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A Weekly Health Policy Round Up From Health Affairs            

**November 3, 2019**

HEALTH AFFAIRS EVENTS-CULTURE OF HEALTH: HOUSING AND HEALTH

Thursday! 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. Join this robust discussion on
how community and place play an important role in promoting health and
preventing disease with the following speakers:

* David Adler, Senior Program Officer, Robert Wood Johnson Foundation

* Robin Clark, Professor of Family Medicine and Community Health and of
Population and Quantitative Health Sciences, University of Massachusetts
Medical School, on "Infants Exposed To Homelessness: Health, Health
Care Use, And Health Spending From Birth To Age Six"

* Bob Cowell, City Manager, Roanoke, Virginia

* Kacie Dragan, Lead Analyst, Wagner Policies for Action Hub, NYU Robert
F. Wagner Graduate School of Public Service, on "Gentrification and
the Health of Low-Income Children in New York City"

* Erica Eliason, PhD Student, Columbia University School of Social Work,
on "Can Medicaid Expansion Prevent Housing Evictions?"

* Rahwa Ghirmatzion, Executive Director, PUSH Buffalo (People United for
Sustainable Housing)

* Dan Treglia, Postdoctoral Fellow, University of Pennsylvania School of
Social Policy and Practice, on "When Crises Converge: Hospital Visits
Before and After Shelter Use Among Homeless New Yorkers"

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THIS WEEK ON THE BLOG

FOLLOWING THE ACA

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Senate Fails To Invalidate Section 1332 Guidance

By Katie Keith (11/1/19)

The US Senate failed to advance a resolution to invalidate the Trump
administration's guidance on state innovation waivers under Section
1332 of the Affordable Care Act.
Read More >>

Window Shopping And Updates On HealthCare.gov

By Katie Keith (10/28/19)

"Window shopping" allows consumers to consider their plan options
without logging in, creating an account, or completing an official
application. Read More >>

ACCESS TO CARE

'Rescue Me' Revisited: A Five-Year Perspective On Preapproval Access
To Experimental Medicines

By Arthur L. Caplan and Kenneth I. Moch

This evolution has the potential to fundamentally change the way in
which new medicines are developed, and the timing of their being made
available to patients. Read More >>

SYSTEMS OF CARE

Algorithmic Bias in Health Care: A Path Forward

By Ziad Obermeyer, Brian Powers, Christine Vogeli, and Sendhil
Mullainathan

Algorithms have a critical role to play in population health management.
Through a collective process of ensuring that these algorithms are
constructed and applied fairly, we can ensure these benefits are
equitably shared. Read More >>

MEDICAID

Medicaid Work Experiments Meet The D.C. Circuit

By Sara Rosenbaum, Alexander Somodevilla, Morgan Handley, Elizabeth
Brim, and Erin Brantley (10/28/19)

With seven other states awaiting CMS approval for Medicaid 1115 work
experiments, more proposals moving through the state administrative
pipeline, and several states poised for full implementation, the Gresham
and Stewart appeals have taken on elevated importance.
Read More >>

PRIVATE HEALTH INSURANCE

Proclamation On Health Insurance Requirements: The Administration's
Latest Attack On Immigration

By Swapna Reddy, Nina Patel, Mary Saxon, Johanny Lopez Dominguez, and
Shetal Vohra-Gupta (10/30/19)

Legal challenges to the proclamation are expected, but regardless of
their result, the language and sentiment underlying these recent changes
are dangerous and false. Read More >>

MATERNAL & CHILD HEALTH

To Save New Mothers, We Need To Rethink Care Delivery

By Charles Jaynes (10/31/19)

Building strong relationships between patients and maternity care
providers is an essential component of clinical and system-level
approaches to reducing maternal morbidity and mortality. Read More >>

HEALTH SERVICES RESEARCH

The Field Of Health Services Research: Time To Change Its Paradigm

By Sherry Glied and Risa Lavizzo-Mourey (10/31/19)

Could it be that some of the processes and methods that have reinforced
the rigor of health services research now stand in the way of it being
effective, relevant, and timely? AcademyHealth has launched a project,
funded by the Robert Wood Johnson Foundation, to redesign how such
research is conducted and disseminated. The authors cochair this effort
in which some 120 volunteers are participating. Read More >>

