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**The Latest Research, Commentary, and News from Health Affairs**

**Tuesday, November 5, 2019**

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TODAY ON THE BLOG

CONSIDERING HEALTH SPENDING

Hot-Spotting North Carolina's Medicaid Transformation

By Kushal T. Kadakia, Shivani A. Shah, and Barak D. Richman

Meaningful health policies for rural America must focus on the needs of
those Americans and the resource gaps that surround them. Read More >>

FOLLOWING THE ACA

Georgia Releases Broad 1332 Waiver Application

By Katie Keith

The application reflects a two-phase approach: a state-based reinsurance
program to begin in plan year 2021, followed by a transition to the
"Georgia Access" model beginning in plan year 2022. Read More >>

HEALTH AFFAIRS EVENTS-PAST EVENT: 
LOS ANGELES BRIEFING ON VIOLENCE & HEALTH

The Los Angeles forum for the October Health Affairs issue, Violence &
Health, explored the effects of exposure to violence, community
responses to violence, and policy initiatives. Get caught up with the
event:  slides

(click on Download Event), video
, and
podcast
.

Access the October PRINT

or ONLINE issue.

Getevent-specific emails
delivered directly to your inbox

IN THE JOURNAL

COSTS & SPENDING

Financial Hardships Of Medicare Beneficiaries With Serious Illness

By Michael Anne Kyle, Robert J. Blendon, John M. Benson, Melinda K.
Abrams, and Eric C. Schneider

Medicare's popularity stems from its universality and comprehensive
benefits, but Michael Anne Kyle and coauthors explore the program's
limitations when it comes to people with serious illness. They find that
53 percent of Medicare beneficiaries with illnesses requiring recent
hospitalizations or multiple physician visits report having a serious
problem paying a medical bill. Read More >>

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CONSIDERING HEALTH SPENDING

Changes In The Equity Of US Health Care Financing In The Period
2005-16

By Paul D. Jacobs and Thomas M. Selden

Studies examining health care spending in the US have found regressive
patterns of incidence, with total health-related spending as a share of
income being higher for lower-income households than for higher-income
households. Paul Jacobs and Thomas Selden look at how the distribution
of household spending across income groups changed between 2005 and
2016. Read More >>

This study is part of the journal's Considering Health Spending
series.

Read the November 2019 Table of Contents

****

Subscribe to Health Affairs

**for full journal access**

A CLOSER LOOK-Alternative Payment Models

**** The Health Care Payment Learning and Action Network (LAN) announced
significant goals for the adoption of alternative payment models (APMs).
In an April 2019 blog post, Mark McClellan, Mark Smith, and Thomas
Buckinghamdescribed the LAN's Roadmap for Driving High Performance in
APMs
,
an interactive, web-based implementation guide that public and private
payers can use to work with providers, purchasers, patients, consumers,
and others.

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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.

Health Affairs, 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814, United States

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