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

**Monday, July 15, 2019**

TODAY ON THE BLOG

PAYMENT

Successfully Splitting The Baby: Design Considerations For Federal
Balance Billing Legislation

By Sabrina Corlette, Jack Hoadley, and Kevin Lucia

As congressional leaders craft balance billing protections that can gain
support-or at least the absence of opposition-from health industry
stakeholders, some state legislatures have charted potential paths
forward. Read More >>

V-BID X: Creating A Value-Based Insurance Design Plan For The Exchange
Market

By Haley Richardson, Michael Budros, MPP Michael Chernew, and A. Mark
Fendrick

Value-Based Insurance Design (V-BID), which aligns patients'
out-of-pocket costs with the value of services, offers a route to
mitigating the negative impacts of increased cost sharing, namely the
underutilization of evidence-based, high-value care. Read More >>

IN THE JOURNAL

DISPARITIES

The Role Of Social Risk Factors In Dialysis Facility Ratings And
Penalties Under A Medicare Quality Incentive Program

By Andrew C. Qi, Anne M. Butler, and Karen E. Joynt Maddox

Andrew Qi and coauthors find that dialysis facilities in low-income
areas and with high proportions of patients who are black or dually
eligible for Medicaid performed worse and were penalized more under the
End Stage Renal Disease Quality Incentive Program.
Read More >>

Racial And Ethnic Disparities In Care Following The New York State
Sepsis Initiative

By Keith Corl, Mitchell Levy, Gary Phillips, Kathleen Terry, Marcus
Friedrich, and Amal N. Trivedi

In 2013 New York State undertook a major initiative that required
hospitals to adopt an evidence-based protocol for sepsis care. Keith
Corl and coauthors find overall improvements in care and no evidence of
racial disparities in treatment within hospitals. However, because
hospitals primarily serving black patients had smaller improvements, the
initiative widened the sepsis care quality gap between blacks and
whites. Read More >>

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A CLOSER LOOK-Type 1 Diabetes

The Senate Special Committee on Aging recently held a hearing on type 1
diabetes and the Special Diabetes Program. A recent Health Affairs paper
analyzed the health impacts of insurance coverage interruptions on
individuals withtype 1 diabetes
.

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