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

**Wednesday, January 20, 2021**

TODAY ON THE BLOG

COVID-19

A Case For More (And More Ethical) COVID-19 Vaccine Trials In Africa

By Okechi Boms, Michelle Korte, and Wafaie Fawzi

Despite Africa's strong performance in its own battle against
COVID-19, its capacities have been drastically underused in the race
toward a vaccine. As funding continues to circumvent African trial
sites, the consequences are potentially dire. Vaccines need to be tested
for safety and efficacy in the populations among which they will be used
because different people respond differently to vaccines. Read More >>

SYSTEMS OF CARE

Health Care In 2021: Five Trends To Watch

By Susan DeVore

History gives us many reasons to doubt predictions. But assuming that we
make great strides in lessening the societal impact of COVID-19 and move
to a new normal, I think we will begin to make some key shifts that will
ultimately improve health care's cost, quality, reliability, and
underlying data infrastructure. Read More >>

FOLLOWING THE ACA

ACA Round-Up: Enrollment Numbers, MLR Guidance, And 1332 Extension
Requests

By Katie Keith

The Centers for Medicare and Medicaid Services released updated
enrollment numbers for HealthCare.gov, revised its guidance on how
insurers should treat risk corridors recovery payments in the medical
loss ratio and rebate calculation, and responded to Colorado and Maine
regarding requests to extend each state's reinsurance waivers under
Section 1332 of the Affordable Care Act. Read More >>

IN THE JOURNAL

EYE ON HEALTH REFORM

The Election; The ACA At The Supreme Court

By Katie Keith

Katie Keith outlines the likely legislative priorities for a Biden
administration. She also outlines the possible paths for the Supreme
Court's decision in

**California v. Texas**, a case that challenges the constitutionality of
the Affordable Care Act. Read More >>

Read the January 2021 Table of Contents
.

Subscribe to Health Affairs for full journal access.

**A CLOSER LOOK**-Health Policy In The Democratic Primaries

Inauguration Day is the end of a multiyear election cycle in which
health policy has often been at the center of discussion. In the
Democratic primary season, it was an issue that candidates used to set
themselves apart from one another and further the national conversation
about the future of health reform in the US. In a December 2018 paper,
Sherry A. Glied and Jeanne M. Lambrew discuss the types of public health
insurance plans in the current system, the proposals to extend them, and
the questions

that candidates could use to guide decisions about their health policy
proposals.

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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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