From Health Affairs Today <[email protected]>
Subject Most-Read November Articles
Date December 3, 2021 9:02 PM
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Podcast: How the HIV/AIDS epidemic can inform COVID-19 response
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The Latest Research, Commentary, And News From Health Affairs

Friday, December 3, 2021

Dear John,

Today we are highlighting the most-read articles and letters from the
November issue.

Most-Read November Articles

The two most-read articles from the November 2021 issue of

**Health Affairs** focused on pharmaceuticals.

Kelly Lenahan and coauthors examined commercial health plans'
prescription drug step therapy protocols

that determine patients' eligibility for specialty drugs. Across the
ten diseases they studied, most of the commercial plans' step therapy
protocols were more stringent than the treatment guidelines adopted by
national clinical organizations.

Even with direct funding, it is difficult to generate investments for
the development of low-volume drugs
,
given low expected revenue from sales. As a consequence, policy makers
have adopted "pull" incentives that provide a separate payment
stream. Kevin Outterson modeled various drug development scenarios and
concluded that incentives "totaling several billion dollars per drug
globally are required to make antibacterial [research and development]
projects economically attractive to commercial sponsors."

In the November issue's letters to the editor, authors responded to
comments about private equity ownership of dermatology practices
,
drug utilization management
,
and drug price competition
.

Revisit the table of contents
to see all the content
featured in the November 2021 issue.

Today on Health Affairs Blog, Shivani Shah and coauthors discuss how
policy makers should think through cost sharing

in the context of Medicare expansion.

Listen to our latest podcasts .
On today's episode of

**This Week**
,
Health Affairs' Leslie Erdelack and Rob Lott discuss the Omicron
COVID-19 variant and how the HIV/AIDS epidemic can inform the response
to the COVID-19 pandemic.

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Variation In Use And Content Of Prescription Drug Step Therapy
Protocols, Within And Across Health Plans

Kelly L. Lenahan et al.

Estimating The Appropriate Size Of Global Pull Incentives For
Antibacterial Medicines

Kevin Outterson

Fine-Tuning Cost Sharing As Part Of Health Reform

Shivani A. Shah et al.

Global Health Inequity: Examining Omicron Through The Lens Of HIV/AIDS

Leslie Erdelack and Rob Lott

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Global Health Inequity: Examining Omicron Through The
Lens Of HIV/AIDS

Listen to Health Affairs' Leslie Erdelack and Rob Lott discuss the
Omicron COVID-19 variant and how the HIV/AIDS epidemic can inform the
response to the COVID-19 pandemic.

Listen Here

 

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The centerpiece of the December

**Health Affairs** Journal Club meeting is "Despite National Declines
In Kidney Failure Incidence, Disparities Widened Between Low- And
High-Poverty Counties." In the paper, which will appear in the
December 2021 issue of the journal, Kevin Nguyen and coauthors examine
trends in the incidence of kidney failure by county-level poverty among
US adults between 2000 and 2017. While national estimates suggest that
overall rates are declining, the authors found marked disparity in
incidence of kidney failure between low- and high-poverty counties.

Health Affairs Senior Editor Jessica Bylander will host Nguyen, an
investigator in the Department of Health Services, Policy, and Practice
at the Brown University School of Public Health, to talk in detail about
the research, methods, and conclusions of the paper, including changes
in policy and care delivery that will be required to close the gap for
low-income areas and communities.

Date:     Thursday, December 9, 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.

Register Here

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