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The Latest Research, Commentary, And News From Health Affairs

Friday, May 7, 2021

Dear John,

In the May issue, articles discuss cancer survival rates by insurance
status and spending on targeted therapies for breast cancer.

Linking Uninsurance And Cancer Survival Rates

The May 2021 edition of Health Affairs includes two papers about cancer,
a disease with approximately 1.8 million new cases and 600,000 deaths
expected this year.

Gerard Silvestri and coauthors assessed differences in cancer survival

between uninsured patients younger than age sixty-five and Medicare
beneficiaries.

Across the sixteen cancer types studied, they found that "uninsured
patients approaching Medicare age eligibility (ages 60-64) had
strikingly worse one-, two-, and five-year survival when compared with
immediately older Medicare beneficiaries (ages 65- 69)."

Silvestri will appear on A Health Podyssey

later this month to discuss this research.

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Analyzing Medicare data from 2000 through 2015, Meng Li and colleagues
found significant growth during that period in spending on targeted
therapies for breast cancer
.

The authors noted, "Higher first-year spending on targeted therapies
was associated with significantly lower cancer mortality two to four
years after diagnosis for patients with advanced-stage cancer."  

Today on Health Affairs Blog, as part of the "Envisioning A
Transformed Clinical Trials Enterprise For 2030" short series, Brian
Southwell discusses how we might embrace a person-centered perspective
on communication
in
support of clinical trials. Also for the series,  Eric D. Perakslis
and coauthors describe a world where technological advances are embraced
and supported by all clinical trial stakeholders
.

In a new post, Katie Keith discusses new data from the Centers for
Medicare and Medicaid Services

on HealthCare.Gov enrollment, including the news that 940,000 people
enrolled in Marketplace coverage during the broad COVID-19 special
enrollment period.

Elevating Voices: Asian American and Pacific Islander American Heritage
Month: Less than a year ago, Michelle Ko published a
Narrative
Matters essay titled "Racism In My Medical Education
."
In it, she called for more diversity and a commitment to health equity
in US medical schools. "Placing health equity at the center of medical
education is not merely right or smart. It is essential," she writes.

Today is the final day of Maternal Mental Health Awareness Week, and we
are looking back at a paper from the December 2019 theme issue, Rural
Health. Katy Backes Kozhimannil and coauthors analyzed severe maternal
morbidity and mortality during childbirth hospitalizations among rural
and urban residents from 2007 to 2015. They found that rural residents
had a 9 percent greater probability of severe maternal morbidity and
mortality
,
compared with urban residents.

Make sure to keep an eye out for our October 2021 theme issue, Perinatal
Mental Health.

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The Next Wave Of Federal Food Aid For Children And Families

Listen to Health Affairs' Leslie Erdelack and Jessica Bylander discuss
food insecurity and President Biden's latest efforts on federal food
aid.

Listen Here

Your Daily Digest

Cancer Outcomes Among Medicare Beneficiaries And Their Younger Uninsured
Counterparts

Gerard A. Silvestri, Ahmedin Jemal, K. Robin Yabroff, Stacey Fedewa, and
Helmneh Sineshaw

Spending On Targeted Therapies Reduced Mortality In Patients With
Advanced-Stage Breast Cancer

Meng Li, Dana P. Goldman, and Alice J. Chen

A Future Of Trusted Clinical Trials: Communication Strategies To
Encourage Trust And Transparency

Brian Southwell

The Future of Clinical Trials: How Will New Technologies Affect The
Lives Of Participants?

Eric D. Perakslis, Andrea Coravos, and Sam Roosz

HealthCare.gov Special Enrollment Nears 1 Million, Final 2022 Guidance
Released

Katie Keith

Racism In My Medical Education

Michelle Ko

Rural-Urban Differences In Severe Maternal Morbidity And Mortality In
The US, 2007-15

Katy Backes Kozhimannil, Julia D. Interrante, Carrie Henning-Smith, and
Lindsay K. Admon

Podcast: The Next Wave Of Federal Food Aid For Children And Families

Jessica Bylander and Leslie Erdelack

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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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