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

**Tuesday, October 1, 2019**

TODAY ON THE BLOG

FOLLOWING THE ACA

New Proposed Rule On HRAs And The Employer Mandate

By Katie Keith

The proposed rule would establish a number of safe harbors related to a
recent final rule to expand the use of health reimbursement arrangements
(HRAs) by employers. Under the final rule, employers can offer an HRA to
fund premiums and out-of-pocket costs for their employees in the
individual health insurance market and Medicare beginning on or after
January 1, 2020. Read More >>

HHS Proposes New Wellness Demonstration Projects

By Katie Keith

On September 30, 2019, the Department of Health and Human Services (HHS)
released a bulletin outlining a new opportunity for 10 states to
participate in a wellness demonstration project in the individual
market. HHS will begin accepting applications immediately, without an
opportunity for public comment on its guidance or on state applications.
Read More >>

NURSING HOMES

Pushing Past The Status Quo To Protect Nursing Home Residents

By David G. Stevenson

Providers and advocates may disagree about the scope of the nursing home
quality problem and how best to address it, but it is hard for either
side to ignore the troubling lapses in care that have been highlighted
in congressional testimony and elsewhere. Read More >>

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HEALTH AFFAIRS PODCAST: NEWSMAKERS

Do Virtual Visits Reduce Health Spending?

Alan Weil

Amazon is now offering its employees a new benefit: virtual doctors'
visits. In a WTOP-FM interview, Health Affairs Editor-In-Chief Alan Weil
discusses the pros and cons of these visits, for patients, providers,
and overall health costs.

Listen here.

IN THE JOURNAL

HOSPITALS

Spending On Postacute Care After Hospitalization In Commercial Insurance
And Medicare Around Age Sixty-Five

By Scott E. Regenbogen, Anne H. Cain-Nielsen, John D. Syrjamaki, Lena M.
Chen, and Edward C. Norton

Scott Regenbogen and coauthors explore how payment methods for postacute
care affect spending. They compare privately insured adults ages 60-64
with Medicare-insured adults just a few years older after
hospitalization for common medical and surgical conditions.
Read More >>

Read the September 2019 Table of Contents

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Subscribe to Health Affairs

**for full journal access**

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HEALTH AFFAIRS EVENTS

PAST EVENT:  AGING AND HEALTH - IMPROVING CARE FOR OLDER ADULTS

Health Affairs and The John A. Hartford Foundation hosted a robust
policy conversation featuring authors from the journal's Aging &
Health series, as well as other experts in the field, discussing topics
including:  Moving Serious Illness Care from Hospital to Home,
Disparities in Home- and Community-Based Care, and Impact of Caregiving
on Spouses and Need for Support. Get caught up with the event: slides
(click
on Download Event), video
, and
podcast .

Read articles in the journal's series on Aging & Health
.

Getevent-specific emails
delivered directly to your inbox.

**A CLOSER LOOK**-Walmart

Walmart, which already has one of the country's largest pharmacies, is
bringing its "everyday low prices" to the health care market. This
journal article
from 2018
details how retail giants such as Walmart and Amazon are competing in
the health care industry.

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About Health Affairs

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Sunday Update .  

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