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In an ahead-of-print paper released today, Elizabeth Wrigley-Field and colleagues, using death certificate data, characterized the association of neighborhood socioeconomic disadvantage with pre-2020 mortality, COVID-19 mortality, and 2020 excess mortality in the state of Minnesota.

“In 2020 COVID-19 mortality rates and excess mortality rates in Minnesota were substantially higher for BIPOC [Black, Indigenous, People of Color] living in the Metro region than for all other race-region combinations,” they found.

“White people, on average, had higher prepandemic mortality than BIPOC in similar neighborhoods,” they explained. However, “COVID-19 mortality and excess mortality were substantially higher for Metro-area BIPOC than for Metro-area White people living in similarly disadvantaged neighborhoods,” reflecting a notable increase in the racial disparity.

Today on Health Affairs Blog, Mark Trusheim and coauthors discuss a new Centers for Medicare and Medicaid Services (CMS) rule that addresses challenges created by the Medicaid Best Price rebate program.

Angela Beck and coauthors argue for building a workforce that responds to the health care needs of society.

Katie Keith discusses two recent announcements from CMS.

Happy Hispanic Heritage Month! From today through October 15, Health Affairs is continuing our Elevating Voices series to highlight health policy work focused on the Hispanic/Latino(a) population published by Health Affairs.

Today, we are revisiting an article by Arturo Vargas Bustamante and coauthors about access to care in California, which found that in the early years of implementation, “the [Affordable Care Act] was associated with a positive impact on health insurance coverage among Latinos… [And] reduced disparities between Mexicans and other Latinos.”

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