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The Latest Research, Commentary, And News From Health Affairs

Monday, May 3, 2021

Dear John,

Many of the articles in the May issue of Health Affairs relate to the
complex financial structure of the US health care system. Read about the
issue here
.

Consolidation, Private Equity & More

The latest issue of Health Affairs features articles that address market
consolidation, the role of private equity financing, price competition
for drugs, and more.

In his preview
,
Editor-in-Chief Alan Weil highlights some of the topics and articles
included in the May 2021 issue. You can also check out our table of
contents

to see everything in this edition.

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In one paper about organization of care, Brian E. McGarry and coauthors
found no clear evidence that discharge from a skilled nursing facility

after Medicare coverage expires puts patients at increased risk of
hospitalization or death. In another, Anaeze Offodile and coauthors
provide an overview of private equity acquisitions of acute care
hospitals

from 2003 to 2017.

Offodile will join Alan on tomorrow's episode of A Health Podyssey

to discuss the role of private equity investment in hospitals.

Several authors discuss pharmaceuticals, including Ameet Sarpatwari and
colleagues who examined pricing trends for three classes of widely used
diabetes drugs
,
as well as Aayan Patel and coauthors, who investigated  recent trends
in generic drug prices
.

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To read all of these articles, and more, visit the May 2021 issue

and subscribe to Health Affairs
.

Health Affairs Blog features two new posts by Katie Keith on the Centers
for Medicare and Medicaid Services' 2022 Notice of Benefit and Payment
Parameters Rule. The first post addresses requirements

specific to the exchanges, qualified health plans, medical loss ratio
requirements, the coverage of essential health benefits, special
enrollment periods, and reporting of prescription drug information by
pharmacy benefit managers. The second post summarizes the final changes
to the risk adjustment program
.

Also on the blog, John R. Lumpkin and coauthors argue that now, more
than ever, it is crucial that we use language that speaks to the
realities of peoples' lives

and illuminates, rather than obscures, our shared understanding of and
responsibility to act on all the factors that drive health.

Health Affairs is continuing our Elevating Voices series in May to
celebrate Asian American and Pacific Islander American Heritage Month.
Each day, in this newsletter and on our social media channels
,
we will highlight an Asian American or Pacific Islander who has
contributed to the health policy community.

Today, we highlight Ashish K. Jha, an author of several Health Affairs
papers. In a 2011 article about hospital quality and patient
demographics
,
Jha wrote that as the US "improve[s] hospital care using value-based
purchasing principles, we will need to help hospitals improve quality
and efficiency simultaneously and to monitor the results of their
efforts, so that we do not inadvertently worsen disparities in
care."  

Today is the first day of Maternal Mental Health Awareness Week. Every
day this week we will share past Health Affairs content about maternal
mental health in this newsletter and on our social media channels. We
will dive deeper into this important topic in our October 2021 theme
issue on Perinatal Mental Health.

In recent years, studies published in Health Affairs have examined
expanded access to insurance coverage through the Affordable Care Act,
which includes vital mental health care. In a September 2020 article,
Jamie Daw and coauthors found that low-income women in states that
expanded Medicaid experienced a 10.1-percentage-point decrease in
insurance churn across the preconception, delivery, and postpartum time
points

relative to those in nonexpansion states.

Your Daily Digest

Consolidation, Private Equity, And More

Alan R. Weil

Outcomes After Shortened Skilled Nursing Facility Stays Suggest
Potential For Improving Postacute Care Efficiency

Brian E. McGarry, David C. Grabowski, Lin Ding, and J. Michael
McWilliams

Private Equity Investments In Health Care: An Overview Of Hospital And
Health System Leveraged Buyouts, 2003-17

Anaeze C. Offodile II, Marcelo Cerullo, Mohini Bindal, Jose Alejandro
Rauh-Hain, and Vivian Ho

Diabetes Drugs: List Price Increases Were Not Always Reflected In Net
Price; Impact Of Brand Competition Unclear

Ameet Sarpatwari, Frazer A. Tessema, Marie Zakarian, Mehdi N.
Najafzadeh, and Aaron S. Kesselheim

Frequency Of Generic Drug Price Spikes And Impact On Medicaid Spending

Aayan N. Patel, Aaron S. Kesselheim, and Benjamin N. Rome

The Final 2022 Payment Notice: Exchanges, Medical Loss Ratios, Special
Enrollment Periods, And More

Katie Keith

The Final 2022 Payment Notice: Risk Adjustment

Katie Keith

What We Need To Be Healthy-And How To Talk About It

John R. Lumpkin, Rocco Perla, Rebecca Onie, and Robert Seligson

Low-Quality, High-Cost Hospitals, Mainly In South, Care For Sharply
Higher Shares Of Elderly Black, Hispanic, And Medicaid Patients

Ashish K. Jha, E. John Orav, and Arnold M. Epstein

Medicaid Expansion Improved Perinatal Insurance Continuity For
Low-Income Women

Jamie R. Daw, Tyler N. A. Winkelman, Vanessa K. Dalton, Katy B.
Kozhimannil, and Lindsay K. Admon

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mailto:[email protected]

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.

Copyright © Project HOPE: The People-to-People Health Foundation, Inc.

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