A Weekly Health Policy Round Up From Health Affairs
 
 
 
 
 
A Weekly Health Policy Round Up From Health Affairs            

November 3, 2019
HEALTH AFFAIRS EVENTSCULTURE 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

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 >>

HA 38/10 Goldstick et al.
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 >>

H
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 >>

HA


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 >>

 
 
 
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.

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