From Health Affairs Today <[email protected]>
Subject EYE ON HEALTH REFORM: Health Reform On The Campaign Trail; Affordable Care Act Marketplaces; A Health Information Agency; The Case For Systemic Health System Transparency
Date November 12, 2019 9:09 PM
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**The Latest Research, Commentary, and News from Health Affairs**

**Tuesday, November 12, 2019**

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IN THE JOURNAL

EYE ON HEALTH REFORM

Health Reform On The Campaign Trail

By Katie Keith

In this primer, Katie Keith summarizes the range of Democratic
candidates' proposals, from improving the ACA to Medicare for All,
noting the different plans' costs, impacts, and trade-offs. She
observes that some candidates have shifted their positions, which may
"be in reaction to the public debate, which has thus far focused on
simple answers to complex questions such as whether each candidate
supports banning private health insurance or not, how each will pay for
their plan, and whether coverage options should be extended to
undocumented people."
Read More >>

AFFORDABLE CARE ACT

As Insurers Exit Affordable Care Act Marketplaces, So Do Consumers

By Daniel Crespin and Thomas DeLeire

Much has been written about the stability of the ACA Marketplaces.
Daniel Crespin and Thomas DeLeire analyze the relationship between
insurer exits from the Marketplaces and consumer decisions to reenroll
in policy years 2015-18. Read More >>

California's New Gold Rush: Marketplace Enrollees Switch To Gold-Tier
Plans In Response To Insurance Premium Changes

By Petra W. Rasmussen, Thomas Rice, and Gerald F. Kominski

"Silver loading" occurred when the Trump administration discontinued
cost-sharing reduction payments to health plans, and some states
permitted insurers to place the entire cost of these subsidies on
silver-tier plans. Petra Rasmussen and coauthors examine Marketplace
enrollees' behavior in California between the 2014-15 and 2017-18
open enrollment periods in response to silver loading.Read More >>

Read the November 2019 Table of Contents

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TODAY ON THE BLOG

HEALTH INFORMATION TECHNOLOGY

Time For A Health Information Agency

By Julie Barnes and Mattie Quinn

It's time to step into this brave new world, one that we've always
hoped for in health care: where patients are empowered, health data are
in real time, and the whole system no longer feels like a handful of
people making decisions behind a curtain. Read More >>

SYSTEM OF CARE

Stop Blaming The Victim: The Case For Systemic Health System
Transparency

By Niall Brennan and Katie Martin

Decision makers and policy makers-federal, state, local, and private
sector-need more and better information to consider and implement
changes that can alter the trajectory of health care spending. Greater
transparency, by which we mean a comprehensive view of where and how
health care dollars flow and what is driving them, is a key tool in
enabling those changes. Read More >>

FOLLOWING THE ACA

ACA Round-Up: First Enrollment Report, SBC Updates, And More

By Katie Keith

This post covers the first weekly enrollment report, updates to the
Summary of Benefits and Coverage (SBC), a new enforcement safe harbor
for direct enrollment (DE) entities on quality rating requirements, an
extension of relief for dual enrollees in Medicare and marketplace
coverage, and data submission requirements for the risk adjustment
program for 2019.  
Read More >>

A CLOSER LOOK-Climate Change

****A recent study shows that there is an association between hotter
temperatures and an increase both in the number of hospital visits for
mental health reasons and in suicide rates. As temperatures continue to
rise, it is crucial to consider what we can do to address the impact of
climate change. This Health Affairs Blog post articulates how public
health officials can rise to the challenge of climate change
.

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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.

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