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A Weekly Health Policy Round Up From Health Affairs
February 21, 2021
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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 >>
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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 >>
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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 >>
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IN THE JOURNALLEADING TO HEALTH: HEALTH PROFESSIONS EDUCATIONAmerican Indians’ Growing Presence In The Health Professions
By Sarah
KwonSarah 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
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.
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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 >>
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NARRATIVE MATTERS: HEALTH EQUITY
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Listen to Rob Lott and Jeff Byers discuss how raising the minimum wage could impact health.
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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