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A Weekly Health Policy Round Up From Health Affairs
October 27, 2019
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HEALTH AFFAIRS EVENTS
CULTURE OF HEALTH: HOUSING AND HEALTH
Registration Now Open!
November 7 at 9:00 am – 11:00 am Eastern
W Hotel Washington – 515 15th Street NW, Washington DC
Register Today
Since 2015, Health Affairs has published important work related to a "Culture of Health." The November 7 briefing will highlight the relationship between housing and health by featuring panels of contributing authors and practitioners who are meeting the challenges. Join this robust discussion on how community and place play an important role in promoting health and preventing disease. View
Speakers
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THIS WEEK ON THE BLOG
FOLLOWING THE ACA
Latest Ruling Over Unpaid CSRs
By Katie Keith (10/25/19)
On October 22, 2019, Judge Margaret M. Sweeney issued a final decision in a class action lawsuit brought by insurers over unpaid cost-sharing reduction (CSR) payments.
Read More >>
Ninth Circuit Blocks Trump Contraceptive Rules
By Katie Keith (10/24/19)
On Tuesday, a three-judge panel of the Ninth Circuit Court of Appeals upheld, by a 2-1 majority, a preliminary injunction against two Trump-era rules to dramatically expand exemptions to the Affordable Care Act’s contraceptive mandate based on religious or moral objections. Read More >>
Open Enrollment Period Is Coming: New Premium Data From CMS
By Katie Keith (10/22/19)
Average premium reductions and higher insurer participation for 2020 are encouraging heading into open enrollment. However, some metrics still lag behind earlier years. Also, modest premium reductions may not be enough to reverse recently rising uninsurance rates.
Read More >>
MEDICARE
Medicare ACO Results for 2018: More Downside Risk Adoption, More Savings, and All ACOs Types Now Averaging Savings
By Jonathan Gonzalez-Smith, William K. Bleser, David B. Muhlestein, Robert Richards, Mark B. McClellan, and Robert S. Saunders (10/25/19)
In late September 2019, CMS released the performance results for the sixth year (2018) of Medicare’s flagship ACO program, the Medicare Shared Savings Program (MSSP). We have tracked the progress of this program, which has generally shown good quality of care and outcomes, and modest but increasing
cost savings over time, relative to CMS benchmarks. Read More >>
WORKFORCE IN THE COMMUNITY
Building The Community-Based Mental Health Workforce To Expand Access To Treatment
By Heather O’Donnell, Kristin Davis, and Samantha Mestan (10/24/19)
We hope policy makers will take action to support and implement these recommendations to grow the community-based mental health treatment workforce, and thereby improve access to treatment. Read More >>
PHARMACEUTICALS & MEDICAL TECHNOLOGY
The Emerging Use By Commercial Payers Of Third-Party Lab Benefit Managers For Genetic Testing
By Kathryn A. Phillips and Patricia A. Deverka (10/23/19)
Commercial payers are increasingly using laboratory benefit managers to manage laboratory test utilization. LBMs represent a relatively newer area of utilization management, although they are similar in some ways to pharmacy benefit managers, used to manage prescription drug benefits. Read More >>
ACCOUNTABLE CARE
Spread Of ACOs And Value-Based Payment Models In 2019: Gauging The Impact Of Pathways To Success
By David Muhlestein, William
Bleser, Robert Saunders, Robert Richards, Elizabeth Singletary, and Mark McClellan (10/21/19)
This blog post summarizes the recently released enrollment data for Medicare ACOs and updates some of our previous work on tracking all ACOs (commercial and Medicaid ACOs included) and participation or potential participation in other value-based payment models.
Read More >>
AFFORDABLE CARE ACT
The Peril Of Medicare For All
By Bobby Clark (10/22/19)
We must do everything in our power to avoid a divisive
battle over Medicare for All, when more incremental, evidence-based reforms could be implemented far more easily while achieving the same outcomes. We need not upend the entire health system for every American, as some suggest, to improve the quality, access, and affordability of health care in this country.
Read More >>
MENTAL HEALTH
Why We Are Building A Community Of "Emotional Support Humans"
By Nikki Highsmith Vernick (10/24/19)
You may have heard the phrases "emotional support animals" or even "emotional support humans." A foundation has created a different kind of mental health campaign. It urges family members and friends to become emotional support humans who provide comfort and compassion to their loved ones struggling with mental illness, especially depression
and anxiety. And no special certification or training is needed to do this. Read More >>
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VIOLENCE
Mitigating Negative Consequences Of Community Violence
Exposure: Perspectives From African American Youth
By Briana Woods-Jaeger, Jannette Berkley-Patton, Kaitlin N. Piper, Paige O’Connor, Tiffaney L. Renfro, and Kelsey Christensen
African American youth experience disproportionate rates of negative health consequences due to the burden of community violence, leading Briana Woods-Jaeger and coauthors to conduct a qualitative study of the perceptions of the youth themselves. Read More >>
Alcohol-Related Crimes And Risk Of Arrest For Intimate Partner Violence Among California Handgun Purchasers
By Hannah Laqueur, Rose M. C. Kagawa, Mona Wright, and Garen J. Wintemute
Hannah Laqueur and coauthors explore the relationship between alcohol misuse and subsequent arrest for intimate partner violence. Read More >>
Creating Safe And Healthy Neighborhoods With
Place-Based Violence Interventions
By Bernadette C. Hohl, Michelle C. Kondo, Sandhya Kajeepeta, John M. MacDonald,
Katherine P. Theall, Marc A. Zimmerman, and Charles C. Branas
Bernadette Hohl and coauthors analyze the impact of place-based interventions on perceptions and scope of community violence in four US cities. Read More >>
PUBLIC OPINION
Evolving Public Views On The Likelihood Of Violence From People With Mental Illness: Stigma And Its
Consequences
By Bernice A. Pescosolido, Bianca Manago, and John Monahan
Using National Stigma Study data, Bernice Pescosolido and coauthors analyzed more than two decades of the American public’s views regarding the risk of potential violence by people with mental illness and and support for coerced treatment. Read More >>
California Public Opinion On Health Professionals Talking With Patients About Firearms
By Rocco Pallin, Amanda Charbonneau, Garen J. Wintemute, and Nicole Kravitz-Wirtz
Medical and public health organizations have recommended that health professionals discuss firearm safety with patients at risk for gun-related injury, yet few health professionals do so. Concerns that patients may view conversations about firearms as inappropriate have been reported in prior studies. Using state-representative data from the 2018 California
Safety and Wellbeing Survey, Rocco Pallin and coauthors found that most Californians report gun safety conversations with health professionals to be at least sometimes appropriate when these conversations involved a patient who had a known risk factor for firearm-related harm.
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.
Copyright © Project HOPE: The People-to-People Health Foundation, Inc.
Health Affairs, 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814, United States
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