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A Weekly Health Policy Round Up From Health Affairs            

**October 13, 2019**

HEALTH AFFAIRS EVENT

LOS ANGELES BRIEFING:  VIOLENCE & HEALTH

October 23, 2019
9:00 am - 12:00 pm Pacific
Town & Gown Ballroom, USC Campus - 665 Exposition Blvd, Los Angeles,
CA 90089
Register to Attend

Access the Violence and Health issue

Join us in Los Angeles for a forum on Violence & Health - subject
matter covered in the October Health Affairs issue. View Table of
Contents

The forum will feature authors from a select group of studies contained
in the issue, as well as community leaders, policy makers and residents
who are developing and deploying strategies for combating violence in
their daily lives:

* Raymond Baxter, President and CEO, Blue Shield of California
Foundation

* Judy Belk, President and CEO, California Wellness Foundation

* Genevieve Flores-Haro, Associate Director, Mixteco/Indigena Community
Organizing Project

* Sandra Henriquez, CEO, CalCASA (California Coalition Against Sexual
Assault)

* Hannah Laqueur, Assistant Professor, Emergency Medicine, University of
California, Davis, on "Alcohol-Related Crimes And Risk Of Arrest For
Intimate Partner Violence Among California Handgun Purchasers"

* Robert Riewerts, Chair, Care Delivery Workgroup, Kaiser Permanente
Task Force on Firearm Injury Prevention

* Anne Tremblay, Director, Gang Reduction & Youth Development (GRYD),
Office of Mayor Eric Garcetti, City of Los Angeles

* Elizabeth Tung, Instructor of Medicine, University of Chicago School
of Medicine, on "Social Isolation, Loneliness, And Violence Exposure
In Urban Adults" and "Keeping Your Guard Up: Hypervigilance Among
Urban Residents Affected By Community And Police Violence"

* Briana Woods-Jaeger, Assistant Professor, Behavioral Sciences and
Health Education, Emory University, on "Mitigating Negative
Consequences Of Community Violence Exposure: Perspectives From African
American Youth"

*Additional speakers to be announced.

Getevent-specific emails
delivered directly to your inbox.

IN THE JOURNAL

NEW ISSUE:
VIOLENCE & HEALTH

The October issue of Health Affairs examines the consequences of
violence for victims, perpetrators, and communities. Although much
attention is focused on mass violence incidents, the daily burden of
violence often takes a greater toll.

The October issue was supported by The California Wellness Foundation,
Blue Shield of California Foundation, the Joyce Foundation, and the
Annie E. Casey Foundation.

Read the October 2019 table of contents.

Listen to a two-minute introduction of the issue from Editor-in-Chief
Alan Weil.

Read "From the Editor in Chief."

The Effects Of Violence On Health

By Frederick Rivara, Avanti Adhia, Vivian Lyons, Anne Massey, Brianna
Mills, Erin Morgan, Maayan Simckes, and Ali Rowhani-Rahbar

Frederick Rivara and coauthors present an overview of the myriad ways in
which violence affects health. After chronicling different forms of
violence, ranging from child physical and sexual abuse to adult assaults
to elder abuse, they point out our growing scientific understanding of
the physical and psychological consequences of violence. Read More >>

Violence And The US Health Care Sector: Burden And Response

By David C. Grossman and Bechara Choucair

David Grossman and Bechara Choucair document how violence affects the
health care sector. There were 2.3 million violence-related emergency
department visits in 2017, 5 percent of which were due to firearms. They
also point out that health care is the sector with the highest rate of
workplace violence. Read More >>

Federal Funding For Research On The Leading Causes Of Death Among
Children And Adolescents

By Rebecca M. Cunningham, Megan L. Ranney, Jason E. Goldstick, Sonia V.
Kamat, Jessica S. Roche, and Patrick M. Carter

Rebecca Cunningham and coauthors examine federal research funding for
the leading causes of child and adolescent death. Among the top three
causes of death-motor vehicle crashes, firearm injury, and
cancer-federal research funding for cancer is about $200,000 per
death, for vehicle crashes is $26,000 per death, and for firearms is
less than $600 per death. Read More >>

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Background Checks For Firearm Purchases: Problem Areas And
Recommendations To Improve Effectiveness

By Garen J. Wintemute

One strategy to reduce the incidence of violence is background checks
prior to firearm purchase. This policy is broadly supported by the
public. Garen Wintemute explores the shortcomings of existing policy in
this area and recommends a broad set of changes designed to make
background checks more effective. Read More >>

After Prison, Healthy Lives Built On Access To Care And Community

By Rob Waters

A North Carolina program helps recently released inmates connect to
health care, social services, and support. Read More >>

This article appears in Health Affairs' series on Leading to Health
.

