Today in the Journal and on the Blog
 
 
 
 
 
Health Affairs Today
The Latest Research, Commentary, and News from Health Affairs

Tuesday, January 19, 2021
TODAY ON THE BLOG

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


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 >>


A Health Podyssey


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.

A CLOSER LOOKHealth 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.

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