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The Latest Research, Commentary, And News From Health Affairs

Monday, April 26, 2021
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Dear John,

In the April 2021 issue of Health Affairs, Cyrus M. Kosar and coauthors investigate changes in mortality risk for nursing home residents from March to November 2020.

Nursing Home COVID-19 Mortality Rates Declined In 2020
With more than one-third of US coronavirus deaths linked to nursing homes, this population warrants specific mortality tracking, separate from the general public.

In a recent Health Affairs paper, Cyrus M. Kosar and coauthors investigated changes in COVID-19 mortality rates for nursing home residents from March to November 2020. They found that mortality rates of nursing home residents with COVID-19 fell from 26.4 percent in March to 10.0 percent in November 2020.

Since mortality risk declined for symptomatic and asymptomatic groups, the overall decline in mortality rates was not driven by the increased detection of asymptomatic, less severe cases.

The authors also found that, across all months, residents with significant cognitive and functional impairment had higher mortality rates than those with less impairment.

Today on Health Affairs Blog, Katie Keith discusses the recently released information from the Centers for Medicare and Medicaid Services about its approach to compliance reviews for the 2022 plan year, the risk adjustment interim summary report for 2020, and guidance on reconciliation of cost-sharing reductions for 2020. In addition, Caroline F. Plott and coauthors discuss how hospitals can be active partners in promoting community health and equity.

You can now listen to the latest research and health policy insights from Health Affairs with our three podcasts—listen here. On tomorrow’s episode of A Health Podyssey, David Nerenz discusses his thoughts on using social risk adjustments on health care quality measures.

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Your Daily Digest
COVID-19 Mortality Rates Among Nursing Home Residents Declined From March To November 2020
Cyrus M. Kosar, Elizabeth M. White, Richard A. Feifer, Carolyn Blackman, Stefan Gravenstein, Orestis A. Panagiotou, Kevin McConeghy, and Vincent Mor

Latest Guidance On 2022 Plans, Risk Adjustment, Cost-Sharing Reductions, And More
Katie Keith

New Hospital Rankings Assess Hospitals’ Contributions To Community Health With A Focus On Equity
Caroline F. Plott, Rachel L. J. Thornton, Irene Dankwa-Mullan, Ekta Punwani, Hema Karunakaram, Kyu Rhee, Kelly Jean Thomas Craig, and Joshua M. Sharfstein

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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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