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THIS WEEK ON THE BLOG

FOLLOWING THE ACA

ACA Round-Up: HealthCare.gov Maintenance, MLR Data, And More

By Katie Keith (10/9/19)

On October 4, 2019, CMS released new medical loss ratio (MLR) data,
announced its scheduled maintenance windows for HealthCare.gov for the
2020 open enrollment period, and provided a new resource for states
interested in applying for a Section 1332 waiver. CMS also approved new
entities to use the enhanced direct enrollment (EDE) pathway.
Separately, the US Government Accountability Office released a report on
the impact of the ACA on the Indian Health Service.Read More >>

Contraceptive Mandate Litigation: Latest Developments

By Katie Keith (10/7/19)

This post summarizes the status of cases stemming from litigation in
California, Massachusetts, Pennsylvania, and Texas. Read More >>

VIOLENCE

When Prevention Isn't Enough: Managing School Mass Shootings Along The
Risk Continuum

By Frank G. Straub, Christopher Nelson, Samantha Iovan, Joie D. Acosta,
and Mahshid Abir (10/8/19)

For those shootings that are not prevented, communities need to take an
evidence-based, multidisciplinary approach to detection/disruption,
preparation, response, and recovery.
Read More >>

Interrupting Violence In Durham, North Carolina

By Rob Waters (10/7/19)

Violence is a contagion that clusters and spreads geographically; cycles
of violence can be interrupted and retaliation can be prevented through
the work of trusted "violence interrupters"-like the staff of Bull
City United. Read More >>

CULTURE OF HEALTH

Five Insights From The First Five Years Of Research On Building A
Culture of Health

By Alonzo Plough and Lisa Simpson (10/11/19)

The Robert Wood Johnson Foundation and AcademyHealth, along with our
numerous partners and stakeholders are continuing in our efforts to
support research, policy, and practice toward building a Culture of
Health. Read More >>

WORKFORCE IN THE COMMUNITY

Home-Based Primary Care: How The Modern Day "House Call" Improves
Outcomes, Reduces Costs, And Provides Care Where It's Most Often
Needed

By Thomas Cornwell (10/8/19)

When you look behind the numbers at the patient stories, home-based
primary care goes from being a compelling concept to a "no brainer."
Read More >>

MARKETS

Retroactive Enrollment: A Feasible Way To Bring Auto-Enrollment To The
Individual Market

By Christen Linke Young (10/10/19)

While the backstop might introduce a form of public option, it would
also bring a large pool of relatively healthy individuals into the risk
pool and dramatically reduce health care providers' uncompensated care
burdens, which could be an attractive trade-off for providers, insurers,
and other stakeholders. Read More >>

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CHILDREN'S HEALTH

The Surprising Roles That Landlords (And Philanthropy) Can Play In
Promoting Children's Health

By Daniel Cohn and Cara Matteliano (10/9/19)

If health advocates want to make serious headway in protecting children
from the lifelong effects of lead poisoning, they must get both public-
and private-sector buy-in and develop solutions that work for all,
including landlords. Leaders in Cleveland, Ohio, and Buffalo, New York,
have built strong public-private partnerships to deploy new tools to
help landlords make their properties safe. Various foundations-both
place-based and national-are funding efforts to prevent lead
poisoning. Read More >>

COSTS & SPENDING

Self-Insured Employers Are Using Price Transparency To Improve
Contracting With Health Care Providers: The Indiana Experience

By Gloria Sachdev, Chapin White, and Ge Bai (10/7/19)

The Indiana experience suggests that self-insured employers, if equipped
with useful price information, have the potential to become informed and
effective shoppers and create value for themselves and their employees.
Read More >>

ACCESS TO CARE

New Evidence Demonstrates That The Public Charge Rule Will Harm
Immigrant Families and Others

By Leighton Ku (10/9/19)

On October 15, 2019, the Department of Homeland Security (DHS) plans to
implement a "public charge" rule that would harm legal immigrants and
their family members if they use Medicaid, the Supplemental Nutrition
Assistance Program (SNAP), or public housing benefits or are predicted
to use such benefits in the future. Read More >>

PATIENT CENTERED CARE

Dermatologists Collaborating Across Specialties For Better Patient Care

By George J. Hruza (10/9/19)

Health care is at a critical crossroads, and dermatology is adapting in
response, alongside our peers in medicine. We are focused on the
outcomes of millions of patients with skin diseases and associated
comorbidities who rely on our expertise and training in the face of
increasing challenges to accessing the health care they need. Read More
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