On the Blog: Medicare Shared Savings Program: Positive Movement During
COVID-19
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The Latest Research, Commentary, And News From Health Affairs

Thursday, October 14, 2021

Dear John,

Two articles in the October 2021 issue discuss the COVID-19 pandemic.

COVID-19, Perinatal Mental Health & Racial Disparities

Sara Kornfield, Lauren White, and colleagues studied mental health and
resilience

among women who were pregnant during the early lockdown phase of the
COVID-19 pandemic. Their analysis suggests that "prenatal depression
stands out as an important risk factor that predicts postpartum
depression and uniquely contributes to impaired mother-infant
bonding."

"The stresses of an uncertain future and social isolation specific to
COVID-19 have intensified the experiences of the postpartum period,"
they emphasize.

Also in the October issue, Elizabeth Wrigley-Field and colleagues, using
death certificate data, characterize the association of neighborhood
socioeconomic disadvantage

with pre-2020 mortality, COVID-19 mortality, and 2020 excess mortality
in the state of Minnesota.  
  
"White people, on average, had higher prepandemic mortality than BIPOC
[Black, Indigenous, and people of color] in similar neighborhoods,"
they explain. 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 racial disparity.

Today on Health Affairs Blog, three new posts focus on Medicare
Alternative Payment Models.

Michael Zhu and coauthors discuss how the Medicare Shared Savings
Program and other value-based payment programs have helped health care
organizations

be resilient during COVID-19.

Jason Buxbaum and coauthors argue that taxpayers and beneficiaries will
be best served by continuing alternative payment models

expected to save money over the long run, even if we cannot be sure
these expectations will be borne out.

Travis Broome and coauthors contend that the Medicare Shared Savings
Program provides the most useful common infrastructure
,
or "chassis," on which to test new innovations with only a fraction
of the effort it takes to build a new model from the ground up.

Elevating Voices: Hispanic Heritage Month: In their January 2020 blog
post, Shantanu Agrawal and Adaeze Enekwechi discuss implicit bias within
health care delivery
.
"Behind the data are the personal experiences and examples of bias and
discrimination, which abound in care settings if we only look or ask,"
they write.

Check out our COVID-19 Resource Center
for Health
Affairs content about all things related to the pandemic.

Your Daily Digest

Risk And Resilience Factors Influencing Postpartum Depression And
Mother-Infant Bonding During COVID-19

Sara L. Kornfield et al.

COVID-19 Mortality At The Neighborhood Level: Racial And Ethnic
Inequalities Deepened In Minnesota In 2020

Elizabeth Wrigley-Field et al.

The Medicare Shared Savings Program In 2020: Positive Movement (And
Uncertainty) During A Pandemic

Michael Zhu et al.

Challenges In Interpreting The Evidence On Medicare Alternative Payment
Models

Jason D. Buxbaum et al.

A Proven Path To Reenergizing Medicare Innovation

Travis Broome et al.

It's Time To Address The Role Of Implicit Bias Within Health Care
Delivery

Shantanu Agrawal and Adaeze Enekwechi

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