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A Weekly Health Policy Round Up From Health Affairs            

**October 6, 2019**

HEALTH AFFAIRS EVENT

VIOLENCE AND HEALTH

October 10, 2019
9:00 am - 1:00 pm Eastern
W Hotel Washington - 515 15th Street NW Washington DC
Register Today

Order the Violence and Health issue

Violence permeates our society with consequences for victims,
perpetrators, and communities. It reaches people of all ages and all
walks of life. Even as media attention tends to focus on incidents of
mass violence, it is the daily burden of violence in its many forms that
takes the greater toll.

The October 2019 issue of Health Affairs takes a comprehensive look at
the issues at the intersection of violence and health with the following
speakers:  

* Catherine Barber on "Linking Public Safety And Public Health Data
For Firearm Suicide Prevention In Utah"

* Colleen L. Barry on "Trends In Public Opinion On US Gun Laws:
Majorities Of Gun Owners And Non-owners Support A Range Of Measures"

* Rebecca M. Cunningham on "Federal Funding For Research On The
Leading Causes Of Death Among Children And Adolescents"

* Evan V. Goldstein on "Behavioral Health Care And Firearm Suicide: Do
States With Greater Treatment Capacity Have Lower Suicide Rates?"

* Jason E. Goldstick on "US Firearm-Related Mortality: National,
State, And Population Trends, 1999-2017"

* David C. Grossman on "Violence And The US Health System: Burden And
Response"; Bernadette C. Hohl on "Creating Safe And Healthy
Neighborhoods With Place-Based Violence Interventions"

* Richard D. Krugman on "Narrative Matters: Ending Gaze Aversion
Toward Child Abuse And Neglect"

* Brianna Mills on "The Effects Of Violence On Health"

* Rocco Pallin on "California Public Opinion On Health Professionals
Talking With Patients About Firearms"

* Bernice A. Pescosolido on "Evolving Public Views On Mental Illness,
Violence, Forced Treatment, And The Associated Stigma"

* Tony Rosen on "Violence In Older Adults: Scope, Impact, Challenges,
And Strategies For Prevention"

* Nichole A. Smith on "Keeping Your Guard Up: Hypervigilance Among
Urban Residents Affected By Community And Police Violence"

* Elizabeth Tung on "Social Isolation, Loneliness, And Violence
Exposure In Urban Adults"

* Briana Woods-Jaeger on "Mitigating Negative Consequences Of
Community Violence Exposure: Perspectives From African American Youth"

More About the Speakers

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THIS WEEK ON THE BLOG

FOLLOWING THE ACA

New Proposed Rule On HRAs And The Employer Mandate

By Katie Keith (10/1/19)

The proposed rule would establish a number of safe harbors related to a
recent final rule to expand the use of health reimbursement arrangements
(HRAs) by employers. Under the final rule, employers can offer an HRA to
fund premiums and out-of-pocket costs for their employees in the
individual health insurance market and Medicare beginning on or after
January 1, 2020. Read More >>

HHS Proposes New Wellness Demonstration Projects

By Katie Keith (10/1/19)

On September 30, 2019, the Department of Health and Human Services (HHS)
released a bulletin outlining a new opportunity for 10 states to
participate in a wellness demonstration project in the individual
market. HHS will begin accepting applications immediately, without an
opportunity for public comment on its guidance or on state applications.
Read More >>

ACCOUNTABLE CARE

Interest In 'Pathways To Success' Grows: 2018 ACO Results Show
Trends Supporting Program Redesign Continue

By Seema Verma (9/30/19)

CMS is continuing to closely monitor the Shared Savings Program. We are
excited to see growing interest, and we will continue to support health
care providers on the front lines who are hard at work building new ways
to deliver higher-quality care at lower cost. Patients are receiving
better care as a result of these efforts, and we look forward to
continuing on this journey. Read More >>

PHARMACEUTICALS & MEDICAL TECHNOLOGY

Lower Drug Costs Now

By Henry A. Waxman (10/4/19)

The pharmaceutical marketplace in the US is broken when it comes to
brand-name drugs with long monopoly protection, and it's time we fix
it.Read More >>

MEDICAID

Looking Inside Tennessee's Block Grant Proposal

By Sara Rosenbaum and Alexander Somodevilla (10/4/19)

It is fundamentally impossible to understand how such an experiment
could be found to advance the core purpose of the Medicaid program given
its potential to exact significant harm on eligibility, enrollment,
coverage, and access to care. Read More >>

GLOBAL HEALTH

The Ebola Outbreak: The Need For US Action

By Ashish K. Jha (10/2/19)

It will take American leadership, working with our allies in Europe and
Africa, to bring this disease to a close. One year and 2,000 deaths
later, the time for more robust action is well overdue. Read More >>

PAYMENT

Where There's A Will There's A Way: Hospitals Push The Price
Transparency Envelope

