The Latest Research, Commentary, And News From Health Affairs
Friday, November 12, 2021
Dear John,
Two papers in the November issue dive into issues related to the Affordable Care Act.
ACA Marketplaces & Medicaid Expansion
The economic shock of the COVID-19 pandemic led to job losses and people moving into the Affordable Care Act Marketplaces. In one paper in the November
issue, John Hsu and coauthors analyzed the relationship between state policies and the number and risk profile of these new enrollees.
They found both larger increases in Marketplace enrollment in states that did not expand Medicaid and more higher-cost enrollees joining Marketplaces in states with narrower enrollment criteria.
“The state-based Marketplace states experienced favorable selection into the Marketplaces,” the authors concluded.
In another paper, Casey Balio and coauthors estimated the effects of Medicaid expansions on administrative spending incurred by
states since the initial expansions in January 2014.
They found “modest evidence suggesting that states with large expansions saw reductions in administrative costs after expansion relative to nonexpansion states, whereas states with small expansions incurred increases in administrative costs after expansion.”
Today on Health Affairs Blog, George Maliha and coauthors argue
that health care systems should reinvest in nonemergency medical transportation programs to serve as an analogue to telehealth.
Katie Keith discusses the November 9 announcement of a new 60-day comment period to solicit input on Georgia’s waiver under Section 1332 of the Affordable Care Act.
Health Affairs Deputy Editor Rob Lott hosts Maninder Kahlon of theUniversity of Texas at Austin’s Dell Medical School for a conversation about the latest trends in health system transformation, with a particular focus on addressing the social determinants of health. The discussion will feature highlights from Leading To Health, Health Affairs’ ongoing project on health system transformation, and novel approaches currently being tested by Kahlon and colleagues at Factor Health.
Date: Tuesday, November 16, 2021 Time: 1:00 p.m. – 2:00 p.m. (ET) Place: Online details will be shared with registrants 24 hours in advance of the event
Health Affairs is the leading peer-reviewedjournalat 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.
