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A Weekly Health Policy Round Up From Health Affairs            

**February 21, 2021**

THIS WEEK ON THE BLOG

FOLLOWING THE ACA

CBO Analyzes American Rescue Plan Coverage Expansions

By Katie Keith (2/18/21)

Under these proposals, Congress would temporarily subsidize COBRA
coverage and dramatically expand subsidies under the Affordable Care Act
(ACA). The ACA-related components of the Ways and Means proposal would
extend coverage to about 800,000 uninsured people in 2021, 1.3 million
uninsured people in 2022, and 400,000 uninsured people in 2023. Read
More >>

Next Year, Extend Open Enrollment Of The ACA Marketplaces Into January

By Coleman Drake and David Anderson (2/18/21)

Extending the Marketplaces' open enrollment period would be an
immediate and effective administrative action to reduce the uninsured
rate and improve the Affordable Care Act.
Read More >>

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NURSING HOMES

To Achieve Equitable Quality Of Care In Nursing Homes, Address Key
Workforce Challenges

By Jacqueline Lantsman, Milena Berhane, and James Hernandez (2/17/21)

Pursuing these policy options would represent a step toward prioritizing
equity and centering the improvement of care for patients of color
disproportionately impacted by the dysfunction of the existing long-term
care system. Read More >>

COVID-19

COVID-19 Shows Now Is The Time To Integrate Care For Dual-Eligible
Beneficiaries

By Michael O. Leavitt (2/17/21)

Congress and the Centers for Medicare and Medicaid Services have taken
some steps to better integrate care for dual-eligible beneficiaries.
This progress is welcome, but compared to the need, much remains to be
done. Read More >>

Assessing The Legality Of Mandates For Vaccines Authorized Via An
Emergency Use Authorization

By Efthimios Parasidis and Aaron S. Kesselheim (2/16/21)

The Food and Drug Administration (FDA) recently issued two Emergency Use
Authorizations (EUAs) for COVID-19 vaccines, and may soon issue a third.
Discussion of vaccine mandates is plentiful, including the potential for
state-issued orders and private directives from employers and other
nongovernmental entities. What remains unclear is the legality of
mandates for EUA vaccines. Read More >>

MEDICAID

As The Biden Administration Begins Unwinding Them, Medicaid Work
Experiments Remain Unreasonable, Unnecessary, And Harmful

By Erin Brantley, Leighton Ku, Sara Rosenbaum, Morgan Handley, and
Rebecca Morris (2/17/21)

The Supreme Court is scheduled to hear the Trump administration's
appeal in Azar v. Gresham and Philbrick v. Azar. Given recent Biden
administration actions, whether the cases will proceed is uncertain.
Should they move forward, the Court will consider whether the Department
of Health and Human Services is authorized to approve experiments that
compel work as a condition of Medicaid eligibility. Read More >>

COSTS & SPENDING

Congressional Budget Office Scores Medicare-For-All: Universal Coverage
For Less Spending

By Adam Gaffney, David Himmelstein, and Steffie Woolhandler (2/16/21)

We discuss the CBO's estimates of single-payer's overall effects on
national health spending, the implications of the estimates for
providers, and the concerns the analysts raise about worsened
"provider congestion" under a single-payer health care system. Read
More >>

PUBLIC HEALTH

How To Become The Public Health President

By Tom Frieden (2/16/21)

We can improve both health and the efficiency of our health system if we
take three transformative steps. Read More >>

HEALTH AFFAIRS BRANDED POST

Six Dynamics Creating Momentum Toward Home-Based Delivery

Supported by Integrated Care Solutions
andATI Advisory

From the 1940s norm of house calls to the 2020s transition to
telehealth, health care delivered at home has been an option-even
preferred-for those searching for care from the comfort and safety of
home. Read More >>

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AHEAD OF PRINT
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Unmet Social Needs And Worse Mental Health After Expiration Of COVID-19
Federal Pandemic Unemployment Compensation

By Seth A. Berkowitz and Sanjay Basu

The early months of the COVID-19 pandemic saw historic increases in
unemployment, which remained elevated throughout 2020. Federal Pandemic
Unemployment Compensation (FPUC) provided unemployment insurance
beneficiaries an extra $600 a week, a benefit that initially expired in
July 2020. Seth Berkowitz and Sanjay Basu examined nationally
representative Census Bureau data for changes in unmet health-related
social needs and mental health among unemployment insurance
beneficiaries before and after the initial expiration of FPUC. Read More
>>

IN THE JOURNAL

LEADING TO HEALTH: HEALTH PROFESSIONS EDUCATION

American Indians' Growing Presence In The Health Professions

By Sarah Kwon

Sarah Kwon reports on how the University of North Dakota's
comprehensive approach aims to boost American Indian representation in
medicine and public health. Read about the efforts behind the
country's first Ph.D. program in Indigenous health and what more
American Indian physicians means for the health care system at large.
Read More >>

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HEALTH AFFAIRS PODCAST

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Building The Next Generation Of American Indian Doctors

Listen to Health Affairs Editor-in-Chief Alan Weil interview Donald
Warne, a professor and director of the Indians Into Medicine program at
the University of North Dakota, on increasing the number of American
Indian physicians and improving health care access for Indigenous
populations.

Listen here.

EQUITY
         
Rural-Urban Disparities In All-Cause Mortality Among Low-Income Medicare
Beneficiaries, 2004-17

By Emefah Loccoh, Karen E. Joynt Maddox, Jiaman Xu, Changyu Shen, José
F. Figueroa, Dhruv S. Kazi, Robert W. Yeh, and Rishi K. Wadhera

Emefah Loccoh and coauthors analyze all-cause mortality rates for rural
and urban Medicare beneficiaries dually enrolled in Medicaid from 2004
to 2017. Read More >>

Racial Disparities In Excess All-Cause Mortality During The Early
COVID-19 Pandemic Varied Substantially Across States

By Maria Polyakova, Victoria Udalova, Geoffrey Kocks, Katie Genadek,
Keith Finlay, and Amy N. Finkelstein

All-cause mortality rates increased dramatically in 2020 because of
COVID-19. Learn what Maria Polyakova and coauthors found out about the
rates of excess mortality among Blacks versus Whites in April 2020 and
where racial and ethnic disparities were highest in the nation. Read
More >>

NARRATIVE MATTERS: HEALTH EQUITY

COVID-19 Through The Eyes Of A Black Medical Student

By Shuaibu Ali

In the face of the racial health disparities made more visible during
the COVID-19 pandemic, statistics tell only part of the story. Read More
>>

Listen to the podcast.

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What A $15 Minimum Wage Could Mean For Population Health

Listen to Rob Lott and Jeff Byers discuss how raising the minimum wage
could impact health.

Listen here.

JOIN US AT HEALTH AFFAIRS

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* Sales Account Executive

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* Product & Development Manager

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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 .  

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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

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