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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.

May 2021
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
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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

Pre-order a discounted copy of the upcoming issue
 
 
 
 
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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