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

**Monday, November 18, 2019**

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HEALTH AFFAIRS EVENTS-Rural Health

Wednesday, December 4, 9:00 am - 1:00 pm Eastern
National Press Club - 529 14th Street NW, Washington DC (Metro Center)
Registration Now Open

The December 2019 issue of Health Affairs explores various dimensions of
health and health care in rural America. Authors examine the health care
needs of people living in rural areas, investigate inequities in the
availability, accessibility, and financing of care, and identify
policies, financing mechanisms, and practices that can improve the
health and well-being of rural Americans. Join us for a forum during
which authors will present their work and participate in a robust
discussion:

* David Anderson, Research Associate, Health Policy Evidence Hub,
Margolis Center for Health Policy, Duke University, on "Rural-Urban
Differences In Individual Market Health Plan Affordability After Subsidy
Payment Cuts"

* Abigail Barker, Research Assistant Professor, Washington University in
St. Louis, and Center for Rural Health Policy Analysis at the Rural
Policy Research Institute, University of Iowa, on "Effect Of Population
Size On Rural Health Insurance Premiums In The Federal Employees Health
Benefits Program"

* Michael Lawrence Barnett, Assistant Professor of Health Policy and
Management, Harvard T. H. Chan School of Public Health, on "Adoption of
Buprenorphine Waivers by Advanced Practice Providers Highest in Rural
Areas with Expanded Scope of Practice"

* Kevin Bennett, Associate Professor, Director of the Research Center
for Transforming Healthcare, and Director of the South Carolina Center
for Rural & Primary Healthcare, University of South Carolina School of
Medicine, on "What is Rural, Anyway?"

* Hayley Germack, Assistant Professor, Acute & Tertiary Care, University
of Pittsburgh School of Nursing, on "When Rural Hospitals Close, the
Physician Workforce Goes"

* Carrie Henning-Smith, Assistant Professor, Division of Health Policy
and Management, University of Minnesota School of Public Health, on
"Rural Counties With Majority Black Or Indigenous Populations Suffer
Highest Rates Of Premature Death"

* Kenton Johnston, Assistant Professor, Health Management and Policy,
College for Public Health and Social Justice, St. Louis University, on
"Why Do Rural Medicare Beneficiaries Have Higher Rates of Preventable
Hospitalization and Mortality?"

* James Kirby, Senior Researcher, Center for Financing, Access, and Cost
Trends, Agency for Healthcare Research and Quality, on "Rural Residents
With Mental Health Needs Have Fewer Care Visits Than Urban Counterparts"

* Katy Backes Kozhimannil, Associate Professor, Division of Health
Policy and Management, University of Minnesota School of Public Health,
on "Rural-Urban Differences In Severe Maternal Morbidity And Mortality
In The US, 2007-15"

* Leighton Ku, Professor, Department of Health Policy and Management,
Milken Institute School of Public Health, George Washington University,
on "Enhancing Staffing In Rural Community Health Centers Can Help
Improve Behavioral Health Care"

* Claire O'Hanlon, Advanced Fellow in Health Services Research, Veterans
Affairs Center for the Study of Healthcare Innovation, Implementation &
Policy and Adjunct Policy Researcher, RAND Corporation, on "Access,
Quality, And Financial Performance Of Rural Hospitals Following Health
System Affiliation"

* Scott G. Phillips, Editor-in-Chief, Rural Health Quarterly, Texas Tech
University Health Sciences Center, on "Higher US Rural Mortality Rates
Linked To Socioeconomic Status, Physician Shortages, And Lack Of Health
Insurance"

* Janice Probst, Distinguished Professor Emerita, Rural and Minority
Health Research Center, Arnold School of Public Health, University of
South Carolina, on "Structural Urbanism Contributes To Poorer Health
Outcomes For Rural America" and "Declines In Pediatric Mortality Fall
Short For Rural Children"

* Scott Shipman, Director of Clinical Innovations; Director of Primary
Care Initiatives, Association of American Medical Colleges, on "The
Decline In Rural Medical Students: A Growing Gap In Geographic Diversity
Threatens The Rural Physician Workforce"

* Sirin Yaemsiri, Senior Statistician, U.S. Government Accountability
Office, on "Healthy People 2020: Rural Areas Lag In Achieving Targets
For Major Causes Of Death"

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TODAY ON THE BLOG

CONSIDERING HEALTH SPENDING

Untangling The Relationship between Social Service And Health Care
Spending And Health Outcomes

By Elizabeth H. Bradley and Amanda Brewster

As policy makers, researchers, and practitioners, we would do well to
find the language to discuss health care and social services that does
not invoke a zero-sum game but rather considers carefully how to better
support upstream services while encouraging efficiency and value for
downstream services. Read More >>

LEGAL AND REGULATORY ISSUES

United States v. Gilead: Can a Lawsuit Yield Better Access To PrEP?

By Christopher J. Morten and Amy Kapczynski

This lawsuit comes after a wave of pressure, beginning in spring 2019,
from a coalition of activists, HIV care providers, and civil society
groups organized by the PrEP4All Collaboration, urging HHS and its
constituent agency, the CDC, to assert government-owned "patents for
PrEP" against Gilead. Read More >>

HOSPITALS

A Look Inside The Hospital Transparency Final Rule

By Billy Wynne, Josh LaRosa, and Taylor Cowey

CMS finalized a controversial set of requirements for the disclosure of
hospital pricing data to degrees heretofore not seen. While the original
proposal faced substantial backlash from stakeholders, CMS' final
decision is nearly identical to what the agency originally proposed.
Read More >>

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IN THE JOURNAL

HEALTH INFORMATION TECHNOLOGY

Are Patients Electronically Accessing Their Medical Records? Evidence
From National Hospital Data

By Sunny C. Lin, Courtney R. Lyles, Urmimala Sarkar, and Julia
Adler-Milstein

Substantial policy effort has been directed at improving patients'
ability to access and use electronic health records. Using nationwide
data from 2,410 hospitals for the period 2014-16, Sunny Lin and
coauthors examined associations between patient- and hospital-level
characteristics and access to and use of electronic health record data
among discharged patients. Read More >>

Listen to author Sunny Lin interviewed about this article on WTOP-FM

HOSPITALS

Did Hospital Readmissions Fall Because Per Capita Admission Rates Fell?

By J. Michael McWilliams, Michael L. Barnett, Eric T. Roberts, Pasha
Hamed, and Ateev Mehrotra

In general, readmission rates should fall as admission rates fall
because the probability of an admission occurring soon after another is
lower when there are fewer admissions per patient. J. Michael McWilliams
and coauthors examined this relationship by conducting a simulation in
which they removed random samples of admissions from Medicare claims
data and recalculated readmission rates. Read More >>

MEDICAID

Medicaid Expansion Associated With Reductions In Preventable
Hospitalizations

By Hefei Wen, Kenton J. Johnston, Lindsay Allen, and Teresa M. Waters

To examine the impact of Medicaid expansion under the ACA, Hefei Wen and
coauthors reviewed inpatient databases for the years 2009-15. The
authors found that the Medicaid expansion states saw greater reductions,
compared to non-expansion states, in the number of patients hospitalized
for conditions that could have been treated by ambulatory care
interventions. Read More >>

Read the November 2019 Table of Contents

****

Subscribe to Health Affairs

**for full journal access**

A CLOSER LOOK- Millennials

**** Millennials are seeing their health status decline faster than the
previous generation as they age, according to Blue Cross Blue Shield
Health Index data. But millennials are alsotwice as likely to be
registered nurses
than baby
boomers were, causing a profound influence on the nurse workforce and
access to care.

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About Health Affairs

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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.

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