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

**Tuesday, January 19, 2021**

TODAY ON THE BLOG

HOSPITALS

New Year, New CMS Price Transparency Rule For Hospitals

By Chris Wheeler and Russ Taylor

The Centers for Medicare and Medicaid Services (CMS) promulgated a new
rule for hospital pricing, effective January 1, 2021, that would require
disclosure of a wide range of hospital prices. This blog post reviews
the history, requirements, and scope of the CMS rule; industry
criticisms of the rule; the lawsuit challenging it; and the prospects
for compliance. While the CMS rule will not single-handedly normalize
health care pricing, it at least promises to make it more transparent.
Read More >>

PAYMENT

Value-Based Purchasing Rule For Medicaid Rx Drugs: Continuing To Shift
From FFS Toward Accountability

By Seema Verma, John Coster, and Jeet Guram

Drug pricing is a prime candidate for value-based reforms, especially
given the advent of new high-priced but potentially curative medications
ill-suited to fee-for-service financing. The Centers for Medicare and
Medicaid Services recently finalized changes to Medicaid's Drug Rebate
Program to facilitate and enable more value-based payment arrangements
for drugs. Read More >>

LEGAL & REGULATORY ISSUES

Health And Dental Insurers Subject To Federal Antitrust Laws

****By Katie Keith

On January 13, 2021, President Trump signed the Competitive Health
Insurance Reform Act of 2020 into law. The new law amends the
McCarran-Ferguson Act of 1945, which has long exempted insurers from
federal antitrust laws.Read More >>

IN THE JOURNAL

MEDICAID

Medicaid Expansion And Health Services Use For Adults Experiencing
Homelessness In Arkansas

By Jeral Self, Kevin Callison, Anthony Goudie, Kanna Lewis, and Joseph
Thompson

Jeral Self and coauthors examine health care use among an adult
population who identified as homeless in Arkansas after the state
expanded Medicaid. Gaining coverage is associated with initial spikes in
emergency department use and inpatient hospitalizations followed by
steady decreases in the following year to preexpansion utilization
levels or below.
Read More >>

Read the January 2021 Table of Contents
.

Subscribe to Health Affairs for full journal access.

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If You Give People Coverage, They Use It

Listen to Health Affairs Editor-in-Chief Alan Weil interview Jeral Self,
a researcher at Mathematica and an adjunct faculty member at the Tulane
School of Public Health and Tropical Medicine, on how Medicaid expansion
affected health care utilization for adults experiencing homelessness in
Arkansas.

Listen here.

**A CLOSER LOOK**-Health Care Policy In The 2018 Midterms  

After President-Elect Biden is inaugurated tomorrow, the Democratic
Party will have control of the presidency and both chambers of Congress,
a position the Republicans were in four years prior. As Democrats
campaigned in 2018 to flip as many congressional seats as possible,
health care was a central message. When Democrats gained a majority in
the House, it had significant policy implications. Check out a 2018 blog
post by Billy Wynne to revisit his predictions about which health care
issues would come to the fore

of the federal agenda in the following years.

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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.

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