By Mark A. Zezza and David Sandman (10/3/19)

Early adopters of price transparency recognize that the most frequent
"pain points" for patients at hospitals involve their financial
experiences, and they believe that patients who know the price ahead of
time are more likely to pay. Read More >>

MARKETS

For Policy Makers Looking To Expand Coverage, Lessons From The Demise of
the ACA's Multi-State Plan Program

By Jonathan Foley, Kristi Martin, and Rob Shriver (9/30/19)

If policy makers wish to pursue a market-based solution to the
country's persistent coverage problems, they need to construct the
program to attract market participation. Read More >>

PATIENT-CENTERED CARE

Just Putting Patients At The Center Of Health Care Is Not Enough To
Improve Care

By Megan Collado (10/3/19)

AcademyHealth and the Robert Wood Johnson Foundation (RWJF) held a May
2019 conference to discuss what is impeding the health care system from
delivering patient-centered care. Attendees discussed four major
barriers outlined in a report by Anna Sinaiko and colleagues. And what
do patients think is standing in the way of delivering patient-centered
care? Two patients express some interesting viewpoints. Read More >>

PUBLIC HEALTH

A Winning Goal: Pay Equity In Public Health

By Chrissie Juliano (10/2/19)

As a society, and in governmental public health, we need to work to
level the entire playing field to create and achieve more equitable
outcomes. Read More >>

HEALTH EQUITY

From Emergencies To Equity: The Growing Role Of Hospitals In Community
Health

By Jason Lacsamana, Sandra Viera, Katie Miller, and Sonja Lockhart
(10/1/19)

The St. Joseph Health Community Partnership Fund has been working with
Prevention Institute in seven California communities. The two
organizations aim to support hospitals and their community partners in
pursuing upstream causes of, and solutions to, community-level health
problems. It is critically important to address the root causes of
health problems and eliminate health inequities, because clinical
strategies alone won't lead to healthier outcomes. Read More >>

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IN THE JOURNAL

MEDICAID

Variability In States' Coverage Of Children With Medical Complexity
Through Home And Community-Based Services Waivers

By Jessica Keim-Malpass, Leeza Constantoulakis, and Lisa C. Letzkus

Medicaid is the primary source of coverage for children with medical
complexity-the less than 1 percent of children with very high medical
needs and functional limitations. With states defining the parameters of
Medicaid coverage for these children, particularly through waivers,
Jessica Keim-Malpass and coauthors analyze the scope of that coverage in
each state.
Read More >>

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HOSPITALS

Spending On Postacute Care After Hospitalization In Commercial Insurance
And Medicare Around Age Sixty-Five

By Scott E. Regenbogen, Anne H. Cain-Nielsen, John D. Syrjamaki, Lena M.
Chen, and Edward C. Norton

Scott Regenbogen and coauthors explore how payment methods for postacute
care affect spending. They compare privately insured adults ages 60-64
with Medicare-insured adults just a few years older after
hospitalization for common medical and surgical conditions.
Read More >>

The Centers For Medicare And Medicaid Services Hospital Ratings:
Pitfalls Of Grading On A Single Curve

By Jeanette W. Chung, Allison R. Dahlke, Cynthia Barnard, John O.
DeLancey, Ryan P. Merkow, and Karl Y. Bilimoria

Without mandating measure sets for reporting, how can profilers identify
hospital peer groups based on the measures they report so that
comparisons are made among hospitals that take the same (or similar)
tests? Jeanette Chung and coauthors addressed this question by exploring
a simple approach that segments hospitals in the star ratings program
into groups of hospitals that took similar tests-that is, reported
similar measures, numbers of measures, and denominators. Read More >>

DISPARITIES

Regional Differences In Coverage Among American Indians And Alaska
Natives Before And After The ACA

By Leah Frerichs, Ronny Bell, Kristen Hassmiller Lich, Daniel Reuland,
and Donald Warne

Leah Frerichs and coauthors used American Community Survey data for the
period 2010-17 to examine unadjusted trends in health insurance
coverage among American Indians and Alaska Natives across ten US
regions. Read More >>

GRANTWATCH

Funding To Improve Social Determinants Of Health

By Lee L. Prina

The GrantWatch column in the September 2019 issue describes
foundations' funding addressing either of two social risk factors:
food insecurity and inadequate housing. For example, the Common Market
is "a regional food distributor [that] works to strengthen regional
farms while making local produce available to underserved areas," says
the Kresge Foundation, which is among the funders that have recently
supported this innovative model. And the Montana Healthcare Foundation
is a funder interested in housing and health. The Robert Wood Johnson
Foundation is well known for its funding to improve various social
determinants. A number of other funders, including the Humana, Colorado
Health, and Vitalyst Health Foundations, have awarded grants focused on
one or more determinants. Read More >>

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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.

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

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