Forefront: Has patient cost sharing for advance care planning become a
barrier?
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Wednesday, March 16, 2022 | The Latest Research, Commentary, And News
From Health Affairs

Dear John,

****Health Affairs is launching a new health reform-focused newsletter
written by Katie Keith. The newsletter will examine health policy
developments-from legislation to litigation-and explain what these
changes mean for patients, payers, providers, and other key health care
stakeholders.

Sign up for the Health Reform newsletter today
.

Black Maternal Health Equity

The Leading To Health column in the March issue of Health Affairs
highlights Penn Medicine's efforts to advance equity in Black maternal
health
,
namely tying executive compensation to the goal of reducing
birth-related complications.

Kevin Mahoney, CEO of the University of Pennsylvania Health System,
added health equity to the Penn Medicine fiscal year 2021 team goals.

As a result, Penn Medicine's ability to reduce major maternal morbidity
would be factored into determining executive pay for the health system
and medical school.

Setting a metric for the team goal posed challenges. Severe maternal
complications, although much more common than maternal deaths, are still
rare events, which means that it would be difficult to discern
improvements in care.

Eventually, Penn Medicine created a composite quality metric to improve
their data and protocols around measurement.

"In the first year after setting the goal, the health system was able
to reduce severe pregnancy-related complications among Black women by
29.4 percent," says Elizabeth Howell, the chair of the Department of
Obstetrics and Gynecology in the Perelman School of Medicine.

Read more articles like this on the Leading to Health webpage

and sign up for the Leading to Health newsletter
for additional analysis
on health systems transformation

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Elsewhere At Health Affairs

Today in Health Affairs Forefront, Marian Grant and coauthors examine
the merits of advance care planning
,
which was designed to prepare people for future medical decision making,
particularly for those living with serious illness.

The authors' findings suggest that patient cost sharing for this
process has turned out to be a barrier that disproportionately affects
Black and Latinx communities.

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Ready, Set, Stall - ED Clinicians On The Boarding Crisis

In this podcast episode, Avni Kulkarni and Sania Ali head to the
emergency department (ED) to learn how our nation's safety net is
struggling to keep up with the increasing demand for emergency
psychiatric treatment.

This podcast was created by Fellows at the Health Affairs Podcast
Fellowship Program. Health Affairs is accepting applications for the
next cohort of Health Policy Podcast Fellows

through March 31.

Listen Here

Daily Digest

Raising The Stakes To Advance Equity In Black Maternal Health

Michele Cohen Marill

The Equity Issue With Advance Care Planning Cost Sharing

Marian Grant et al.

Podcast: Ready, Set, Stall - ED Clinicians On The Boarding Crisis

Avni Kulkarni and Sania Ali

[link removed]

Health Policy Podcast Fellowship

Accepting applications through March 31

Health Affairs is seeking applicants for the Health Policy Podcast
Fellowship. The program is intended for early or mid-early stage career
individuals with an interest in health policy and storytelling.

The program is intended to support applicants who have an audio project
in mind to inform and educate the public.

Listen to the Health Affairs Pathways podcast

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

Apply Today

 

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mailto:[email protected]

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
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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

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