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

**Tuesday, July 16, 2019**

TODAY ON THE BLOG

MATERNAL AND CHILD HEALTH

To Help Fix The Maternal Health Crisis, Look To Value-Based Payment

By Clare Pierce-Wrobel and Katie Green

The health care system can and should be held accountable for reducing
disparities in outcomes as a part of an outcomes-driven maternity
payment model. Read More >>

PAYMENT

Rep. Ruiz's Arbitration Proposal For Surprise Billing (H.R. 3502)
Would Lead To Much Higher Costs And Deficits

By Loren Adler, Erin Duffy, Paul B. Ginsburg, Mark Hall, Erin Trish, and
Christen Linke Young

The new legislation introduced by Rep. Ruiz would, like other proposals,
prohibit balance billing for surprise out-of-network services and limit
patient cost-sharing to standard in-network amounts. Read More >>

FOLLOWING THE ACA

Third Circuit Blocks Trump Contraceptive Rules

By Katie Keith

As a result of this ruling, a nationwide injunction remains in effect.
With those rules enjoined, the Obama-era accommodations process had
remained in place. Read More >>

IN THE JOURNAL

THE PRACTICE OF MEDICINE

Accuracy Of The Relative Value Scale Update Committee's Time Estimates
And Physician Fee Schedule For Joint Replacement

By John W. Urwin, Emily Gudbranson, Danielle Graham, Dawei Xie, Eric
Hume, and Ezekiel J. Emanuel

John Urwin and coauthors use EHR time-stamp data from the University of
Pennsylvania Health System to examine physicians' time spent
conducting knee and hip replacements. They find that the time estimates
used by Medicare to set the physician relative value fee schedule, based
on physician surveys, are greatly overstated, including by 50 percent or
more for revision procedures. Read More >>

This article appears in Health Affairs' series on The Practice of
Medicine .

A CLOSER LOOK-Cadillac Tax

The House is voting to repeal the "Cadillac tax" tomorrow. The
policy targets generous employer health insurance plans with a 40
percent excise tax. Last month, a Health Affairs Blog post by Stan Dorn
made the case for repealing the tax.

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