data. This new pragmatic approach must recognize the
limitations of standards and increasingly engage clinicians in driving
decisions about how to deliver functional solutions. Read More >>

IN THE JOURNAL

MEDICAID

Avoiding Medicaid: Characteristics Of Primary Care Practices With No
Medicaid Revenue

By Steven B. Spivack, Genevra F. Murray, Hector P. Rodriguez, and
Valerie A. Lewis

In this month's issue Steven B. Spivack from Yale School of Medicine
and coauthors address the ongoing concern about primary care access for
Medicaid patients. In this Practice of Medicine article, the authors
fill a gap in studies on provider participation by examining
characteristics of primary care practices associated with Medicaid
participation. Learn about the findings of their nationally
representative survey. Read More >>

This paper appears in an ongoing

**Health Affairs**article series, The Practice of Medicine
, which is
supported by The Physicians Foundation.

Medicaid Expansion: Effects On Hospital Finances And Implications For
Hospitals Facing COVID-19 Challenges

By Fredric Blavin and Christal Ramos

Also in this month's issue is a new analysis of Medicaid expansion.
Fredric Blavin and Christal Ramos find that the early positive effects
of the Affordable Care Act's Medicaid expansion on hospital finances
were sustained in 2016 and 2017. Read more about the benefits that
different types of hospitals received and how COVID-19 impacted their
finances. Read More >>

Read the January 2021 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Economic Burden Of Vaccine-Preventable Diseases

Like many preventive health interventions, vaccines not only help people
avoid disease and remain healthy, but they also save money by doing so.
Revisit a November 2016 article in which Sachiko Ozawa and coauthors
calculated the economic burden that is attributable to
vaccine-preventable diseases among US adults
.
The authors found a total economic burden in 2015 of approximately $9
billion from vaccine-preventable diseases related to ten vaccines
recommended for adults.

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About Health Affairs

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Sunday Update .  

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

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