Forefront: How to effectively scale lifesaving treatment for opioid use
disorder
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The Latest Research, Commentary, And News From Health Affairs
Monday, December 20, 2021
Dear John,
Several papers in the December 2021 issue focused on topics related to
Medicare and Medicaid.
Medicare and Medicaid
Adam Markovitz and colleagues examined nine measures used to provide
financial bonuses
to higher-quality Medicare Advantage (MA) plans. Despite investments by
the Centers for Medicare and Medicaid Services, evidence of the quality
bonus program's effectiveness is limited.
Comparing Medicare Advantage enrollees with a commercially insured
population before and after the bonus program was implemented,
researchers concluded that the program did not consistently improve plan
quality or performance.
Asset tests
are imposed by states to limit Medicaid coverage to people who lack
resources to pay for care. Most states have not updated the dollar limit
of Medicaid's asset test since 1989, making the asset test
increasingly restrictive in inflation-adjusted terms.
Noelle Cornelio and coauthors estimated how four possible changes to
asset tests would affect the number of low-income seniors living in the
community who would qualify for full Medicaid benefits.
Medicaid expansion has been found to improve hospital finances overall,
but critical access hospitals
face particular challenges and generally have low operating margins.
Paula Chatterjee and coauthors reported that these hospitals in Medicaid
expansion states did not have statistically significant postexpansion
increases in operating margins, staffing levels, or quality measures
relative to hospitals in nonexpansion states.
Neil Gandhi and Kevin Schulman assessed how the Medicare new technology
add-on payments program
could be used as a market support mechanism to incentivize antibiotic
development.
Among the three models they illustrated, they found the reimbursement
required to sustain research and development would range from $637 to
$121,365, depending on the incidence of the resistant infection in
question and the payment model.  Â
Today in Health Affairs Forefront, Arthur Robin Williams discusses how
to effectively scale lifesaving treatment for opioid use disorder
,
regulatory reform must address access, cost, and culture.
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Your Daily Digest
The Medicare Advantage Quality Bonus Program Has Not Improved Plan
Quality
Adam A. Markovitz et al.
Increasing Medicaid's Stagnant Asset Test For People Eligible For
Medicare And Medicaid Will Help Vulnerable Seniors
Noelle Cornelio et al.
Medicaid Expansion Alone Not Associated With Improved Finances,
Staffing, Or Quality At Critical Access Hospitals
Paula Chatterjee et al.
New Medicare Technology Add-On Payment Could Be Used As A Market Support
Mechanism To Accelerate Antibiotic Innovation
Neil Gandhi and Kevin A. Schulman
To Beat The Opioid Crisis, We Must Change The Rules Of The Game
Arthur Robin Williams
Â
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New National Health Spending Data and Introducing Health Affairs
Forefront
Listen to Health Affairs' Rob Lott and Chris Fleming discuss CMS' 2020
national health care spending data and the rebrand of Health Affairs
Blog to a new digital publication, Health Affairs Forefront.
Listen Here
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