On the Blog: The continuous enrollment requirement changed postpartum
coverage
 â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â â
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The Latest Research, Commentary, And News From Health Affairs
Thursday, September 23, 2021
Dear John,
September articles explore the Medicare Advantage quality bonus payment
program and the quality-adjusted life-year (QALY).
Quality Performance and Measurement
Two papers in the September issue discuss quality in health care.  Â
The Medicare Advantage (MA) quality bonus payment program provides a
"double bonus" to high-quality plans in certain metropolitan areas.
Adam Markovitz and colleagues found that double bonuses are not
significantly associated
with changes in quality performance or changes in MA enrollment, the
program's purported goals. Further, "Black beneficiaries were
substantially less likely to reside in counties offered double bonuses
than White beneficiaries."
The quality-adjusted life-year (QALY) is a standard measure
incorporating life expectancy and quality of life and is often used in
cost-effectiveness analysis.
Leah Rand and Aaron Kesselheim conducted a systematic literature review
of criticisms
leveled at the QALY and concluded that the nine major criticisms fall
into three categories: methodological concerns, criticisms of
neutrality, and potential discrimination.
Rand discussed these findings on an episode of A Health Podyssey earlier
this month
.
Today on Health Affairs Blog, Jennifer Haley and Emily Johnston discuss
how Medicaid's role for postpartum coverage
changed under the continuous enrollment requirement.
Elevating Voices: Hispanic Heritage Month: Jill A. McDonald, Anup
Amatya, Charlotte C. Gard, and Jesus Sigala found that, in states that
border Mexico, cesarean rates were highest
for Hispanic women living in border counties. They concluded,
"Interventions should address cultural factors-that is, the
importance of the degree of Hispanicity in the mothers'
communities."
Check out our COVID-19 Resource Center
for Health
Affairs content about all things related to the pandemic.
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Your Daily Digest
Medicare Advantage Plan Double Bonuses Drive Racial Disparity In
Payments, Yield No Quality Or Enrollment Improvements
Adam A. Markovitz et al.
Controversy Over Using Quality-Adjusted Life-Years In Cost-Effectiveness
Analyses: A Systematic Literature Review
Leah Z. Rand and Aaron S. Kesselheim
Podcast: Pushing Against The QALY Criticism In Drug Pricing
Alan Weil and Leah Rand
Opportunities For States To Minimize Postpartum Coverage Loss When The
Public Health Emergency Ends
Jennifer M. Haley and Emily M. Johnston
In States That Border Mexico, Cesarean Rates Were Highest For Hispanic
Women Living In Border Counties In 2015
Jill A. McDonald et al.
HEALTH AFFAIRS BRANDED POST:
Back To School-Based Health Care
Michael Fu
Sponsored by Hopelab
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Health Affairs is planning a theme issue on racism and health, with an
emphasis on structural racism, to be published in February 2022. We plan
to publish approximately 20 peer-reviewed articles-including original
research, analyses, commentaries, and Narrative Matters-from a diverse
group of researchers, scholars, community health leaders, analysts, and
health care stakeholders, among others.
We envision that the theme issue would include other novel elements such
as art, poetry, and multimedia components. As part of our commitment, we
will launch a video component alongside the research to set the
foundation of the issue, introduce an interactive element to the
research, and reach new audiences who do not currently read Health
Affairs.
We encourage interested applicants to respond to our Request For
Proposals, due October 1, 2021.
Learn More
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