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The Latest Research, Commentary, And News From Health Affairs

Friday, April 23, 2021

Dear John,

**** In today's newsletter, we're continuing yesterday's
conversation about whether patients' social risk factors should be
considered when measuring a provider's quality of care.

Social Determinants Matter For Hospital Readmission Policy: Insights
From NYC

Yesterday we highlighted a Policy Insight paper that examined the debate
over social risk adjustment. Today, we look at a related article in the
April 2021 issue of Health Affairs that offers an empirical perspective
on the topic.  

Using data from New York City on hospital readmissions, Matthew Baker
and coauthors compared condition-specific models that estimate
readmission rates currently used by the Centers for Medicare and
Medicaid Services with multiple alternative models for the same
patients, augmented with social determinants of health (SDOH) scores
.

They found that a model that "include[s] additional individual and
SDOH variables...had a substantial impact on the excess readmission
ratio and penalty share of hospitals treating the highest proportion of
high-SDOH-score patients."

In celebration of National Poetry Month, we're revisiting the three
poems that won the 2019 Narrative Matters poetry contest and were
featured in the April 2020 issue of Health Affairs: "The Headache
,"
"Epidemic
,"
and "Admission
."
Listen to the authors read their poems

on our Narrative Matters podcast.

Today on Health Affairs Blog, Katie Keith summarizes the latest in
litigation over an Obama-era rule implementing Section 1557
,
including at least two pending challenges to the Obama-era
interpretation of this provision. Also, Dan C. Krupka and coauthors
argue that, until unique device identifiers are in broad use by
providers, Sentinel will be unable to implement its updated charter and
begin monitoring devices in addition to drugs
.

Don't forget to listen to our podcasts
. On today's episode of Health
Affairs This Week
,
Leslie Erdelack and Rob Lott break down the latest on the federal
hospital pricing transparency rule and hospital compliance
.

Your Daily Digest

Social Determinants Matter For Hospital Readmission Policy: Insights
From New York City

Matthew C. Baker, Philip M. Alberti, Tsu-Yu Tsao, Kyle Fluegge, Renata
E. Howland, and Merle Haberman

The Headache

Anjali Jain

Epidemic

Ronald O. Valdiserri

Admission

Alex Sievert

Podcast: Poems - The Headache, Epidemic, Admission

Anjali Jain, Ronald O. Valdiserri, and Alex Sievert

ACA Litigation Round-Up, Part 3: Section 1557, The ACA's Primary
Nondiscrimination Provision

Katie Keith

The Post-Market Surveillance System For Implanted Devices Is Broken.
Here's How CMS And The FDA Can Act Now To Fix It

Dan C. Krupka, Natalia A. Wilson, Amanda J. Reich, and Joel S. Weissman

Podcast: Hospitals At Large Are Failing At Price Transparency

Leslie Erdelack and Rob Lott

[link removed]

Hospitals At Large Are Failing At Price Transparency

Listen to Health Affairs' Leslie Erdelack and Rob Lott break down the
latest on the federal hospital pricing transparency rule and hospital
compliance.

Listen Here

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mailto:[email protected]

About Health Affairs

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at the intersection of health,
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, and Health Affairs Sunday
Update .  

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