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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.

Podcast: Health Affairs This Week
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.
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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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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