On the Blog: Katie Kaith on CBO's analysis of the Build Back Better
Act
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The Latest Research, Commentary, And News From Health Affairs

Thursday, October 21, 2021

Dear John,

October papers discuss trends in medical procedures closely tied to
perinatal mental health.

Trends In Perinatal Mental Health Issues

Two papers in the October 2021 issue, Perinatal Mental Health And More
, cover procedural
trends in perinatal mental health issues.

With numerous states now requiring perinatal depression screening
,
Wan-Jung Hsieh and coauthors report the results of qualitative work
drawing upon the experiences of a diverse group of women. Among their
findings: "Patients [feel] dismissed through the screening process,
especially when they did not present depressive symptoms...that pose an
imminent risk."

Melissa Zochowski and coauthors examine rates of first-time cesarean
section deliveries

among low-risk commercially insured women between 2008 and 2017. Overall
cesarean section rates for this population are about 25 percent.

The study found that the probability of a cesarean section was 3.5
percentage points higher, on average, among women with perinatal mood
and anxiety disorders than among those without them.

Today on Health Affairs Blog, Katie Keith explains the Congressional
Budget Office analysis
of
the coverage provisions

in the Build Back Better Act. The CBO estimates federal costs of $553.2
billion over ten years and a drop in the number of uninsured people of
about 3.9 million people.

Blackford Middleton and coauthors discuss building the Learning Health
System's COVID-19 clinical practice guideline
.

As part of the blog series "Value Assessment: Where Do We Go
Post-COVID?" Darius Lakdawalla and coauthors discuss the implications
of
the COVID-19 pandemic for how we approach value as a guide for
allocating limited health care resources.

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

Patients' Perceptions Of Perinatal Depression Screening: A Qualitative
Study

Wan-Jung Hsieh et al.

Trends In Primary Cesarean Section Rates Among Women With And Without
Perinatal Mood And Anxiety Disorders

Melissa K. Zochowski et al.

CBO Analysis Of House's Build Back Better Act, HHS Proposes Rescinding
"Good Guidance" Rule

Katie Keith

Pandemic Wakes The Learning Health System: How We Developed And Continue
Refining COVID-19 Treatment Guidelines

Blackford Middleton et al.

How COVID Can Help Us Refocus On The How And Why Of Value Assessment

Darius Lakdawalla et al.

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