Today in the Journal and on the Blog
 
 
 
 
 
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."
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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 >>
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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.
 
 
 
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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