On the Blog: Rural community health improvement systems can address unmet needs
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The Latest Research, Commentary, And News From Health Affairs

Wednesday, October 13, 2021
Dear John,

An article released today finds that neonatal opioid withdrawal syndrome is associated with infant foster care entry.
NOWS Linked To Infant Foster Care Entry
Ahead of Print: Neonatal opioid withdrawal syndrome
Sarah Loch and coauthors examined the association of county rates of neonatal opioid withdrawal syndrome (NOWS) and county-level characteristics with infant entry into foster care between 2009 and 2017.

They found "an increase of one NOWS diagnosis per ten births in a county was associated with a 41 percent higher rate of infant foster care entry, and rural counties were associated with a 19 percent higher rate compared with urban counties."

Further, higher employment and higher rates of obstetricians in the population are associated with lower rates of infant foster care entries.

For more content related to opioid use disorder, visit our website.  

Today on Health Affairs Blog, Stephen Shortell and coauthors discuss how Rural Community Health Improvement Systems could provide a broad, cross-sectoral framework to address the health needs of underserved rural Americans.

Katie Keith summarizes recent developments in the Affordable Care Act, including three states transitioning to state-based Marketplaces for 2022 and new Section 1332 waiver developments.

Elevating Voices: Hispanic Heritage Month: August 2021’s Leading To Health column introduced readers to People’s Community Clinic’s Medical-Legal Partnership, which serves many immigrants in Austin, Texas.

After the Trump administration proposed a change to the "public charge" rule, some clients wouldn’t accept financial assistance from government or community programs, Rebecca Gale reports.

Health Policy Spotlight
You are invited to join Health Affairs Editor-in-Chief Alan Weil tomorrow, Thursday, October 14, at 2:00 p.m. EDT, when he welcomes Loyce Pace, director of the Office of Global Affairs at the US Department of Health and Human Services, for a discussion of her role rebuilding relationships and advancing the US international health agenda through multilateral and bilateral forums.

Pace is the Office of Global Affairs’ lead on setting priorities and policies that promote American public health agencies and interests worldwide. Previously she served as president and executive director of the Global Health Council (GHC) and was a member of the Biden-Harris Transition COVID-19 Advisory Board. Earlier, she spent more than a decade working with community-based organizations and grassroots leaders in countries across Africa and Asia on campaigns calling for person-centered access to health.

Date: Thursday, October 14, 2021
Time: 2:00 p.m. – 3:00 p.m. EDT
Place: Online details to be shared upon registration

Please email your questions in advance to [email protected] and we will make every effort, in the limited time available, to have them addressed.  
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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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