Forefront: Antibiotic stewardship programs
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Wednesday, January 12, 2022 | The Latest Research, Commentary, And News From Health Affairs
Dear John,

Articles in the January 2022 issue of Health Affairs discuss perinatal health, including insurance coverage and stillbirth.

Perinatal Health
In their systematic review of the literature, Meghan Bellerose and coauthors found the Affordable Care Act Medicaid expansion increased preconception and postpartum Medicaid coverage and reduced insurance churn. However, they found limited evidence of increased perinatal care utilization or improved infant birth outcomes.  

Sarah Gordon and coauthors analyzed data from Colorado, which, in July 2021, extended postpartum Medicaid coverage for twelve months. They found that the extension is likely to improve the stability of health insurance in the postpartum year.  

In her Narrative Matters essay, Marny Smith wrote about working to import stillbirth prevention policies from abroad after having a stillborn son at thirty-six weeks.

“While the US is badly lagging in addressing the problem of stillbirths, other countries are addressing it with rational fixes,” Smith explained, citing successful policies implemented in Scotland.


To listen to authors read their own essays, check out the Narrative Matters podcast feed.

For more perinatal health content, revisit the October 2021 issue of Health Affairs, Perinatal Mental Health And More.

Today in Health Affairs Forefront, Anurag Malani argues we must refocus on antibiotic stewardship programs to slow the development and spread of superbugs before they become the next major global health threat.

In GrantWatch, Elizabeth Cope and colleagues report results of their analysis of research projects on trust related to health care delivery. Mostly because of the pandemic, renewed emphasis on racial justice, and proliferation of mis- and disinformation, trust may have gotten more attention, they speculate.

Katie Keith discusses the recently issued draft letter from the US Department of Health and Human Services to insurers in the federally facilitated exchange.

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