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

**Thursday, November 21, 2019**

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TODAY ON THE BLOG

SUBSTANCE ABUSE

The Opioid Epidemic: A Needed Focus On Adolescents And Young Adults

By Julie Uchitel, Scott E. Hadland, Sudha R. Raman, Mark B. McClellan,
and Charlene A. Wong

From new payment models to specific care delivery strategies, the
spectrum of reforms described here to reduce the harms from opioids to
Generation Z can support them in their adolescence and young adulthood,
with benefits to be realized over a lifetime. Read More >>

RURAL HEALTH CARE

Right-Sizing Evidence-Based Programs To Improve Rural Health Care

By Elizabeth Ruen

Billings Clinic, an integrated health system in Montana, adapted the
Alameda Model of emergency psychiatric care for its use. The staff
believed that this evidence-based model from an urban area in California
could be "right-sized" to serve a smaller population in a rural and
frontier region. The author reports some promising early results at
Billings Clinic's psychiatric stabilization unit. The Leona M. and Harry
B. Helmsley Charitable Trust played an important role in those
successes.
Read More >>

IN THE JOURNAL

DISPARITIES

Medicaid And Private Insurance Coverage For Low-Income Asian Americans,
Native Hawaiians, And Pacific Islanders, 2010-16

By John J. Park, Benjamin D. Sommers, Sarah Humble, Arnold M. Epstein,
Graham A. Colditz, and Howard K. Koh

John Park and coauthors take a close look at the effects of the ACA on
Medicaid and private insurance coverage for low-income Asian Americans,
Native Hawaiians, and Pacific Islanders. The authors report large gains
in coverage in the period 2010-16 in both Medicaid expansion and
nonexpansion states. Read More >>

ACCESS TO CARE

A Consumer-Centric Approach To Network Adequacy: Access To Four
Specialties In California's Marketplace

By Simon F. Haeder, David Weimer, and Dana B. Mukamel

Simon Haeder and coauthors incorporate more accurate practicing
physician data and measures of patients' travel distance into
traditional approaches for measuring health plan network adequacy.
Focusing on four physician specialties in California, they show that
"Marketplace plan networks are consistently narrower than their
commercial plan counterparts." Read More >>

Read the November 2019 Table of Contents

****

Subscribe to Health Affairs

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HEALTH AFFAIRS EVENTS-PAST EVENT:  LOS ANGELES BRIEFING ON  VIOLENCE
& HEALTH

The Los Angeles forum for the October issue of Health Affairs, Violence
& Health, explored the effects of exposure to violence, community
responses to violence, and policy initiatives. Get caught up with the
event:  slides

(click on Download Event), video
, and
podcast
.

Access the October PRINT

or ONLINE issue.

Getevent-specific emails
delivered directly to your inbox.

A CLOSER LOOK-2020 Election

****
Last night, the Democratic debate in Atlanta took place. Mayor Pete
Buttigieg of South Bend, Indiana, argued that his policy of "Medicare
for all who want it" is a better alternative than the Medicare For All
plans proposed by Senators Elizabeth Warren of Massachusetts and Bernie
Sanders of Vermont. This Health Affairs journal article from 2018
describes and assesses the Democratic candidates' range of proposals
to expand health care access
.

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