A Weekly Health Policy Round Up From Health Affairs
 
 
 
 
 
A Weekly Health Policy Round Up From Health Affairs            

January 31, 2021
THIS WEEK ON THE BLOG

DISPARITIES

An Editor’s View Of Race, Racism, And Equity
By Alan Weil (1/26/21)

Dismantling institutional racism and building equitable systems takes time and effort. Our agenda has three elements: equitable participation, new voices, and introspection. Read More >>

A
Dismantling Racism In Scholarly Publishing, Intentionally And Unapologetically
By Vabren Watts (1/26/21)

We have a long road ahead to advance racial equity. However, if we are intentional and unapologetic in our efforts, we can build a foundation for health services and health policy scholarly publishing that represents the perspectives of all cultures. Read More >>

COVID-19

Accelerating Digital Health To Achieve Equitable Delivery Of The COVID-19 Vaccine
By Shantanu Nundy, Kavita K. Patel, and Mark Sendak (1/29/21)

With the promise of new vaccines, there has been great speculation around how to distribute the vaccine in historically marginalized communities. We argue that digital health has the potential to facilitate a more widely distributed model of vaccine delivery. Read More >>


Five Urgent Public Health Policies To Combat The Mental Health Effects Of COVID-19
By Cindy B. Veldhuis, Elizabeth Stuart, and M. Daniele Fallin (1/27/21)

Mental health demands a comprehensive public health pandemic strategy, including universal screenings, anti-stigma campaigns, and health equity–focused access to mental health care, with specific efforts focused on the needs of high-risk populations. Read More >>


FOLLOWING THE ACA

Biden Executive Order To Reopen HealthCare.gov, Make Other Changes
By Katie Keith (1/29/21)

On January 28, President Biden took executive action directing HHS to expand access to ACA coverage and bolster the Medicaid program. He also issued a memorandum on women’s health. These directives make clear that the Biden administration considers HealthCare.gov and Medicaid to be critical tools in its pandemic response toolbox. Read More >>


PUBLIC HEALTH

Philanthropy's Critical Role In Public Health Advocacy
By Betsy Fuller and Kelly Henning (1/28/21)

More philanthropic organizations need to catalyze public health advocacy to realize sustainable, people-driven improvements in public health. The authors, who are both at Bloomberg Philanthropies, provide examples of funding advocacy work, including its funding of efforts to reduce use of sugary beverages in Mexico and improve maternal mortality rates in Tanzania. When philanthropy supports advocacy groups to push government to do better and serve communities through policy change, that support can help improve and save lives.
Read More >>

GLOBAL HEALTH

By Kashmira Chawla, Makela C. Stankey, Jacquelyn Corley, and Craig D. McClain (1/28/21)

The Biden administration must create a more inclusive, decolonized, accountable policy plan for global health security by partnering with other countries to support equitable health care and resilient health systems. Read More >>


AFFORDABLE CARE ACT

How President Biden Can Make The ACA An Even Bigger Deal
By Joel Ario and Katherine Hempstead (1/25/21)

President Biden takes office with the expectation that he will face stiff Republican opposition to expanding the Affordable Care Act (ACA). That may well turn out to be true for his most ambitious coverage goals. Nevertheless, the president will have many opportunities to build on the ACA foundation. Read More >>


Understanding Suicide Risk Prevention

A new health policy brief from Health Affairs with support from the Robert Wood Johnson Foundation provides a general overview of the research on suicide risk and protective factors, highlights current suicide prevention strategies, and notes policy opportunities for improving multisectoral prevention efforts. This brief joins Health Affairs’ ongoing series of policy briefs on social determinants of health.

IN THE JOURNAL

POLICY INSIGHT

Pricing Universal Health Care: How Much Would The Use Of Medical Care Rise?
By Adam Gaffney, David U. Himmelstein, Steffie Woolhandler, and James G. Kahn

Adam Gaffney and coauthors explore how much medical care use and costs would change under universal coverage in the US, and argue that such estimates should consider the limited supply of most medical resources. Read More >>




Listen to Health Affairs Editor-in-Chief Alan Weil interview Adam Gaffney, a pulmonary specialist from Cambridge Health Alliance and Harvard Medical School, on how medical care use could change under universal health coverage.
A Health
Podyssey



NURSING HOMES

Nearly One In Five Skilled Nursing Facilities Awarded Positive Incentives Under Value-Based Purchasing
By Laura Coots Daras, Alison Vadnais, Ye Zhang Pogue, Michael DiBello, Christopher Karwaski, Melvin Ingber, Fang He, Micah Segelman, Lang Le, and James Poyer

Laura Coots Daras from Insight Policy Research and coauthors from RTI International and the Centers for Medicaid and Medicare Services report on the first two rounds of incentive payments made through Medicare’s Skilled Nursing Facility Value-Based Purchasing Program. What did their findings show about positive and negative incentive payments?
Read More >>


GRANTWATCH

Substance Use Disorders: Funding For Prevention
By Lee L. Prina

The January 2021 GrantWatch column focuses on the efforts of foundations around the country to prevent substance use disorders, including opioid addiction and alcoholism. Two foundations mentioned are broadening their focus from the opioid epidemic to substance use disorder in general. Among subjects mentioned are harm reduction strategies, the role of Medicaid in treatment, and how COVID-19 is affecting opioid-related mortality. And in personnel news, the May and Stanley Smith Charitable Trust, located in California, has a new CEO. (Its funding priorities are adults and transitioning youth with disabilities, elders, foster youth, and veterans and military families.) Read More >>


LEADING TO HEALTH: OPIOID USE DISORDER

Critical Support Where High-Risk Pregnancy Meets Addiction
By Melba Newsome

In a Western North Carolina region ravaged by opioids, innovative programming provides comprehensive, judgement-free care. Read More >>

Book Review
BOOK REVIEW


Rick Mathis reviews ACA architect Ezekiel Emanuel’s new book, Which Country Has the World’s Best Health Care? Read More >>
Health Affairs This Week

Listen to Jessica Bylander and Vabren Watts discuss the Biden administration's vision for advancing racial equity and the new Health Affairs health equity project.

Listen here.

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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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