Problems viewing this email?
The Latest Research, Commentary, And News From Health Affairs

May 9, 2021
Dear John,

Read on for highlights from Health Affairs this week.
Consolidation, Clinical Trials & 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. Read Editor-in-Chief Alan Weil's preview for some highlights. Check out our table of contents to see everything.

Advertisement: AcademyHealth Annual Research Meeting
Two new Considering Health Spending articles in this month’s issue found that vertical integration of physicians with hospitals increased use of hospital testing and imaging services.

Christopher Whaley and coauthors found that vertical integration of physician group practices with hospitals or health systems increases the use of hospitals for common diagnostic imaging and laboratory tests and increases Medicare reimbursement rates.


Gary Young and coauthors examined magnetic resonance imaging (MRI) referrals for three common conditions. They found that "hospital employment [of physicians] was associated with a substantially greater likelihood of patients receiving MRI referrals in general, as well as—more important—inappropriate referrals."

Also in the May issue, Jenny Guadamuz and coauthors investigated whether the availability and geographic accessibility of pharmacies varied by neighborhood racial and ethnic composition in the thirty most-populous cities in the US. They found that there are fewer pharmacies located in predominantly Black and Hispanic/Latino neighborhoods than in majority White or diverse neighborhoods.

As part of our new Age-Friendly Health series, Nicholas Reed and coauthors examined how hearing loss affects older adults’ health outcomes and quality of care.

Rachel Werner and Norma Coe examined changes in nursing home staffing during the COVID-19 pandemic. Although they found that the total number of hours worked by nursing home staff declined during the  pandemic, there was a concurrent decline in the average nursing home census during the same period. When the decline in census was accounted for, nurse staffing hours per resident day remained steady or increased slightly.

In May’s Narrative Matters essay, Krista Lyn Harrison describes how the hospice model fails when patients die more slowly than expected. "Hospice has become care for people dying fast, not for those trying to live well while dying slow," Harrison writes as she recounts her stepfather’s experience in hospice with a neurodegenerative disease.

Gerard Silvestri and coauthors assessed differences in cancer survival between uninsured patients younger than age sixty-five and Medicare beneficiaries.

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.
  

Health Affairs Blog introduced a short series, "Envisioning A Transformed Clinical Trials Enterprise For 2030," with posts on
modernizing national patient experience surveys
improving inclusive engagement in clinical trials, a person-centered perspective on communication, technological advances, and more.

A Health Podyssey
Understanding Private Equity Investment In Hospitals

Listen to Health Affairs Editor-in-Chief Alan Weil interview Anaeze Offodile from the University of Texas MD Anderson Cancer Center on the role of private equity investments in health care.

Featured This Week
Consolidation, Private Equity, And More
Alan R. Weil

Higher Medicare Spending On Imaging And Lab Services After Primary Care Physician Group Vertical Integration
Christopher M. Whaley, Xiaoxi Zhao, Michael Richards, and Cheryl L. Damberg

Hospital Employment Of Physicians In Massachusetts Is Associated With Inappropriate Diagnostic Imaging
Gary J. Young, E. David Zepeda, Stephen Flaherty, and Ngoc Thai

Podcast: Understanding Private Equity Investment In Hospitals
Alan Weil and Anaeze C. Offodile II

Fewer Pharmacies In Black And Hispanic/Latino Neighborhoods Compared With White Or Diverse Neighborhoods, 2007–15
Jenny S. Guadamuz, Jocelyn R. Wilder, Morgane C. Mouslim, Shannon N. Zenk, G. Caleb Alexander, and Dima Mazen Qato

Medicare Beneficiaries With Self-Reported Functional Hearing Difficulty Have Unmet Health Care Needs
Nicholas S. Reed, Lama Assi, Wakako Horiuchi, Julie E. Hoover-Fong, Frank R. Lin, Lauren E. Ferrante, Sharon K. Inouye, Edgar R. Miller III, Emily F. Boss, Esther S. Oh, and Amber Willink

Nursing Home Staffing Levels Did Not Change Significantly During COVID-19
Rachel M. Werner and Norma B. Coe

The Hidden Curriculum Of Hospice: Die Fast, Not Slow
Krista Lyn Harrison

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

Podcast: The Next Wave Of Federal Food Aid For Children And Families
Jessica Bylander and Leslie Erdelack

On The Blog This Week
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.
Pre-order A Discounted Copy Of Next Month's 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.

Copyright © Project HOPE: The People-to-People Health Foundation, Inc.
Health Affairs, 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814, United States

Privacy Policy

To unsubscribe from this email, click here
.