On the Blog: Why a universal COVID-19 vaccine mandate is ethical
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The Latest Research, Commentary, And News From Health Affairs

Wednesday, November 3, 2021

Dear John,

Multiple papers in the November 2021 issue focus on the Affordable Care
Act (ACA) Marketplaces.

ACA Marketplaces

In our November issue, David Anderson and Kevin Griffith examined ACA
Marketplace offerings

and found that two-thirds of Americans have more insurer options in 2021
than they did in 2018, partially reversing a trend of insurer exits from
2016 to 2018.

Paul Jacobs and Steven Hill calculated Marketplace premiums

from 2015 to 2019 among families with incomes between four and six times
the federal poverty level, who are ineligible for federal subsidies. The
share of income required to purchase gold, silver, and bronze plans
increased significantly during this period.

For example, the premium for the lowest-cost bronze plan grew from 12.2
percent of median family income for people ages 55-64 in 2015 to about
19 percent in 2018 and 2019.  

The economic shock of the COVID-19 pandemic led to job losses and people
moving into the ACA Marketplaces. John Hsu and coauthors analyzed the
relationship

between state policies and the number and risk profile of these new
enrollees.

The authors found larger increases in Marketplace enrollment in states
that did not expand Medicaid, and higher-cost enrollees joining the
Marketplace in states with narrower enrollment criteria.  

Today on Health Affairs Blog, Matthew Wynia and coauthors argue that
cancelling vaccine mandates

for the purpose of upholding personal liberties is not worth the risk.

Matthew Meyer discusses health system-based Sustainability Centers
,
which have a mission to minimize climate impact on humans and human
impact on climate.

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Your Daily Digest

Increasing Insurance Choices In The Affordable Care Act Marketplaces,
2018-21

David M. Anderson and Kevin N. Griffith

ACA Marketplaces Became Less Affordable Over Time For Many Middle-Class
Families, Especially The Near-Elderly

Paul D. Jacobs and Steven C. Hill

Growth In ACA-Compliant Marketplace Enrollment And Spending Risk Changes
During The COVID-19 Pandemic

John Hsu et al.

Why A Universal COVID-19 Vaccine Mandate Is Ethical Today

Matthew K. Wynia et al.

Health System Sustainability Centers: A Prescription For Preventing
Climate Catastrophe

Matthew J. Meyer

[link removed]

The centerpiece of the November Health Affairs Journal Club meeting is
"Estimating The Appropriate Size Of Global Pull Incentives For
Antibacterial Medicines
."
In this paper from the November 2021 issue of Health Affairs, author
Kevin Outterson of the Boston University School of Law examines policy
initiatives under way in the US and the UK that explore paying for
exceptional antibacterials with "pull" incentives (paid after
regulatory approval). The paper lays out a new model for calculating the
global incentives required to create a functional antibacterial market.

**Date:    Wednesday, November 10, 2021**

**Time:    3:00 p.m. - 4:00 p.m. (EDT)**

**Place:   Online details will be shared with registrants 24 hours in
advance of the event.**

Register Here

 

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About Health Affairs

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Affairs Today , and Health
Affairs Sunday Update .  

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