PUBLIC HEALTH

When Talking About Social Determinants, Precision Matters

By Katie Green and Megan Zook (10/29/19)

Each stakeholder has an important role to play in what should be a
harmonious collaboration. Precise use of terminology is an important
first step in determining what those roles should be. Read More >>

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IN THE JOURNAL

VIOLENCE

Trends In Public Opinion On US Gun Laws: Majorities Of Gun Owners And
Non-Gun Owners Support A Range Of Measures

By Colleen Barry, Elizabeth Stone, Cassandra Crifasi, Jon Vernick,
Daniel Webster, and Emma McGinty

Colleen Barry and coauthors studied data from the National Survey of Gun
Policy from the years 2013, 2015, 2017, and 2019. The surveys were
administered by the Johns Hopkins Center for Gun Policy and Research,
which sampled adult gun owners and non-gun owners alike. The findings
show that large majorities of both owners and nonowners strongly support
a range of measures to strengthen US gun laws. Read More >>

US Firearm-Related Mortality: National, State, And Population Trends,
1999-2017

By Jason E. Goldstick, April Zeoli, Christina Mair, and Rebecca M.
Cunningham

Jason Goldstick and coauthors used death records from the Centers for
Disease Control and Prevention to construct state-specific mortality
trajectories and determine how mortality increases seen in 2015-17,
relative to 1999-2014, are reflected across states and subpopulations.
Read More >>

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Behavioral Health Care And Firearm Suicide: Do States With Greater
Treatment Capacity Have Lower Suicide Rates?

By Evan V. Goldstein, Laura C. Prater, and Thomas M. Wickizer

While the literature focuses on firearm safety, little is understood
about how the supply of behavioral health treatment services can reduce
firearm suicide. Evan Goldstein and coauthors evaluated whether states
with greater behavioral health treatment capacity have lower firearm
suicide rates, examining variation across the United States and over
time.
Read More >>

Linking Public Safety And Public Health Data For Firearm Suicide
Prevention In Utah

By Catherine Barber, John P. Berrigan, Morissa Sobelson Henn, Kim Myers,
Michael Staley, Deborah Azrael, Matthew Miller, and David Hemenway

In Utah, a state with high rates of gun ownership, suicide is the
leading cause of death for residents ages 15-24 and the fourth-leading
cause among those younger than 65. Catherine Barber and coauthors
explore how the Utah legislature's 2016 call to research firearms and
suicide presents "a case study for how policy makers, researchers,
firearm stakeholders, and others can reach across ideological lines to
study their local firearm suicide problem and identify actionable
prevention strategies." Read More >>

PRIVATE HEALTH INSURANCE

Health Benefits In 2019: Premiums Inch Higher, Employers Respond To
Federal Policy

By Gary Claxton, Matthew Rae, Anthony Damico, Gregory Young, Daniel
McDermott, and Heidi Whitmore

The annual Kaiser Family Foundation Employer Health Benefits Survey
found that in 2019 the average annual premium for single coverage rose 4
percent to $7,188, and the average annual premium for family coverage
rose 5 percent to $20,576. Covered workers contributed 18 percent of the
cost for single coverage and 30 percent of the cost for family coverage,
on average, with considerable variation across firms. Read More >>

GRANTWATCH

Funders' Efforts To Prevent Violence In The US

By Lee L. Prina

The October 2019 GrantWatch column focuses on foundations' funding of
projects to prevent violence. Read about the National Collaborative on
Gun Violence Research, the Fund for a Safer Future, the Harvard/Utah
Suicide Database, the Hope and Heal Fund, the National Network of
Hospital-Based Violence Intervention Programs, as well as a recent Joyce
Foundation survey, Blue Shield of California Foundation's funding in
domestic violence prevention, and more. In Key Personnel Changes, the
Health and Environmental Funders Network (HEFN) bade a fond farewell to
Kathy Sessions after 20 years and has named a new executive director.
And Liz Fowler is now working in philanthropy. Read More >>

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BOOK REVIEWS

Stories Of Violence

By Rob Lott

Rob Lott reviews An American Summer: Love And Death In Chicago, by Alex
Kotlowitz.
Read the review >>

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Home Is The Most Dangerous Place To Be

By Rachel Dolan

Rachel Dolan reviews No Visible Bruises: What We Don't Know About
Domestic Violence Can Kill Us, by Rachel Louise Snyder. Read the review
>>

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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.

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