A new health policy brief examines pandemic-driven health policies
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Sunday, March 13, 2022 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

This week we released the March issue of
Health
Affairs
.

The issue covers a broad range of topics, including hospital finances
and billing, equity in clinical trials and HIV/AIDS prevention, the
effects of providing people with a transportation benefit, and
considerations in covering cancer screening.

Read The Full Issue

What's New At Health Affairs

The March issue of

**Health Affairs**, a variety issue, covers a broad range of topics
including hospitals, equity, and care delivery.

In one article in the March issue, Jill Horwitz and Austin Nichols
examine the relationship between hospital ownership type and which
service lines hospitals offer
.

After controlling for market and hospital characteristics, they
determine that although all types are more likely to offer a service if
it is relatively profitable, "nonprofit hospitals offer relatively
unprofitable services more than for-profit hospitals and less than
government hospitals. Profitable services typically exhibit the opposite
pattern."

On the topic of equity, another article by Angela Green and colleagues
assesses the equity surrounding clinical trials for treatments and
drugs.

In 2015, the Food and Drug Administration launched a plan aimed at
improving the diversity of participants in clinical trials and the
transparency of trial results for newly approved drugs.

Green and colleagues report that the initiative did not improve
representation of Black relative to White participants
,
and only 20 percent of studies reporting results after the plan went
into effect met a requirement to include race-specific reporting of
benefits and side effects.

Care delivery is also changing.

Thomas Tsai and coauthors find that about half of Affordable Care Act
Marketplace enrollees

live in counties where the health plan offering with the highest quality
rating is three stars out of five, whereas 46 percent have access to a
four or five-star-rated plan.

Overall, there are no disparities in access to high-rated plans in
counties with a higher percentage of Black or Hispanic residents.

Order The March Issue

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Advertisement

New Health Policy Brief

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A new Health Affairs Policy Brief
,
William Bleser and coauthors examine pandemic-driven health policies to
address social needs and health equity.

The COVID-19 pandemic has spawned new health policies and interventions
to address social needs and social determinants of health.

Bleser and coauthors share lessons from interventions developed during
the COVID-19 pandemic and similar prepandemic initiatives and describe
how they can guide policy makers in designing more permanent approaches.

Read More Health Policy Briefs

Elsewhere At Health Affairs

In Health Affairs Today, we published an essay from Seth Berkowitz,
assistant professor in the Division of General Medicine and Clinical
Epidemiology at the University of North Carolina School of Medicine.

Berkowitz discusses a new study

he and coauthors published about a nonemergency medical transportation
program offered to members of a Medicare accountable care organization
(ACO).

The authors find that participation in such a benefit in an ACO is
associated with 9.2 more outpatient visits and $4,420 in additional
outpatient costs per person per year, with no reductions in emergency
department visits or inpatient admissions.

"Ultimately, there are many instances where some involvement of health
care systems in HRSN programs provides benefit," writes Berkowitz. "But
fundamentally such programs need to be viewed as complements to, not
substitutes for, social policy to prevent poverty, material deprivation,
and HRSNs."

Never miss a special guest essay and sign up for the daily Health
Affairs Today newsletter.

In Health Affairs Forefront, Katie Keith examines new guidance issued by
the Department of Health and Human Services (HHS) designed to help
protect transgender youth
.

Elizabeth Pollock and coauthors discuss the robust body of literature
tying the health of our democracy

to the health of people and populations.

Linda Richter and coauthors argue that smart use of new federal funding
for youth mental health initiatives and effective allocation of state
opioid settlement funds can prevent youth substance use

and mental health problems.

Stay up-to-date

on the latest health care analysis by visiting Forefront to read our
newly published articles.

Finally, in a new podcast episode of This Week, Harvard Medical School's
Michael Chernew talks about the new direct contracting model

for Medicare accountable care organizations.

Health Policy Podcast Fellowship

Health Affairs is accepting applications to the Health Affairs Podcast
Fellowship program. This program is an opportunity for US-based
applicants who are in the early or mid-early stages of their career.

The program is intended for professionals with an interest in health
policy and storytelling to pursue an audio project with support of their
employer, school, or as a freelancer to dedicate the time and resources
to complete their project.

Listen to the Pathways podcast

to see what the latest cohort of Health Policy Fellows produced.

Apply Today

 

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Get On Board - The Mental Health Boarding Crisis

Welcome to While We Wait, the second series from Health Affairs
Pathways. In this series, Sania Ali and Avni Kulkarni explore the mental
health boarding crisis.

Listen Here

Featured This Week

Health Affairs' March Issue: Hospitals, Health Equity & More

Health Affairs Editorial

HHS Issues Guidance To Help Protect Transgender Youth

Katie Keith

COVID-19 Vaccine Mandates At The Supreme Court: Scope And Limits Of
Federal Authority

Efthimios Parasidis

Best Practices Using SSR Health Net Drug Pricing Data

Benedic Ippolito and Joseph Levy

The Hospice Paradox: How Medicare Fails Americans At The End Of Life

Alexis Drutchas et al.

Podcast: Mike Chernew On Payment Reform: From Direct Contracting To ACO
REACH

Chris Fleming and Michael E. Chernew

 

[link removed]

Ruth Zambrana Argues Structural Racism Is A Social Determinant Of Health

Ruth Enid Zambrana from the University of Maryland joins Health Affairs'
Editor-in-Chief Alan Weil to discuss the intellectual history of
scholarship on racism and health.

Listen Here

 

 

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, 1220 19th Street, NW, Suite 800, Washington, DC 20036, United States

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