A Weekly Health Policy Round Up From Health Affairs
 
 
 
 
 
A Weekly Health Policy Round Up From Health Affairs            

October 20, 2019
HEALTH AFFAIRS EVENTLOS ANGELES BRIEFING: VIOLENCE & HEALTH

THIS WEEK! October 23, 2019 at 9:00 am – 12:00 pm Pacific (Breakfast served at 8:30)
Town & Gown Ballroom, USC Campus 665 Exposition Blvd, Los Angeles, CA 90089
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Access the Violence and Health issue

Join us in Los Angeles for a briefing on Violence & Health, 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.
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THIS WEEK ON THE BLOG

FOLLOWING THE ACA

Court Vacates Parts Of ACA Nondiscrimination Rule
By Katie Keith (10/16/19)

On October 15, 2019, Judge Reed O’Connor, a federal district court judge in Texas, issued a long-awaited ruling in Franciscan Alliance v. Azar. Judge O’Connor vacated parts of an Obama-era nondiscrimination rule that explicitly prohibit discrimination based on gender identity and termination of pregnancy. Read More >>


MARKETS

Are Air Ambulances Truly Flying Out Of Reach? Surprise-Billing Policy And The Airline Deregulation Act
By Karan Chhabra, Kevin A. Schulman, and Barak D. Richman

Courts need to pay greater attention to the dynamics of the air ambulance industry, the purposes of the laws they are undermining, and the central thrust of the Airline Deregulation Act. Read More >>


CONSIDERING HEALTH SPENDING

Exploring The Relationship Between Social And Medical Service Spending
By Judith R. Peres and Gerard F. Anderson (10/15/19)

International experience may encourage the US to remove the artificial distinctions between medical and social services. Read More >>


PAYMENT

Proposed Stark Law, Anti-Kickback Reforms Aim To Facilitate Valued-Based Care
By Billy Wynne, Katie Pahner, and Josh LaRosa (10/15/19)

On Wednesday, October 9, the Department of Health and Human Services (HHS) announced highly anticipated proposed reforms to current regulations implementing the Physician Self-Referral Law (the Stark Law) and the Federal Anti-Kickback Statute (AKS). Read More >>


MEDICAID

Medicaid Policy And Partisan Politics: A New Dynamic
By Eliot Fishman and Joe Weissfeld (10/15/19)

On September 18, 2019, Tennessee announced a long-anticipated proposal to block grant its Medicaid program, TennCare. This proposal is deeply flawed in ways that will both concern fiscal conservatives and endanger Medicaid enrollees. Read More >>


SYSTEMS OF CARE

It’s Time For The Health Care System To Reckon With The Human Costs Of Climate Change
By Dhruv Shankar and Sofia Ahsanuddin

Public reporting of greenhouse gas emissions data, even if limited initially to a few organizations, would mark an important first step toward greater transparency and environmental stewardship in the health care industry. Read More >>


PUBLIC HEALTH

Five Victories For Public Health: Courts Enjoin The Public Charge Rule
By Wendy E. Parmet

Shortly before it was set to take effect last Tuesday, five federal districts courts, sitting in Washington, California, Baltimore, Cook County, and New York City, issued preliminary injunctions against the Trump administration’s new public charge rule, halting at least for now a rule that was widely expected to reduce immigrants’ access to health care, place new burdens on safety-net providers, and jeopardize public health, especially in immigrant communities. Read More >>

Pre-order a copy of the upcoming issue: Violence And Health
IN THE JOURNAL

AHEAD OF PRINT: CONSIDERING HEALTH SPENDING

Changes In The Equity Of US Health Care Financing In The Period 2005–16
By Paul D. Jacobs and Thomas M. Selden

Studies examining health care spending in the US have found regressive patterns of incidence, with total health-related spending as a share of income being higher for lower-income households than for higher-income households. This new study, being released ahead of print by Health Affairs, looks at how the distribution of household spending across income groups changed between 2005 and 2016. Read More >>

This study, part of the journal’s Considering Health Spending series, will also appear in Health Affairs’ November issue.

HA Ahead of Print: Jacobs and Selden

VIOLENCE


Keeping Your Guard Up: Hypervigilance Among Urban Residents Affected By Community And Police Violence

By Nichole A. Smith, Dexter R. Voisin, Joyce P. Yang, and Elizabeth L. Tung

Nichole Smith and coauthors explore how exposure to violence relates to being in a state of hypervigilance, which carries with it various negative health consequences. Exposure to violence increases the odds of hypervigilance, with exposure to police violence associated with an almost 10-percentage-point increase. Read More >>


Social Isolation, Loneliness, And Violence Exposure In Urban Adults

By Elizabeth L. Tung, Louise C. Hawkley, Kathleen A. Cagney, and Monica E. Peek

Elizabeth Tung and coauthors find that exposure to neighborhood violence increases social isolation and loneliness. Read More >>


Violence In Older Adults: Scope, Impact, Challenges, And Strategies For Prevention

By Tony Rosen, Lena K. Makaroun, Yeates Conwell, and Marian Betz

Although often perceived to be a problem of the young, violence commonly affects older adults, a rapidly growing segment of the population. Tony Rosen and coauthors focus on violence as it relates to older adults. Read More >>


HA 38/10 Rosen et al.
Narrative Matters
NARRATIVE MATTERS

Ending Gaze Aversion Toward Child Abuse And Neglect
By Richard D. Krugman

For more than fifty years, not enough has been done to tackle the national problems of child abuse and neglect. 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.

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