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A Weekly Health Policy Round Up From Health Affairs
September 29, 2019
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PHARMACEUTICALS & MEDICAL TECHNOLOGY
A Civic Duty To Improve Access To Generic Pharmaceuticals
By Shelley Lyford (9/26/19)
Seven health care systems and three philanthropic organizations launched a nonprofit generic drug company in 2018
with a mission to ensure that essential generic drugs are both accessible and affordable. The focus is on improving hospitals' access to generics. The president and CEO of the Gary and Mary West Foundation and West Health explains why and how Civica Rx was established and provides some updates. Read More >>
Next Steps For Netflix: Can ‘All You Can Treat’ Contracts Work Beyond Hepatitis C?
By Mark Trusheim and Peter B. Bach (9/25/19)
In 2016, working with Senator William Cassidy (R-LA), we developed the "Netflix model" for financing hepatitis C virus treatment for a defined population. The name reflects the model’s central feature: a flat fee in exchange for unlimited supply, analogous to the monthly subscription fee paid by binge watchers to the video streaming service. Read More >>
Methadone Barriers Persist, Despite Decades Of Evidence
By Alaina McBournie, Alexandra Duncan, Elizabeth Connolly, and Josh Rising (9/23/19)
Given the importance of increasing access to opioid use disorder (OUD) treatment, states and the federal government should take the steps outlined here to improve access to methadone and
integrate OUD care with the rest of the delivery system. This will ensure that patients with OUD have access to convenient and tailored treatment regardless of where they live.
Read More >>
ACCESS TO CARE
After Title X Regulation Changes: Difficult Questions For Policy Makers And Providers
By Nakisa B. Sadeghi and Leana S. Wen (9/24/19)
The Trump administration’s Title X revision is an intrusion on medical practice that will reduce access to care for the most vulnerable, but it is by no means an isolated event. Every new restriction brings up challenging questions for providers and policy makers, whose ultimate responsibility must be the patients
and communities they serve. Read More >>
HEALTH INFORMATION TECHNOLOGY
Remembering Don Lindberg:
A Transformative Leader
By Robert A. Logan (9/27/19)
Donald A.B. Lindberg, who died on Aug. 17 at age 85, is a primary reason we have access to PubMed, MedlinePlus.gov, Clinicaltrials.gov, GenBank, a host of other biomedical databases, and the Internet. Read More >>
GLOBAL HEALTH
The Global Community Has Pledged To Achieve Universal Health Coverage: What’s It Going To Take?
By Marina Carter and Aaron Emmel (9/23/19)
This will be an unprecedented moment in public health: according to the declaration being negotiated at the UN High-Level Meeting on Universal Health Coverage, a commitment to achieve universal health coverage by 2030 is being made globally "for the first time." Whether the new commitment succeeds will depend on
a large degree of advocacy at the national level. Read More >>
PUBLIC HEALTH
Learning The
Lessons of Tobacco: A Public Health Approach To The Opioid Settlements
By Faith Khalik, Wendy E. Parmet, and Leo Beletsky (9/26/19)
As the opioid litigation draws toward a conclusion, we have an opportunity to apply lessons learned from past mistakes, potentially saving thousands of lives. Read More >>
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IN THE JOURNAL
AHEAD OF PRINT
Health Benefits In 2019: Premiums Inch Higher, Employers Respond To Federal Policy
By Gary Claxton, Matthew Rae, Anthony Damico, Gregory Young, Daniel McDermott, and Heidi
Whitmore
The annual Kaiser Family Foundation Employer Health Benefits Survey found that in 2019 the average annual premium for single coverage rose 4 percent to $7,188, and the average annual premium for family coverage rose 5 percent to $20,576. Covered workers contributed 18 percent of the cost for single coverage and 30 percent of the cost for family coverage, on average, with considerable variation across firms. Read More >>
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CULTURE OF HEALTHWhen Crises Converge: Hospital Visits
Before And After Shelter Use Among Homeless New Yorkers
By Dan Treglia, Eileen L. Johns, Maryanne Schretzman, Jacob Berman, Dennis P. Culhane, David C. Lee, and Kelly M. Doran
People who are homeless have been shown to use more hospital-based care than others, but little research has explored hospital use immediately before and after a shelter stay. In one of the first studies of its kind, Dan Treglia and coauthors linked administrative records from New York City’s municipal shelter system with hospital records to assess the emergency department and inpatient hospital use of homeless adults before and after stays in shelters. Read More >>
Enabling Services Improve Access To Care, Preventive Services, And Satisfaction Among Health Center Patients
By
Dahai Yue, Nadereh Pourat, Xiao Chen, Connie Lu, Weihao Zhou, Marlon Daniel, Hank Hoang, Alek Sripipatana, and Ninez A. Ponce
Dahai Yue and coauthors examined how the receipt of enabling services (including care coordination; health education; transportation; and assistance with obtaining food, shelter, and benefits) influenced patient health care outcomes. Read More >>
Transforming City Streets To Promote Physical Activity And Health Equity
By Keshia M. Pollack Porter, Tyler Prochnow, Patricia Mahoney, Haley Delgado, Christina N. Bridges Hamilton, Emily Wilkins, and M. Renée Umstattd Meyer
Play Streets is a place-based intervention that is typically organized by local governments or community
organizations and involves temporarily closing streets to create safe places and free opportunities for physical activity. In this descriptive study Keshia Pollack Porter and colleagues examined 162 of Chicago’s PlayStreets, held in the summer of 2018, to assess the volume and type of physical activity among youth participants and the variety of services provided to residents. Read More >>MEDICAIDThe Dynamics Of Medicaid Enrollment, Employment, And Beneficiary Health Status
By Jessica P. Vistnes and Steven C. Hill
Jessica Vistnes and Steven Hill examine the characteristics of new
nonelderly adult Medicaid enrollees and find that about one-quarter of them report either a decline in their physical or mental health or loss of a job in the period prior to their enrollment. Read More >>BEHAVIORAL HEALTH CAREPrescription Drug Monitoring Program Mandates: Impact On Opioid Prescribing And Related Hospital Use
By Hefei Wen, Jason M. Hockenberry, Philip J. Jeng, and Yuhua Bao
Comprehensive mandates for prescription drug monitoring programs (PDMPs) require state-licensed prescribers and dispensers both to register with and to use the programs in
most clinical circumstances. Using Medicaid prescription data and hospital utilization data for the period 2011–16, Hefei Wen and coauthors estimated the association of comprehensive PDMP mandates with the rates of opioid prescriptions and opioid-related inpatient stays and emergency department visits. Read More >>
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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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